Abdominal examination

Station 9
A 9-year-old boy was brought in to the outpatient by his father presenting with abdominal
distention for almost 3 months now. It is associated with wasting and jaundice. Examine this pt's
abdomen?
Instructor: __________________ student ID NO:_________

N Checklists Achieved Not achieved

o
1 Introduces him/herself. establishes rapport
2 Takes permission, undresses the child. covers genitalia with a sheet
2 Inspects from the foot end for movements
3 Gently palpates all abdomen quadrants
4 Palpates the abdomen for liver, spleen, any masses
5 Does bimanual palpation of the kidneys
6 Palpates the hernia sites
7 Percusses the abdomen for the presence of free fluid
8 Percusses for bladder fullness
9 Auscultates all quadrants of the abdomen
10 Covers the child and thank him