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Assessing your patient's abdomen can provide critical information about his internal organs. Always follow this sequence: inspection, auscultation, percussion, and palpation.
The abdominal examination consists of four basic components: inspection, palpation, percussion, and auscultation. It is important to begin with the general examination of the abdomen with the patient in a completely supine position.
Normal findings might be documented as: ?General tympany with scattered dullness heard in all quadrants. Dullness heard in upper right quadrant over the liver.? Abnormal findings might be documented as: ?Dullness heard in left lower quadrant with general tympany and scattered dullness in all other quadrants.?
Percussion of the Abdomen Percussion is necessary to assess the size of the liver, percussion downward from the lung to the liver, and then the bowel; the examiner may be able to demonstrate the change in percussion notes from resonant to dull and then tympanitic.
Documentation of a basic, normal abdominal exam should look something along the lines of the following: Abdomen is soft, symmetric, and non-tender without distention. There are no visible lesions or scars. The aorta is midline without bruit or visible pulsation.