Examination of the Abdomen.
Introduction:
Make the patient comfortable.
General Examination: Jaundice; anaemia; chacexia; scratch marks; lymphadenopathy; oedema
Inspection Hands: Clubbing; koilonychia; leuconychia; palmar erythema; dupuytren's contractures; wasting of the small muscles, wrist swelling; IV punctures; thrombophlebitis;
Head and neck: eyes: Xanthelasma; Lips: pigmentation; spider naevi; telangeictasia; lymph nodes.
Abdomen: Distention; discoloration; scars; sinuses; umblicus; visible peristalsis; dilated veins; hernial orifices; masses; genitals.
Palpation: Abdomen and groin: Is the patient in pain? If he is in pain palpate the area away form pain. Palpate clockwise: Liver, Spleen, Kidneys, Bladder and groins. Feel the femoral pulse, scrotum and prostate.
Percussion: Liver & mark the boundaries, spleen and the bladder. Fluid thrill, shifting dullness.
Per-rectal Examination.
Thank and cover the patient.