ABDOMINAL ASSESSMENT

LOVELY E. TAPAYA RN, MAN

INSPECTION

1.
2. 3. 4.

5.

Observe for the following: Coloration of the skin Vascularity Striae Scars Lesions and rashes Contour Symmetry Abdominal movement Aortic pulsations Peristaltic movement

6.
7. 8.

Umbilicus (color, location and contour)

9.
10. 11.

AUSCULTATION

o
o o

Hear the following:

bowel sounds vascular sounds (bruits and venous hums) friction rubs over the liver and spleen

ABDOMINAL AUSCULTATION

PERCUSSION

Percuss for the following:

o o

tone span of the liver by determining its lower and upper boarder span of the spleen

ABDOMINAL PERCUSSION

PALPATION

o
o o

o
o o o

Palpate the following: masses umbilicus and surrounding area aorta liver spleen kidneys urinary bladder

SPECIAL ABDOMINAL TEST

o

o
o o o

Shifting dullness Fluid wave test Rebound tenderness and Rovsings sign Psoas sign Obturator sign Hypersensitivity test