this is helpful but i am having such great difficulty understanding the accents. I am studying for my OSCE too and i suggest that maybe next time, adding captions might be helpful thank you
You can also follow up with a formal perineal exam, to asses for any hernias or atrophic changes of the testes (seen in chronic alcoholism for example).
@pipokz thats really not necessary but if the bladder is full it might obscure the bowel sounds cos the bladder is anterior to the peritoneum and extends to reach the xiphisternum if fully distended
This isn't bad but during the examination the doctor has to auscultate before he/she palpates the abdomen. The doctor does this because if there is an aortic aneurysm then you can listen to the bruit in the aorta and prevent from palpating it. If you end up palpating an aortic aneurysm then the doctor could rupture the patient aorta and cause a fatal hemorrhage.
auscultation must be done first in order to prevent any palpation from affecting bowel activity and sounds. Also, knees must be bent during an abdominal examination
@buddmar I know! As soon as I saw the thumbnail for this video I immediately thought, "I wonder how many comments there are about that man's chest hair?"
porque no le chupa el pene de una buena vez
MrLeondario 2 weeks ago
this is helpful but i am having such great difficulty understanding the accents. I am studying for my OSCE too and i suggest that maybe next time, adding captions might be helpful thank you
rizanielsen 3 months ago
The Medical Student is Buster from Arrested Development???
Frebus24 8 months ago 9
You can also follow up with a formal perineal exam, to asses for any hernias or atrophic changes of the testes (seen in chronic alcoholism for example).
Karakth 9 months ago
@pipokz thats really not necessary but if the bladder is full it might obscure the bowel sounds cos the bladder is anterior to the peritoneum and extends to reach the xiphisternum if fully distended
odlanr163 9 months ago
he missed out the fluid thrill....it's done before the shifting dullness
medaf29 10 months ago
@medaf29
I don't think so, fluid thrill +ve only if there's > 1 liter of fluid inside !
jd1iraq 9 months ago
@jd1iraq yes u r ryt....fluid thrill is only done when the abdomen is overly distended
medaf29 9 months ago
This isn't bad but during the examination the doctor has to auscultate before he/she palpates the abdomen. The doctor does this because if there is an aortic aneurysm then you can listen to the bruit in the aorta and prevent from palpating it. If you end up palpating an aortic aneurysm then the doctor could rupture the patient aorta and cause a fatal hemorrhage.
BonnySJU1 10 months ago 2
i think patient should lie flat with one pillow
deandann 11 months ago
good examination but he didn't perform percussion to determine the upper border of the liver and he didn't comment on liver span,
drhassan731 11 months ago
Very thorough although he should be watching the pt's face when palapting to check for signs of pain/tenderness
middledoo 1 year ago
Comment removed
ezmeeremiral 7 months ago
this is a good video... I have a test tomorrow and it's good to review before the test.. thanks
abdulazizmak 1 year ago
auscultation must be done first in order to prevent any palpation from affecting bowel activity and sounds. Also, knees must be bent during an abdominal examination
awakeningjourney 1 year ago
That patient is also the doctor in another clip.
Medallion2006 1 year ago
do i need to check the hernial orrifices in an abdominal exam???
janett00 1 year ago
Isn't the patient the doctor who does the neurological exam in the other video?
sammycut1 1 year ago
@sammycut1 Yeah I think they switch off being patient and doctor. All of them are students.
camilo101 1 year ago
great
anesthetist9 1 year ago
we have to do auscultaion first
ixs952 1 year ago
What?! Nobody commented on the guy's chest hair??
buddmar 1 year ago 7
Comment removed
ezmeeremiral 7 months ago
@buddmar I know! As soon as I saw the thumbnail for this video I immediately thought, "I wonder how many comments there are about that man's chest hair?"
hbunn5 4 days ago
That was really helpful. Thank you.
luv2u2kaka 1 year ago
Excellent - really good for review before my assessment
studentdoc 1 year ago