Abdominal Examination - OSCE Guide (Latest) | UKMLA | CPSA

This video demonstrates how to perform an abdominal examination in an OSCE station.
You can access our step-by-step OSCE guide to accompany this video here: geekymedics.com/abdominal-exa...
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Chapters:
- Introduction 00:00
- General inspection 00:35
- Hands 00:47
- Asterixis 01:20
- Arms and axilla 01:32
- Face, eyes & mouth 01:45
- Lymph node palpation 02:19
- Chest inspection 02:50
- Inspection of abdomen 03:02
- Palpation of abdomen 03:34
- Percussion of abdomen 05:36
- Shifting dullness 06:30
- Auscultation of abdomen 06:55
- Summary 07:29
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Always adhere to your medical school/local hospital guidelines when performing examinations or clinical procedures. DO NOT perform any examination or procedure on patients based purely upon the content of these videos. Geeky Medics accepts no liability for loss of any kind incurred as a result of reliance upon the information provided in this video.
Some people have found this video useful for ASMR purposes.
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[@ylwo1777]

I remember watching these videos as a medical student and Geeky Medics was actually just starting out. I've been a doctor for about 6 years now and use these videos every now and then for reference :). Thank you Geeky Medics for creating this great resource!

[@geekymedics]

Thanks for sharing our journey! 🙂

[@jagatguru8432]

Still in final year......

[@KessaWitdaFro]

First year and can't wait to get on your guys' level

[@robyndaniels1381]

Doctors rarely have time during a routine 10 minute appointment to do all these thorough and helpful examinations. Many have even forgotten how to do them fully IMO due to lack of practice.

[@blaze5991]

​@@robyndaniels1381💯

[@geekymedics]

Supercharge your clinical skills with our collection of OSCE Stations, Questions and Flashcards 👾 geekymedics.com/bundles

[@geekymedics]

Help support us by buying our app subscription and get early access to our latest videos geekymedics.com/geeky-medics-app/ 🙌

[@kicha79]

what camera do you guys use?

[@Nina21_]

Thank you so much Geeky medics team ! this was super useful and very well explained , keep up the great work :)

[@thebeginnerhlac]

I think the sequence should be Inspection - Auscultation - Percussion/Palpation. Palpating prior to auscultation might distort bowel sounds. Also, it's recommended to ask the patient to bend the knees so that abdominal muscles are not tense. Writing these to help out other medical students out there! :)

[@hermela4279]

Thanks

[@umairhasan5373]

THANKS

[@zacharyokenye2197]

You have a brain.

[@amphodithnkomo9885]

Appreciated.

[@sorasalat8871]

It's the fact thank you

[@akoul5349]

A very informative video.
A suggestion: While palpating various organs, it would be great if you add the area of palpatation. Like for liver, you can add which intercostal space to palpate for.

[@goktugyazar713]

The best guide i have ever seen. Thank you.

[@ThePurposefulCraftsDIY]

I found this very helpful and useful especially those who will be taking OSCE this gives rationale behind everything being done. Great job!

[@tungstenwhizard4361]

I really like the example images. It really helps demonstrate what's normal and what's not.

[@drikramafridi9241]

I have looked all these videos for my osce exam it was very helpful, ThankU for amazing work

[@mehmedakifer5638]

Those videos are really usefull. Im very thankful to you guys. Im really am. During the pandemi, i will watch the videos you made for the exams and my medicine education. I love you guys :)))

[@medicalvines2595]

Coming across many examination videos..but geeky medics is best of all ,crystal clear concept...!!!

[@DarkSoul6484]

Thak you guys for the great work.
One thing i would do differently though is hearing for bowel sounds at the start and not at the end because all of these manouvers and palpations may temporarily alter bowel movement and thus give you a false positive.

[@bryanl1732]

Doing my OSCE in like 2 hours so you guys are a life saver thanks x

[@IIDraithII]

You pass?

[@mustafamuhammad4717]

Same here bro lok😂😂😂

[@drkamransattar]

Great presentation, explicit explanation. very easy to follow steps. Thank you!

[@froudaid]

3:26 woah! Dudes got a 9 pack! Impressive

[@e-megastoreakb6030]

Great video...watching over and over again ..great explanation and hv heart sound,bowel sound and etc ..been great help...just watch over and over again for cardio,respitory,abdominal examination ...and really help me a lot..thank you geeky medic...

[@redsawxfan]

Excellent- this is the only video that shows what an abnormal exam would look like, thank you so much!

[@MissLionRose]

SUPER helpful!!
Thanks so much for your content! 💃🏻💕🙏

[@safa2591]

Also, have the patient bend their knees up to prevent the abdominal muscles from contracting.

[@emmanuelabraham3644]

Question: How do you define increased bowel sounds?
Also, shouldn't auscultation be done before palpation or percussion for abdomen? (To prevent alteration in bowel sounds)

[@ZEEEEEEEEEE_]

2-35 per minute according to Bates guide is the normal range. so above that is abnormal... and yes, auscultation before palpation. the pneumonic is IAPP when examining the abdomen 👍

[@maxiking1776]

Who else has osce exams tomorrow? 😂

[@asiyajibril6052]

Me 😢😅

[@brijeshkukreti5422]

😂😂 Here

[@ElizabethPascal-dz8yg]

Me😂

[@shabihmoon]

me ❤

[@user-ug1dt7zr6x]

Me 😅😅

[@dirk2655]

I like the application of the knowledge on this video while oscultating.

[@ruin99]

Tomorrow I have a test, and here I am. Thank you, TH-cam and Geeky Medics

[@geekymedics]

Good luck!

[@antoniomantzbanda9094]

I hope you've graduated from College now

[@abelsimpambajr2887]

My lecturer recommended me this channels really helpful ❤

[@vinitasoni6350]

Thanku so much sir ..very good explanation of abdominal examination

[@potterharry1722]

My professor emphasized that you should start abdominal auscultation first before palpation and percussion in case that tap on abdomen affect the movement of gastrointestinal tract then affecting the sound.

[@jstnejoonbryl]

This one I agree

[@ellen2932]

Inspection
Auscultation
Percussion
Palpation

[@drkhaire1787]

I was 5th yr medical exam last year and i watched i passed thank you y guide me well really

[@hassanjan2194]

And i am now final year student in my last days.... Preparing for exams in January 2021

[@Mekki98]

Amazing Channel with Awesome content.
Good job Guys and keep it up.

[@LaTae95]

Thank you TH-cam University for giving me more knowledge

[@muath7962]

Best channel for practical practice

[@idkwhattonameit8359]

I love this , it’s so well done

[@obedraymondbagona182]

You guys are awesome! Thanks!

[@newteenager1]

thanks a lot for the video and the explanation
if i may add this ( we should do auscultation of the abdomen before percussion not to upset the stomach )

[@MrVercetti]

Test tomorrow, wish me luck!

[@obedarmah7402]

How did it go

[@eltamoor5797]

Thank you , it was really helpful.
PS: on inspection of the abdomen you wrote Pulsations twice

[@senseilewis3707]

I am currently a second yar paramedic student and have studied and learned a few of your osce videos and helped me pass my osces with flying colours. Also with the arrange of illness's when on placement, has really helped me make strong impressions on patients illness's.
May I ask, as my university hasn't taught us about GI examinations yet, just curious if you anyone who I can message for questions as to why you are doing certain actions or via this thread please?
Thank you!. @geekymedics

[@cosmiclight91]

Thank you Geeky Medics , osce passed! A surprise for sure but a pleasant one .

[@geekymedics]

That's awesome! Congratulations!!!! 🙌

[@rebecateixeira8478]

Thank u so much! excellent!

[@Neve-give-up-9867]

in Ethopia we do auscultatio before palpation and purcusion b/c it affect bowel sound

[@inioluwakolawole1578]

Yeah same here, same in Bates textbook of physical examination

[@rebeccaegyir2233]

thanks I love your exams

[@ghazalm1999]

Thanks sooo much i've found your channel recently while i'm preping for my exam having to do with gastrointestinal examination it's nice😅 by the way as far as i'm concerned in terms of abdominal examination we replace the palpation by the auscultation i mean after inspection performing auscultation then percution and at last palpation as it affects normal BS is that correct ? if yes there is an error in this video .again i appreciate itttt so muchhh good luck geeky medix🙏🙏🙏

[@gameonlulu]

Thank you so much for this!!!!

[@vinceturner5956]

Love abdominal exam with Dr. Outlaw,

[@nivyapriyaraj1003]

Excellent presentation

[@saria434]

while percussing always lift your finger (i.e one you are tapping with) after 2 taps

[@rashdmustafa2090]

Thanks man

[@hermela4279]

It was helpful thanks😊

[@SHAM6162]

excellent demonstration but want to add that palpation of abdomen needs to be done while hips and knees are flexed to relax the abdominal fascia

[@aditdude1994]

came to say this, but no one apart from us was bothered by it... wonder why?

[@alialansi4527]

Thank you so much

[@ohudyansary]

Thanks James thanks Dr

[@mariajoseisaisgutierrez5127]

Just a little detail, I'm a first-year medical student, halfway through my second term. But, we were taught that the first thing you have to do is auscultate bowel sounds. This is something my father, who has been a doctor for over forty years, agrees with. Is this somehow different in the way you were taught? It's not a critique, it's just a question.

[@cathykapowx3]

Mariajosé Isais Gutiérrez Same here as a nursing student! They’ve taught us to auscultate first and then you do percussion/ palpate

[@lotusrain4102]

My country teaches with UK system & we use I-P-P-A for abdomen too.

[@doctorusmle1996]

great work, go on 😍

[@abdilatif_7]

Thanks Geeky medics👍

[@_princess_kayteri_11]

Hello Geeky medics- when doing an abdominal exam, the sequence is different. Inspection, Auscultation, Percussion then Palpation.

[@atuljha5827]

Very good technique

[@sashiez1]

Brilliant stuff, thank you!🙂👍

[@mickelcraig6728]

GOOD VIDEO. PUT LISTEN BEFORE YOU FEEL!

[@sangitaadhikaripahs8483]

thank you so much 💓💓

[@lujainelomrani6161]

Thank you!

[@dr.monikabhuriya10]

Thank you sir.

[@safiyahz7743]

May I ask why you didn't use the bell part of the stethoscope for bruit? Is it not necessary

[@cassiebovee3888]

Thank you for making this! I would also just like to add that we should avoid calling the exam table a bed (especially with female patients) while performing any kind of exam.

[@Nice-xc1yl]

You have a point

[@bethanymcdermott3954]

I see your point but tbf, most patients would consider it a bed and be a bit confused/disorientated if you called it an exam table. People don't lie on tables, they lie on beds.
Although perhaps examination couch, if you want to avoid the word bed.

[@aryasen353]

Dont we need to palpate spleen??By all the 3 methods??

[@xtakerux]

Man, this guy never graduates 😂

[@paulanejodo1065]

🤣🤣🤣🤣🤣

[@NordinPumbaya]

He loved being a student so much he never wants to graduate!

[@quarentinedlove2903]

Lol

[@sylphtajamul2743]

Thank u so much

[@lawrencekuloba9180]

Good work

[@banojosephbrian3064]

Do we need to flex the knees before examining the patient?

[@shilpabhabhor5767]

Yes

[@AhmedHassan-uh4tc]

To relax the abdominal wall muscle

[@gerald6802]

Auscultate first before palpating and percussing.. because it might alter the bowel sounds upon palpating and percussing.

[@itssomeone4407]

Thanks

[@raziakhan4328]

Thanku so much

[@mohammedashik.j7878]

Thanks a lot

[@khadaromer7913]

Murphy sign for cholecystitis??

[@harsimrankaur1815]

Thank u sir

[@kapteklanning]

I freaked out when I heard the bowel sounds cuz I thought it was my tummy!!

[@user-go9oq2yc2y]

fantastic

[@jasmynpolite2756]

I like when the doctor presses on my tummy during an exam.

[@bryanl1732]

Thank you xxx

[@jigarsolanki2499]

Thanks sir

[@medicalconceptsandresearch7648]

what about checking for renal angle tenderness?

[@harrisonmwale2762]

Good video

[@dr.monikabhuriya10]

Superb

[@sarah8844]

thankyou

[@patient3841]

Thx

[@sidrarehman8632]

very nice

[@khaderhx9007]

The second step should be auscultation though !

[@miasumamasyuniuta876]

I think so, we have to do the auscultation before palpation 👌

[@debrajkuiri2486]

Inspection
Palpation
Percussion
Auscultation
✌️

[@samuelwtj7449]

Uk is different system. Start from inspection, palpation, percussion then only auscultation

[@smile6212]

Who else got osce exam tmr?

[@zahramohammed3360]

Normally, can we feel the kidneys by palpation?

[@bonganikubheka3378]

no, we can not feel it unless the patient is thin.

[@bekastepanishvili11]

If patient is thin we can feel the inferior ends of kidney near the 12th floating rib

[@Nurse-Grace]

Regardless if, Nursing or Medical: always Auscultate before percussion & palpation, And, use the Bell of stethoscope to auscultate for bruits. Great video otherwise to grasp the gist!

[@TheKindHearty]

U r awesome

[@curvinmathebula8232]

Is it necessary to test for fluid trill after testing for shifting dullness?

[@lvlupminecraftmore136]

Curvin Rivoningo Mathebula fluid thrill is done when you suspect gross ascites due to distended abdomen.

[@neerajvivekbagade6792]

only in gross ascites, fluid thrill is appreciated.

[@Shahmina2512]

13th December 1989! We stan a swiftie 🎉🎉❤❤

[@rachelogundele9544]

Hmm nice but you should always auscultate before palpation and percussion as these could alter bowel sounds. Thanks all the same

[@simontrem080]

Medical exam in heaven :)

[@marcelacecilia6936]

Que mãos lindas 😍

[@Dr.TranHieu]

good

[@juliazou1300]

just wonder the reason to check the hands, face, eyes, and armpit in abdominal exam.

[@ellen2932]

Inspection
Auscultation
Percussion
Palpation

[@faneradoyce7890]

V nice

[@ioannaagg10]

7:04 is this the sound of his belly?

[@IPostMeAndMyFriendsRecordings]

Yes, this ie your bowel sounds.