--------------------SKILLS LABORATORY Faculty of Medicine Gadjah Mada University

REFLECTION FORM

During independent Learning on:

“ABDOMINAL EXAMINTATION”
(Blok 1.3)

Note :

Each student must fill-in this form

FOR INDEPENDENT LEARNING-Abdominal Exam

 --------------------SKILLS LABORATORY Faculty of Medicine Gadjah Mada University

Grup : ………………………………………………..Date:……………………………...

What I did during abdominal examination with the patients (10 patients). Please describe
your answer, not only copy and paste the procedure by points:

What I learned:

What I think I have mastered the steps of skills and enjoy much as well as proud of my
performance on independent learning session of doing abdominal examination

FOR INDEPENDENT LEARNING-Abdominal Exam

 --------------------SKILLS LABORATORY Faculty of Medicine Gadjah Mada University
What I think as constrains on independent these skills during implementation:

What I have to do better next time and how I improve on these skills:

What is my GENERAL IMPRESSION about this assignment?

FOR INDEPENDENT LEARNING-Abdominal Exam

 --------------------SKILLS LABORATORY Faculty of Medicine Gadjah Mada University
Appendix: Report on the 5 patients :

1.) Patient 1
PATIENT IDENTITY
Name :
Age :
Sex :
Address :
Occupation :
Education level :
Religion :

VITAL SIGN EXAMINATION

Blood Pressure
Position : sitting/lying down/standing
Arm side : left/right
Cuff size :
Palpation result : systole………mmHg
Auscultation : systole/diastole.............mmHg

Temperature
Site : Axillar/rectal/oral
Result : ......degrees celcius

Respiratory rate
Frequency : .........times per minute
Regularity : regular/irregular
Type : thoracoabdominal/abdominothoracal

Pulse rate
Frequency : ........times per minute
Regularity : regular/irregular
Filling :
Tenderness :

ABDOMINAL EXAMINATION (Describe your finding, not only just write “normal”)
Inspection :
Auscultation :
Percussion :
Palpation :

Hepar Examination (Describe your finding, not only just write “normal”)
Inspection :
Palpation :
Percussion :
Auscultation :

Spleen Examination (Describe your finding, not only just write “normal”)
Inspection :
Palpation :
Percussion :
Auscultation :

Ren Examination (Describe your finding, not only just write “normal”)
RIGHT LEFT
Inspection : Inspection :
Palpation : Palpation :
Percussion : Percussion :
Auscultation : Auscultation :

FOR INDEPENDENT LEARNING-Abdominal Exam