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Abdomen

Abdomen. Inspection : Distention Scaphoid Visible peristaltis Umbilical abnormalities Distended bladder. Shifting dullness fluid wave. Palpation: Tenderness Guarding Tumor Liver

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Abdomen

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  1. Abdomen Inspection: Distention Scaphoid Visible peristaltis Umbilical abnormalities Distended bladder

  2. Shifting dullness fluid wave

  3. Palpation: Tenderness Guarding Tumor Liver Spleen Palpation: Ascites Hernia Lymph nodes Kidneys Bladder Aortic pulsation Abdomen

  4. Abdomen • Percussion : • Shifting dullness • Auscultation: • Bowel sound • Stool: • Color, consistency,worm,

  5. Scratch test • Put diaphragm above Rt. Costal margin • Scratch skin at mid clavicular line from umbilicus to costal margin • You hear change

  6. Perineum &Genitalia • Anus: • Fissure , prolapse.. • Rectal examination: • Mass ,Stenosis ,blood, • Genitalia: • Labia adhision ,discharge, • Hypospadias ,Phymosis ,balantitis, • undescended testis ,hydrocele

  7. Testis • 10 mm width & 15 mm length • Should lie in scrotal sac most of time • Differentiate hydrocele from inguinal hernia • Delayed puberty in boys:Nosighns of puberty by 14 y/o

  8. Nervous System • State of consciousness: Unconsciouness ,aemiconsciouness ,drowsiness, alertness ,hyperexcitibility • Posture&Movement:Hypotonia ,Tremor, Tic, Convulsive movements,Abnormal gait,Palsy,Speech • Cranial nerve • Muscle tone • Sensation • Reflexes

  9. 1th=Olphactory 2nd=Optic 3rd=Oculomotor 4th=Trochlear 5th=Trigeminal 6th=Abducens 7th=Facial 8th=Auditory 9th=Glossopharengeal 10th=Vagus 11th=Spinal accessory 12th=Hypoglossal Nervous SystemCranial nerve

  10. Bell's palsy (left seventh nerve weakness)

  11. Reflexes • Biceps C5 • Triceps jerk C6-C7 • Abdominal Reflex T8-T12 • Cremaster reflex L1 • Knee jerk L3-L4 • Ankle jerk L5-S1 • Plantar response S1

  12. Iliopsoas Test

  13. Obturator Test

  14. Developmental hip dysplasia Barlow's test Ortolani's test

  15. Barlow Maneuver

  16. Ortolani Maneuver

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