Abdominal Examination - Clinical Skills - Medical School Revision - Dr Gill
Given that we're now full vaccinated, and able to test in order to protect against the risks of COVID19, it seems appropriate that we return to some of the videos which were filmed during the lockdowns, specifically so we can complete every step of the examination.
Previously wearing masks meant it was not possible to safely film without the masks, thus we lost the steps looking at the patient's mouth. Hence the refilming with these complete examinations
In this video, we demonstrate how to perform a clinical examination of the ABDOMINAL SYSTEM for your medical school Clinical Skills OSCE. As the gastrointestinal exam is a core skill when it comes to examining patients, students should assume that an abdominal assessment is a high yield station for any clinical exams or clinical assessments.
For a passing grade in your Clinical Skills OSCE, for the Abdominal exam follow the approach of:
- Inspection
- Palpation
- Percussion
- Auscultation
HOWEVER, an abdominal examination OSCE station does not just involve pressing around the stomach, this video also demonstrates some of the specialised examination techniques required in examining patients such as shifting dullness for ascites, and checking the size of the liver which may be seen to be enlarged in cirrhosis as an example.
Diarrhoea, pain and general concerns about the abdomen are common reasons for patients to see a doctor, and in any speciality is probably the most commonly performed patient examination
This video has three other abdominal system-focused videos associated with it:
[ Ссылка ] - Abdo Demo
[ Ссылка ] - Male Genital Exam
[ Ссылка ] - How to perform a DRE
------------
Please note that there is no ABSOLUTE way to perform a clinical examination. Different institutions and even clinicians will have differing degrees of variations - the aim is the effectively identify medically relevant signs.
However during OSCE assessments. Different medical schools, nursing colleges and other health professional courses will have their own preferred approach to a clinical assessment - you should concentrate on THEIR marks schemes for your assessments.
The examination demonstrated here is derived from Macleods Clinical Examination - a recognised standard textbook for clinical skills.
#clinicalskills #abdominalexamination #DrGill
You can now consult via video or in person with Dr Gill at Dr Finlay’s Private Practice - [ Ссылка ]
00:00 - Patient Consent and Identification
00:45 - Visual Inspection
01:42 - Pulse Check
01:55 - Checking for Anemia and Jaundice
02:09 - Examination of the Tongue and Teeth
02:22 - Head and Neck Examination
02:59 - Abdominal Examination: Inspection
03:22 - Abdominal Examination: Palpation
05:07 - Abdominal Examination: Percussion
05:53 - Abdominal Examination: Auscultation
06:28 - Checking for Fluid in the Abdomen
06:59 - Examination of the Ankles for Fluid Retention
07:17 - Final Assessment and Next Steps
