Professional Documents
Culture Documents
Abdomen Proforma
Abdomen Proforma
Abdomen Proforma
Abdominal pain:
Onset
Duration
Site
Pattern
Character
Severity
Radiation
Aggravating factors - food, posture
Relieving factors - medications, posture
2. Abdominal distension:
Onset
Duration
Progression
3. Vomiting:
Duration
Frequency
Nausea?
Nature of vomitus - bilious, feculent, blood-stained
Relation to food
Self induced?
4. Constipation:
Duration
Frequency of stools
Obstipation?
Alternating with diarrhea?
Painful defecation?
5. Diarrhea:
Onset
Duration
Frequency
Consistency
Volume
Mixed with blood, mucus, pus?
Present also during night?
History of travel
Urgency, incontinence?
Associated with pain (tenesmus)?
8. Dysphagia:
Duration
Site of symptom
For which type of food? - solids, liquids, both
Associated with cough?
16. Appetite:
Increased or decreased
Duration
18. Fever
Duration
Pattern
Grade - low, high
Associated with chills, rigor?
Associated with night sweats?
Diurnal variation?
Associated with rashes?
19. Jaundice:
Duration
Pattern
Progression
Colour of urine
Colour of stools - clay coloured, high coloured
20. Pruritus:
Duration
Associated with skin rashes
24. Fatigue
25. Bone pain
26. Gum bleeding
30. Gynecomastia:
Painful?
1. Exposure to toxins
Conscious level
Built, nourishment
Comfortable at rest or Tachypnoeic
Febrile?
Rash?
Pallor or Polycythemia
Icterus
Cyanosis
Clubbing
Lymphadenopathy
Pedal edema
Pulse
Blood pressure
Respiration
Temperature
Lips:
- colour, moisture
- swelling
- fissures, ulcers, crusts, herpes
Gums:
- colour, consistency
- bleeding
- hyperplasia, ulceration, growth
Teeth:
- absence
- colour
- caries
Tongue:
- anomalies
- size
- colour, pigmentation, bald and smooth?
- coating, moisture
- ulcers, candidiasis, hairy leukoplakia
Buccal mucosa:
- pigmentation
- ulcers, petechiae
- submucosal fibrosis
Palate:
- high arched?, anomalies
- petechiae, candidiasis
Tonsils:
- enlarged?
- colour
- abscess?
1. Shape - scaphoid, flat, distended
2. Umbilicus - position, shape
3. Visible mass?
4. Visible peristalsis?
5. Moves with respiration?
6. Pulsations?
7. Skin over the abdomen - scars, sinuses, distended veins
8. Flanks - full?
9. Hernial orifices
10. External genitalia
Measurements:
1. Abdominal girth at umbilicus
2. Distance from xiphoid cartilage to umbilicus
3. Distance from umbilicus to pubis
4. Spinoumbilical line on both sides
1. Liver span
2. Traube’s space
3. Shifting dullness
4. Fluid thrill
5. Nixon’s and Castell’s methods of examining spleen
1. Bowel sounds
2. Bruit
3. Venous hum
4. Hepatic rub, Splenic rub
5. Succussion sounds