Abdominal Assessment Subjective Inquiry: OPQRSTUV presenting problem:

Abdominal Assessment Subjective Inquiry: OPQRSTUV presenting problem: __________ appetite/dysphagia/food intolerance/abdominal pain/nausea/vomiting/bowel habits/abdominal hx/medications/nutritional assessment Inquire about last BM (date) ____________________ Inspection: Contour __ Symmetry – Umbilicus – Skin pigmentation & colour – Pulsations/movement – Hair distribution __ Demeanor Striae/scars (note location, description) Auscultation (note difference in sequence): Bowel sounds ____________________________ How much BS should you hear / min? ________ How long do you listen to determine absence of bowel sounds?) ________________________ Vascular sounds (using bell of stethoscope listen for bruits in renal, aorta, iliac & femoral arteries) __________________________________________ Percussion: General percussion tone_______________________ Liver span ________________________________ Scratch test _______________________________ Splenic dullness(discuss landmarks only) ___________________________ Costovertebral angle tenderness (kidney percussion) Palpation: Light palpation ___________________________ Deep palpation ___________________________ Mass assessment _________________________ Liver hook ______________________________ Spleen _________________________________ Kidneys ________________________________ Aorta __________________________________ Blumberg’s sign _________________________ Murphy’s sign ___________________________ Iliopsoas Muscle Test _____________________

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