Uploaded August 2024 | Updated September 2026, 2 weeks ago
A discussion of some special maneuvers in the abdominal exam that would only be performed in specific circumstances.
0:14 Introduction
0:42 Assessment for Ascites (e.g. shifting dullness, fluid wave)
5:09 Liver Palpation
7:00 Assessment for Peritonitis (e.g. rebound tenderness)
9:33 Assessment of the Gallbladder (e.g. Murphy sign)
11:16 Assessment for Appendicitis
12:10 Abdominal Wall Tenderness Test (i.e. Carnett Test/Sign)
13:56 Abdominal Bruits for Renovascular Hypertension
References:
McGee S. Evidence Based Physical Diagnosis. 5th Ed. Elsevier; 2021.
Williams JW, Simel DL. Does This Patient Have Ascites? How To Divine Fluid In The Abdomen. JAMA. 1992; 267:2645-8.
Ma OJ, et al. Prospective Analysis of a Rapid Trauma Ultrasound Examination Performed By Emergency Physicians. J Trauma. 1995; 38: 879-85.
Trowbridge RL, et al. Does This Patient Have Acute Cholecystitis? JAMA. 2003; 289:80-6.
Wagner JM, et al. Does This Patient Have Appendicitis? JAMA. 1996; 276:1589-94.
McBurney C. Experience with Early Operative Interference In Cases of Disease of the Vermiform Appendix. NY Med J. 1889; 50: 676.
Takada T, et al. Diagnostic Usefulness of Carnett's Test in Psychogenic Abdominal Pain. Intern Med. 2011; 50:213-7.
Shian B, Larson S. Abomdinal Wall Pain: Clinical Evaluation, Differential Diagnosis, and Treatment. Am Fam Physician. 2018; 98:429-436.
#abdomen #OSCE #physicalexam
A discussion of some special maneuvers in the abdominal exam that would only be performed in specific circumstances.
0:14 Introduction
0:42 Assessment for Ascites (e.g. shifting dullness, fluid wave)
5:09 Liver Palpation
7:00 Assessment for Peritonitis (e.g. rebound tenderness)
9:33 Assessment of the Gallbladder (e.g. Murphy sign)
11:16 Assessment for Appendicitis
12:10 Abdominal Wall Tenderness Test (i.e. Carnett Test/Sign)
13:56 Abdominal Bruits for Renovascular Hypertension
References:
McGee S. Evidence Based Physical Diagnosis. 5th Ed. Elsevier; 2021.
Williams JW, Simel DL. Does This Patient Have Ascites? How To Divine Fluid In The Abdomen. JAMA. 1992; 267:2645-8.
Ma OJ, et al. Prospective Analysis of a Rapid Trauma Ultrasound Examination Performed By Emergency Physicians. J Trauma. 1995; 38: 879-85.
Trowbridge RL, et al. Does This Patient Have Acute Cholecystitis? JAMA. 2003; 289:80-6.
Wagner JM, et al. Does This Patient Have Appendicitis? JAMA. 1996; 276:1589-94.
McBurney C. Experience with Early Operative Interference In Cases of Disease of the Vermiform Appendix. NY Med J. 1889; 50: 676.
Takada T, et al. Diagnostic Usefulness of Carnett's Test in Psychogenic Abdominal Pain. Intern Med. 2011; 50:213-7.
Shian B, Larson S. Abomdinal Wall Pain: Clinical Evaluation, Differential Diagnosis, and Treatment. Am Fam Physician. 2018; 98:429-436.
#abdomen #OSCE #physicalexam
