Abdominal Examination Checklist ss5x

Abdominal Examination Checklist    

Introduce Verbal consent Wash hands Pain?

 Observe from the end of the bed  Hands

Clubbing, leukonychia, koiloychia Dupuytren’s contracture, palmar erythema, pale creases

 Face

Jaundice, anaemia, corneal arcus, Kayser-Fleischer rings, xanthelasma Angular stomatitis, aphthous ulcers, thrush, mucous membrane hydration, tongue – atrophic/white/dry, hepatic foetor

 Neck

Virchow’s node

 Chest

Gynaecomastia, excoriation marks, distended veins, spider naevi

 Expose Abdomen

Shape, size, skin lesions, scars, stomas, distended veins Lift head - ?hernias

 Palpate

Palpate regions light then deep AAA? Liver Spleen Kidneys Groins for hernias and lymphadenopathy External genitalia for torsion and masses

 Percuss

Liver, spleen, bladder Shifting dullness

 Auscultate Liver, aorta, iliacs for bruits LIF for bowel sounds  Extras

DRE Urine dip including ßHCG in females of reproductive age Observaion chart