Can be due to

Fat
Fetus
Distended Flatus
Contour Faeces
Fluid
At the
feet of Tumors
patient
Flat
Aorta
Scaphoid
Renal arteries 1. Inspection Movement: on respiration
Iliac Arteries
Symmetry and bulges
Femoral
Umbilicus
3-15 4. Auscultation
Skin
lsn at least for 2min Bowel sounds
Hair
over the liver at Veins
the site of IVC To the
Right of Pulsation
sign of hematoma Venous hum patients
Peristalsis
Hernia
For undiscovered
masses
General percussion Abdominal Muscle tone
Exam Used for
Superficial
Start at 2nd intercostal space Assessment of
tenderness
Ask patient
Superficial Rigidity
to put finger Down till dull

then at RIF Liver span

Deep tenderness
Till dullness 3. Percussion Abdominal masses
Measure using tape Edge of Liver
Spleen dull Lower lobe of
Normally right kidney
Kidney dull
percuss any mass 2. Palpation Deep palpable Faeces in
Liver dull organs descending colon
Transmitted thrill doubt Aorta in thin people
Shifting dullness for Bladder
ascites
Inguinal LN
Test for detecting edge of liver voluntary muscle spasm
Scratch test to protect from pain
Guarding

Involuntary spasm it occurs

in generalized peritonitis
Rigidity

Abdominal Exam.mmap - 10/14/2009 -