Examination of Chronic Abdominal conditions

HISTORY

• • Age & Sex-

  • Occupation-

  • Residence-

COMPLAINTS

• 1. Pain-

     • Duration-

     • Site-

     • Radiation-

     • Relationship with food-

     • Character-

     • How relieved-

  2. Flatulent dyspepsia-

  3. Nausea & Vomiting-

     • Character & Amount-

     • Frequency-

     • Relation to food-

     • Relief of pain-

  4. Haematemesis & Melaena-

  5. Jaundice-

     • Neoplastic Jaundice-

     • Calculous Jaundice-

     • Among other causes of Jaundice-

  6. Bowel habit-

  7. Appetite-

  8. Fever-

  9. Loss of weight-

Past History-

Personal History-

Family History-

Physical Examination

A. General Survey

B. Abdominal Examination

INSPECTION:

• 1. Skin & Subcutaneous tissue-

  2. Umbilicus-

  3. Contour of the abdomen-

  4. Movements-

     • Respiratory-

     • Peristaltic-

     • Pulsatile-

  5. Swelling-

PALPATION:

• 1. Tender Spot-

  2. Fluid Thrill-

  3. Shifting dullness-

  4. Palpation of the abdominal organs-

     • Stomach-

     • Liver-

     • Spleen-

     • Gallbladder-

     • Kidney-

     • Pancreas-

     • Colon-

PERCUSSION:

AUSCULTATION:

Examination of the left supraclavicular lymph nodes-

Rectal & Vaginal Examinations-

General Examinations-

Short Bowel Syndrome