Abdominal Examination

[elvinhickma12k]

This video went viral on Luxembourg

[tmichellemd111]

@nadia241059: lol, yea, or at least learn how to SPELL "auscultate" before making a comment like that!

[MrRhythmicDancer1]

Hello, just wondering is there any other videos of this kind? Of the same setting? Thanks

[levihollis]

what does osce mean im not a doctor i just cant figure out what it is

[ladydiana8]

shouldnt you ausculate first after inspection and why all the checks of pulses for abdominal examination

[mammajama7]

so nervous, but relaxes later on

[supertren]

Very relaxing. She is very lovely!!.

[tinjmail]

can someone tell me where in the 4 quadrants are you supposed to auscultate for bowel sounds? Is it 2 inches from the umbilicus in every quadrants?

[sonnyjimshot]

@tinjmail at my med school we've been told to just auscultate in the umbilical region, somewhere around the umbilicus - just one spot is fine, and 2 inches away about right - and comment only on whether the bowel sounds are present or absent. to pronounce them absent, you must listen for 2 mins straight.

[tinjmail]

@sonnyjimshot : Thank you!

[nadia241059]

Ascultate first!!! Shame on you. Poor technique... sorry

[MsNytol]

@nadia241059 Shame on you for making that comment when you haven't got a clue how things are done in the UK. They follow the IPPA pattern even in the abdominal exam.

[moepwint21]

i think the patient be a medical student.

[TeslaDRay]

i love vids like this. they are insightful even for the leymen, and they help me sleep (not out of boredom).

[TeslaDRay]

Yeah we are going to be short on doctors in the near future so good for her. :-)

[4bizu]

shouldnt oscultation be done before percussion?

[TeslaDRay]

If she wanted to warm her hands all she had to do was clap once, that works for me.

[lalasucubus]

should we check for hernia in osce?

[acidicPuss]

@lalasucubus yes although different consultants say different things. In the UK, at med school we're generally taught to say 'I would examine all hernial orifices' at the end of the examn. Some drs teach us to at least check for umbilical hernia using the cough impulse.

[acidicPuss]

i think him feeling 'pain' is part of the test

[TommyCrazyBoy]

She looks like she can be a doctor for children, toddlers.

[CheezyKnockers]

well done!!!

[TommyCrazyBoy]

I seen him in the other video. Does he really have pain or is that part of the test.

[acidicPuss]

also MacLeod's is the 'bible' for clinical skills in the UK

[acidicPuss]

I'm a UK student and we always do abdo examination in this order: inspection, palpation, percussion, auscultation.

don't think her hands were shaking at all! she had to press her fingers further in to palpate properly. guessing this examination sequence would've been repeated quite a few times to get it perfect for filming!

yeah zooming would've helped but probably was difficult to put several different views at the same time in this vid

[mitziblair]

She seemed quit nervous poor thing so I wld be, I h8 assessment lol

[sonicboom23]

i know i thought her hands were shking when she examined him..

[varuns21]

In abdominal examination , auscultation is always done before the palpation, as palpation may produce false increase in bowel sounds!

[bogdyyyk]

exam was very well done. bravo. a little clarification: palpation always begins from the left side because there are less affected. is given beginning to touch the affected area as the patient will suffer. I am a student from Romania

[emilputra]

yeah. the talley and o'connor book said auscultate later. it's the same as what my tutor told me.

[fatamorganaa84]

She is really good and thorough. Thanks for posting this video :)

[weatherboi]

So why don't they show the rest of the exam?

[andyc48906]

For this video they needed to zoom in a little on the doc and patient.

[JimTekSE]

I thought the examiner's technique was good and quite thorough -- but a bit out of sequence. Most MDs I've heard or read on this subject say to auscultate first -- then palpate and percuss afterward. They say this sequence yields more accurate, reliable bowel sounds.

So far, I recall only one MD, about three years ago, who did my abdominal exam in the same order we saw here. The others have done the auscultation first. Any medical professionals care to comment?

[DrNads]

This might be dependent on where in the world you do your training, in Australia I think we follow England, so the "bible" of examinations is Talley and O'Connor (every doctor I have encountered has said to follow this religiously), and this has the order of palpate, percuss then auscultate.

Hope that helps =D

[JimTekSE]

Yes, it helps -- thank you for your reply.

I'm from the USA. The doctor who examined me, following Talley and O'Connor's sequence, was originally from Pakistan. I don't recall where he had his training, but I deduce that his training was according to the British system.

[joyken1982]

1. Auscultation

2. Palpate and percuss

[missie123123]

thanks, that was very comprehensive and succint