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Physical (Abdomen)

Abdomen

Physical examination (Physician assessment)			Self-scoring is possible with some items, but examinations of the abdomen are best accomplished by a healthcare professional.
	Score	Normal expectations	Recommended action steps
Preliminary inspection:
Body habitus Sthenic, Asthenic/Hyposthenic, Hypersthenic (score 0 for all body habitus)		Sthenic, average frame	None. General description of body habitus is for background information only.
For all 7 items below: score 1 if present, 0 if absent
Scars		no	Report to physician if condition exists.
Jaundice		no	Report to physician if condition exists.
Distension		no	Report to physician if condition exists.
Masses		no	Report to physician if condition exists.
Pulsations		no	Report to physician if condition exists.
Hernial orifices		no	Report to physician if condition exists.
Inguinal glands enlargement		no	Report to physician if condition exists.
Pubic hair [Absent/present/density. Score 0 for all observations.]		Age dependence	Puberty, indicator of sexual maturity
Palpation of 9 abdominal areas [For the next 6 items: score 1 if any masses, tenderness, rigidity, pulsation, or hyperesthesia are present, otherwise 0]
Liver		No reaction to light or deeper palpation	Professional assessment required
Spleen		No reaction to light or deeper palpation	Professional assessment required
Kidneys		No reaction to light or deeper palpation	Professional assessment required
Bladder		No reaction to light or deeper palpation	Professional assessment required
Uterus		No reaction to light or deeper palpation	Professional assessment required
Aorta (Mass and/or Pulsation)		No mass, no pulsation	Professional assessment required
Percussions of 9 abdominal areas
Epigastric area/stomach [Score 1 if dull or tympanic, otherwise 0]		Resonant or Hyper-resonant	Professional assessment required
Liver [Score 0 if dull, 1 for all others]		Dull	Professional assessment required
Spleen [Score 0 if resonant, 1 for all others]		Resonant	Professional assessment required
Bladder [Score 0 if dull, 1 for all others]		Dull	Professional assessment required
Uterus [Score 0 if dull, 1 for all others]		Dull	Professional assessment required
Lower left quadrant/sigmoid colon [Score 0 if resonant, 1 for all others]		Resonant	Professional assessment required
Auscultation
For the next 3 items: score 0 if present, otherwise 1			Professional assessment required
Bowel sounds		Sounds expected
Aortic bruits		Bruits expected
Renal artery bruits		Bruits expected
Abdominal reflex test
T8-T12 contraction [yes (score 0)/no (score 1)]		Contractions expected	If no, report to physician
Overall score
Genitalia, gynecological and rectal examinations only when indicated			If in doubt, consult with healthcare providers

 

Reminder: Accumulated score of zero requires no further action. The user is encouraged to discuss with a healthcare provider any line items scored as 1 and proceed with remedial actions as appropriate. Save or print the table. All forms will reset to blank state once the user exits the website.

 

"Prevention is better than cure" Desiderius Erasmus

 

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