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Sequence for abdominal exam
Inspection
Auscultation
Percussion
Palpation
Why is auscultation done before percussion and palpation when performing an abdominal exam?
Percussion/palpating could make the internal structures jostled around/move and stimulate GI movement before being able to assess base GI sounds (e.g., stimulate peristalsis)
Musculature of abdomen
Organs of the GU tract
Preparation for an abdominal exam (5 steps)
Ask whether the patient needs to void (if so let them go before exam)
Place patient in supine position with knees slightly flexed (pillow under knees for comfort)
Examiner should stand on patient’s right side
Raid bed to a comfortable working position
Expose abdominal area