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health history questions
• Food intolerance
• Abdominal pain
• Bowel habits
• Abdominal history
GI: routine techniques (general steps) - 6
• Observe (general behavior & position)
• Inspect for skin color, surface characteristics, contour, surface movement
• Auscultate (BS & vascular sounds)
• Palpate (light then deep)
• Percuss CVA prn
• Special techniques prn (rebound tenderness, McBurney's, iliopsoas, obturator)
• Pulsation or surface movement
• Hair distribution
• General tympany
• Liver span
- Usual technique
- Scratch test
• Splenic dullness
• Costovertebral angle tenderness
• Special procedures
- Fluid wave
- Shifting dullness
1. percuss (indirect) all quadrants
- develop routine to ensure all areas covered
- percuss for tympany & dullness
2. Tympany = most common tone due to presence of gas
- suprapubic area → dull when bladder is distended
-Right midclavicular line
• Below umbilicus, percuss upward (tympany to dullness)
• Over lung, percuss downward (resonance to dullness)
• Distance between two lines = liver span (2.5 inches/6‐12 cm)
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