Full sequence: several maneuvers combined into one smooth exam
Full Sequence
Abdominal Exam: Full Sequence
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Video coming soon
This video shows one approach to combining several maneuvers of the abdominal exam into a smooth, logical sequence, ordered by patient positioning and gowning. Each maneuver's technique, findings, and evidence are on its own page, linked below.
Maneuvers in This Sequence
🎬Video coming soon
Abdomen Auscultation
Rule in:VHRenovascular Hypertension, MHBowel Obstruction, IEAbdominal Aortic Aneurysm +9 more
Rule out:MHRenovascular Hypertension, NHBowel Obstruction, IEAbdominal Aortic Aneurysm +9 more
🎬Video coming soon
Abdomen Inspection
Rule in:VHBowel Obstruction, SHAscites, ICCushing Syndrome +3 more
Rule out:SHAscites, SHBowel Obstruction, NHCushing Syndrome +3 more
🎬Video coming soon
Abdomen Palpation
Rule in:VHExtrahepatic Biliary Obstruction, VHIntussusception, VHPyloric Stenosis +32 more
Rule out:VHHepatocellular Jaundice, HAppendicitis, SHDiverticulitis +32 more
🎬Video coming soon
Abdomen Percussion
Rule in:SHAscites, NHHepatomegaly, IEPerforated Viscus +2 more
Rule out:SHAscites, NHHepatomegaly, IEPerforated Viscus +2 more
🎬Video coming soon
Abdominal Aorta Palpation
Rule in:VHAbdominal Aortic Aneurysm
Rule out:MHAbdominal Aortic Aneurysm
🎬Video coming soon
Abdominal Wall Tenderness Test
aka Carnett sign
Rule in:SHAbdominal Wall Pain, SHPsychogenic Abdominal Pain, IEAcute Abdomen +2 more
Rule out:HPsychogenic Abdominal Pain, SHAbdominal Wall Pain, IEAcute Abdomen +2 more
🎬Video coming soon
Asterixis
aka Flapping tremor; liver flap
Rule in:IEMetabolic Encephalopathy, IEStructural Brain Lesion
Rule out:IEMetabolic Encephalopathy, IEStructural Brain Lesion
🎬Video coming soon
Costovertebral Angle Percussion
aka Murphy punch sign; Pasternatsky sign; Goldflam sign
Rule in:MHCystitis, NHNephrolithiasis, IEPerinephric Abscess +2 more
Rule out:NHCystitis, ICNephrolithiasis, IEPerinephric Abscess +2 more
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Digital Rectal Exam
Rule in:VHUpper Gastrointestinal Bleeding, SHProstate Cancer, ICCauda Equina Syndrome +6 more
Rule out:MHProstate Cancer, MHUpper Gastrointestinal Bleeding, NHCauda Equina Syndrome +6 more
🎬Video coming soon
Liver Palpation
Rule in:SHCirrhosis, SHHepatomegaly, NHMalignant Lymphadenopathy +7 more
Rule out:SHCirrhosis, SHHepatomegaly, NHMalignant Lymphadenopathy +7 more
🎬Video coming soon
Liver Percussion
Rule in:NHHepatomegaly, IEPerforated Viscus
Rule out:NHHepatomegaly, IEPerforated Viscus
🎬Video coming soon
McBurney Point Palpation
aka McBurney sign
Rule in:IEAppendicitis
Rule out:IEAppendicitis
🎬Video coming soon
Murphy Sign
Rule in:ICAcute Cholecystitis
Rule out:ICAcute Cholecystitis
🎬Video coming soon
Obturator Sign
aka Cope obturator test
Rule in:SHAppendicitis
Rule out:NHAppendicitis
🎬Video coming soon
Psoas Sign
aka Iliopsoas sign; Obraztsov sign
Rule in:SHAppendicitis
Rule out:MHAppendicitis
🎬Video coming soon
Rebound Tenderness
aka Blumberg sign
Rule in:SHAppendicitis, MHDiverticulitis, MHPeritonitis +1 more
Rule out:SHAppendicitis, SHPeritonitis, MHDiverticulitis +1 more
🎬Video coming soon
Renal Artery Auscultation
Rule in:VHRenovascular Hypertension
Rule out:SHRenovascular Hypertension
🎬Video coming soon
Rovsing Sign
aka Perman-Rovsing sign; Perman sign
Rule in:SHAppendicitis, IEPeritonitis
Rule out:NHAppendicitis, IEPeritonitis
🎬Video coming soon
Shifting Dullness
Rule in:HCirrhosis, SHAscites, IEHepatopulmonary Syndrome
Rule out:SHAscites, MHCirrhosis, IEHepatopulmonary Syndrome
🎬Video coming soon
Spleen Palpation
Rule in:VHSplenomegaly, HMalaria, SHCirrhosis +13 more
Rule out:SHMyelofibrosis, MHInfectious Mononucleosis, MHSplenomegaly +13 more
🎬Video coming soon
Spleen Percussion
Castell method and Nixon method are two distinct percussion techniques performed at this station, not alternate names for one another or for the maneuver as a whole.
Rule in:SHSplenomegaly
Rule out:NHSplenomegaly
🎬Video coming soon
Traube Space Spleen Percussion
Rule in:SHSplenomegaly
Rule out:MHSplenomegaly