Resource1.rtf

17-2

Student Checklist

Copyright © 2015 by Mosby, an imprint of Elsevier Inc.

Copyright © 2011 by Mosby, Inc., an affiliate of Elsevier Inc.

Copyright © 2015 by Mosby, an imprint of Elsevier Inc.

Ball: Seidel’s Guide to Physical Examination, 8th Edition

Chapter 17: Abdomen

Student Checklist

Assessed Appropriately by Student?

Yes

No

Comments

I. Inspection of the abdomen (patient supine, pillow under head, arms at sides)

A. Skin characteristics, venous return patterns, symmetry, surface motion

B. Abdominal muscles (as patient raises head) for masses, hernia, or separation

II. Auscultation of all quadrants

A. Bowel sounds and frequency

B. Arteries (bruits)

III. Percussion of all quadrants

A. Tone

B. Estimation of liver size

C. Splenic dullness

D. Gastric air bubble

IV. Light palpation of all quadrants for muscle resistance, tenderness, masses

V. Deep palpation of all quadrants

A. Umbilicus and umbilical ring (bulges, masses)

B. Liver border

C. Gallbladder

D. Spleen

E. Kidneys

F. Aortic pulsations

G. Other masses

VI. With patient seated, percuss the costovertebral angles for kidney tenderness