Abdominal Examination Explained - Clinical Skills Deep Dive - Medical School Revision - Dr Gill

This Abdominal Examination Explained Deep Dive looks at the details of the examination of a patient with abdominal issues, highlighting what is being checked for during special tests and examination findings

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 sure 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 Abdominal exam follow the approach of:
- Inspection
- Palpation
- Percussion
- Auscultation

We will also address why in the UK the auscultation is placed higher on the examination approach

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 a common reason 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:

   • Abdominal Clinical Examination OSCE -...   - Abdo Demo

   • Male Genital Examination - Penis and ...   - Male Genital Exam

   • Rectal Examination and Prostate Exam ...   - How to perform a DRE


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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.

#clinicalskills #drgill #abdomen
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.


Kayser-Fleischer ring - Herbert L. Fred, MD, Hendrik A. van Dijk - https://commons.wikimedia.org/wiki/Fi...

Map - https://commons.wikimedia.org/wiki/Fi...

Ascites - James Heilman, MD - Own work

Angular stomatitis - https://en.wikipedia.org/wiki/Angular...

Cold Sore - https://en.wikipedia.org/wiki/Herpes_...

B12 - https://www.health.harvard.edu/stayin...

Glottis - https://en.wikipedia.org/wiki/Glossit...

Gynaecomastia - https://en.wikipedia.org/wiki/Gynecom...

Spleen - https://en.wikipedia.org/wiki/Spleen

#clinicalskills #abdominalexamination #DrGill

You can now consult via video or in person with Dr Gill at Dr Finlay’s Private Practice - https://www.drfinlays.co.uk/services/...

00:00 - Introduction to Abdominal Examination Deep Dive
01:27 - Beginning the Abdominal Examination: Observation and Initial Assessment
02:40 - Examining the Hands for Clinical Signs
07:29 - Dupuytren's Contracture and Its Associations
08:37 - Moving from Hands to Arms: Checking for Asterixis
09:50 - Assessing Pulse, Blood Pressure, and Upper Body for Clinical Signs
12:01 - Observing the Face for Jaundice and Other Conditions
13:44 - Examining the Mouth for Nutritional Deficiencies
17:03 - Checking for Mouth Ulcers and Lymph Nodes
19:29 - Preparing for and Conducting the Abdominal Palpation
25:15 - Deep Palpation and Identifying Abdominal Masses
29:08 - Liver and Spleen Examination Techniques
33:04 - Percussion and Auscultation in Abdominal Examination
38:02 - Additional Examination Techniques and Identifying Ascites
41:55 - Checking for Hernias
44:21 - Importance of Pregnancy Test in Female Patients
44:58 - Final Thoughts