- Joined
- Apr 25, 2006
- Messages
- 574
- Reaction score
- 58
I really, really, REALLY hate memorizing the names and details of the bazillion drugs we cover with each system.
You?
You?
ABDOMINAL EXAMINATION
Performed Omitted
I. KNOCKS ON DOOR & INTRODUCES SELF
II. APPROACH
A. Patient supine
B. Expose abdomen
C. Examiner on patients right side
III. INSPECTION description only
A. Skin
1. Rashes / lesions
2. Dilated Veins
3. Scars
B. Umbilicus
1. Inflammation
2. Hernia
C. Contour of the abdomen
1. General
2. Hernias -- umbilical
3. Masses
IV. AUSCULTATION
A. Before palpation or percussion
B. Bowel sounds
1. Character and frequency
2. All four quadrants
C. Bruits and rubs
1. Liver
2. Renal arteries
3. Aorta
4. Femoral
V. PERCUSSION
A. Four quadrants gas patterns, dullness
B. Appropriate technique
C. Liver span hepatomegaly, cirrhosis
VI. PALPATION
A. Technique
1. Watch facial expressions
2. Painful area last -- Question
Performed Omitted
B. Light palpation one hand
1. Tenderness
2 Masses
3. Guarding
C. Deep palpation two hands
1. Rigidity
2. Rebound tenderness
3. Masses
4. Organomegaly
D. Liver edge on deep inspiration
E Spleen from umbilicus to LUQ
F. Kidney catch
G. Aorta estimate size
H. CVA tenderness
VII. SPECIAL TESTS
A. Ascites
1. Shifting dullness
2. Fluid wave
B. Acute abdomen
1. Rovsings sign pain in RLQ with LLQ pressure
2. Psoas sign flexion and extension of hip
3. Oburator sign flex hip and internally rotate
4. Rigidity
5. Rebound tenderness
6. Guarding
C. Cholecystitis Murphys sign
Nephrology
Thank god im not the only one that finds this to be the most useless organ on earth. The kidney may be the trooper and hold out when everything else is going but once it goes your screwed so why bother studying it.