腹部体格检查流程(国外英文资料).docVIP

腹部体格检查流程(国外英文资料)Shuyang county peoples hospitalAbdominal physical examination procedurePreparation: the dress cap, the manicure, the 7 steps to wash hands, stand on the right side of the patient, check, and notice the itemsItem: stethoscope, pen, ruler, watchPosition: low pillow supposition, the upper extremities are placed on both sides of the torso, knees bent, abs relaxed and fully exposed to the abdomen.One, depending on the clinicalMethods: on the right side of the inspection station, observe from the top down, when necessary, the line of sight will be lowered to the abdominal plane, and the direction of the lateral tangents is observed.Abdominal appearance: normal: flat symmetry; Abnormality: full abdomen/local expansion, whole abdomen /Local expansion depression;Breathing exercises: both men and children are predominantly female, and adult women are primarily thoracic.The ventral vein: usually not shown;Gastrointestinal and peristaltic wave: normal abdomen is not seen (except for the weak or loose of the abdominal wall)The elderly, the pregnant, the extremely thin.Other (skin rash, pigment, abdomen, scar, body hair)Second, the auscultationBowel sounds: a intermittent purr (or a breath of water) in the intestine and the flow of fluids in the intestine when it moves, which is called a bowel sound.The bowel sounds normal: 4 -- 5 beats per minute. The variation of sound and tone;Bowel sounds active: 10 times, not high pitched. In acute gastroenteritis, gastrointestinalBleeding, etc.;Hypertone: multiple 10 times, loud, high or metallic. Can be found inMechanical intestinal obstruction;A reduced bowel tone: a bowel tone is less than normal, or a few minutes before you hear it. In the lowPotassium, chronic constipation, low gastrointestinal dynamics, etc.The bowel sound disappeared: the continuous hearing was not heard for 3 to 5 minutesPeritonitis, paralytic ileus.Listening area: umbilical cycle; Right lower abdomen;Listening time: 1 minute; Sometimes it lasts f