| Abdominal
| Respiratory
| Cardiovascular
| Nose
and PNS | Oral
Cavity | Ear
| Digital
Rectal Examination | Ulcer
|
Describing an abdominal examination.
Inspection
Abdomen is flat (scaphoid/distended),
moving corresponding with respiration (silent).
The umbilicus is centrally (more towards xiphisternum or symphysis pubis) placed and inverted (slit like/everted).
Flanks are not full.
A horizontal scar of around 15cm around 5 cm away from the umbilicus
anteriorly and 5 cm away from vertebrae posteriorly us present. Multiple erythematous
papules present over the abdomen.
No visible or dilated veins, no visible peristalsis and no
visible pulsations present.
No supraclavicular and renal angle fullness.
Palpation
 |
| Palpation of Liver |
No masses palpable on superficial palpation and deep
palpation. (If any mass palpable describe
the mass accordingly in terms of size, shape, tenderness, consistency, border, margin,
intraperitoneal vs retroperitoneal vs abdominal wall)
Liver and spleen were not palpable. (If organomegaly describe according to its size from anatomic landmarks,
tenderness, surface, margins, borders, consistency. If liver is palpable, the percussion of the chest for its upper margin
and the liver span should also be mentioned.)
Kidneys were not ballotable.
Renal angle tenderness present over the right side.
No gross deformity seen on genital examination
Supraclavicular lymph nodes were not palpable.
Percussion
Tympanic note was present all over the abdomen. (If dullness present, mention about shifting
dullness and fluid thrill.)
Auscultation
Normal bowel sounds heard, 3/min.
Per rectal examination was not performed.
>>No abdominal examination is complete without digital rectal examination.
| Abdominal | Respiratory | Cardiovascular | Nose and PNS | Oral Cavity | Ear | Digital Rectal Examination | Ulcer |
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