GIT Sheet

Examination

General Local
 I) General examination
 General condition
 Intellectual functions
 Decubitus and fascies
 Complexion
 Vital data
 Signs of LCF
 II) Local examination
A. Inspection:
 Contour
 Movement
 Subcostal angle
 Divarication of recti
 Hair distribution
 Epigastric pulsations
 Inspection
cont.
 Dilated veins
 Visible peristalsis
 Umbilicus
 Scars
 Striae and pigmentation
 Hernial orifices
2. Palpation
I. Superficial palpation:
a) To get familial with the patient
b) Tenderness or rigidity
c) Superficial masses

II. Deep palpation:

a) Organomegaly or masses
3. Percussion of the abdomen:
 Percussion for ascites
 Percussion of liver
 Percussion of spleen
 Percussion of urinary bladder
4. Auscultation of the abdomen:
 Intestinal sounds
 Venous hum (Cruveilhier Baumgarten
murmur)
 Friction rub (perihepatitis or
perisplenitis)
 Hepatic bruit
 Arterial bruit
 Auscultation
cont.

 Peritoneal rub
 Renal artery stenosis
 Succusion splash
 Uterine soufflé
 Puddle sign
 Scratch sign