For a detailed walkthrough of abdominal examination, please see the Abdominal Examination article
·  Wash hands
·  Check patient name/DOB/hospital number
·  Introduce- My name is…”
·  Consent – Explain what your going to do;
o  I am going to have a look and a feel of your hands, face and abdomen. Is that ok?”
·  Chaperone
·  Confidentiality
·  Position – Flat
·  General (at end of bed): Medication, Discomfort, Abdomen Distended, Jaundice, Tattoos, Scars
·  Hands:Clubbing ,Leuconychia, Koilonychia , Palmar Erythema Asterixis (Flapping tremor)
·  Face &Neck: Angular stomatitis , Glossitis , JVP, Lymph Nodes
·  Chest: Spider naevi, Gynaecomastia, Ascites
·  Ask patient if they have any areas of discomfort, if yes begin palpation away from this area &proceed cautiously.
o  Light & Deep- Palpate each region assessing for masses or abnormalities (See Diagram)
o  Liver, Kidneys, Spleen
·  Technique- It’s all in the wrist. Practice, practice, practice!
·  Liver, Spleen, Kidneys, Bladder,
·  Assess for Ascites using Shifting Dullness/Fluid Thrill
·  Bowel Sounds
·  Renal Bruits
·  “To conclude I would like to examine the external genitalia, hernial orifices, assess for ankle oedema, and perform a per rectal (PR) exam and urine dipstick
·  Thank patient
·  Cover up and check comfortable 
The 9 regions of the abdomen
Circle indicates area of kidney auscultation.
R/L HC –Hypochondrium
R/L L – Lumbar
R/L IF – Iliac Fossa
E – Epigastrium
U – Umbilical Region
SP – Suprapubic

For more information, see the abdominal examination page

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