Acute abdomen for students

- Sabiston textbook of surgery; 

  The biological basis of modern surgical practice 

  / 2021

- Macleod's clinical examination / 2023

- Seidel's guide to physical examination; 

  An interprofessional approach / 2022

 

Physical examination

- 눈 (conjunctiva)

- 복부

    시

    청

    타

    촉

- 직항문 (DRE)

눈

시, inspection

- abdominal mass, subcutaneous or intra-abdominal

- open wound, stomy

- symmetricity

- previous surgical wound scar

- cutaneous or subcutaneous inflammation, discharge

- abdominal distension

청, auscultation

- 한 군데에서 진득하게 (>15sec) 들어보자

- normoactive bowel sound or hyper/hypoactive

타, percussion

- tympanic sound + or -

- hepatomegaly and splenomegaly

- dull to tympanic sound transition

- shifting dullness

촉, palpation

- 4 quadrants

- tenderness

- rebound tenderness

- muscle guarding

- palpable mass

직장항문 (DRE)