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

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  • Опубліковано 3 чер 2024
  • 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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КОМЕНТАРІ • 212

  • @ylwo1777
    @ylwo1777 5 років тому +1133

    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
      @geekymedics  5 років тому +62

      Thanks for sharing our journey! 🙂

    • @jagatguru8432
      @jagatguru8432 4 роки тому +15

      Still in final year......

    • @KessaWitdaFro
      @KessaWitdaFro 4 роки тому +25

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

    • @robyndaniels1381
      @robyndaniels1381 3 роки тому +17

      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
      @blaze5991 7 місяців тому

      ​@@robyndaniels1381💯

  • @thebeginnerhlac
    @thebeginnerhlac 4 роки тому +945

    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! :)

  • @akoul5349
    @akoul5349 4 роки тому +112

    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.

  • @ThePurposefulCraftsDIY
    @ThePurposefulCraftsDIY 4 роки тому +18

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

  • @goktugyazar713
    @goktugyazar713 5 років тому +27

    The best guide i have ever seen. Thank you.

  • @Nina21_
    @Nina21_ 5 років тому +33

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

  • @tungstenwhizard4361
    @tungstenwhizard4361 Рік тому +10

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

  • @safa2591
    @safa2591 5 років тому +74

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

  • @drikramafridi9241
    @drikramafridi9241 3 роки тому +6

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

  • @bryanl1732
    @bryanl1732 4 роки тому +74

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

  • @medicalvines2595
    @medicalvines2595 2 місяці тому

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

  • @DarkSoul6484
    @DarkSoul6484 3 роки тому +9

    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.

  • @e-megastoreakb6030
    @e-megastoreakb6030 4 роки тому +4

    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...

  • @maxiking1776
    @maxiking1776 4 місяці тому +33

    Who else has osce exams tomorrow? 😂

  • @mehmedakifer5638
    @mehmedakifer5638 3 роки тому +4

    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 :)))

  • @froudaid
    @froudaid 4 роки тому +37

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

  • @drkamransattar
    @drkamransattar Рік тому

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

  • @xtakerux
    @xtakerux 5 років тому +349

    Man, this guy never graduates 😂

  • @redsawxfan
    @redsawxfan 5 років тому +5

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

  • @MissLionRose
    @MissLionRose 4 роки тому +2

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

  • @emmanuelabraham3644
    @emmanuelabraham3644 3 роки тому +129

    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_
      @ZEEEEEEEEEE_ 3 роки тому +35

      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 👍

  • @potterharry1722
    @potterharry1722 Рік тому +18

    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
      @jstnejoonbryl 10 місяців тому +1

      This one I agree

    • @ellen2932
      @ellen2932 8 місяців тому +1

      Inspection
      Auscultation
      Percussion
      Palpation

  • @vinitasoni6350
    @vinitasoni6350 5 років тому +3

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

  • @newteenager1
    @newteenager1 4 роки тому +10

    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 )

  • @abelsimpambajr2887
    @abelsimpambajr2887 2 місяці тому

    My lecturer recommended me this channels really helpful ❤

  • @idkwhattonameit8359
    @idkwhattonameit8359 3 роки тому

    I love this , it’s so well done

  • @dirk2655
    @dirk2655 3 роки тому

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

  • @obedraymondbagona182
    @obedraymondbagona182 4 роки тому +1

    You guys are awesome! Thanks!

  • @Mekki98
    @Mekki98 4 роки тому +9

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

  • @muath7962
    @muath7962 3 роки тому +1

    Best channel for practical practice

  • @saria434
    @saria434 5 років тому +12

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

  • @drkhaire1787
    @drkhaire1787 5 років тому +16

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

    • @hassanjan2194
      @hassanjan2194 3 роки тому +2

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

  • @eltamoor5797
    @eltamoor5797 5 років тому +6

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

  • @ruin99
    @ruin99 5 років тому +24

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

  • @rebecateixeira8478
    @rebecateixeira8478 5 років тому +3

    Thank u so much! excellent!

  • @gameonlulu
    @gameonlulu Рік тому

    Thank you so much for this!!!!

  • @rebeccaegyir2233
    @rebeccaegyir2233 5 років тому +1

    thanks I love your exams

  • @LaTae95
    @LaTae95 8 місяців тому

    Thank you UA-cam University for giving me more knowledge

  • @senseilewis3707
    @senseilewis3707 3 роки тому +4

    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

  • @nivyapriyaraj1003
    @nivyapriyaraj1003 3 роки тому

    Excellent presentation

  • @rashdmustafa2090
    @rashdmustafa2090 5 років тому +2

    Thanks man

  • @ohudyansary
    @ohudyansary 5 років тому +1

    Thanks James thanks Dr

  • @alialansi4527
    @alialansi4527 5 років тому +1

    Thank you so much

  • @MrVercetti
    @MrVercetti 4 роки тому +17

    Test tomorrow, wish me luck!

  • @hermela4279
    @hermela4279 4 роки тому

    It was helpful thanks😊

  • @vinceturner5956
    @vinceturner5956 3 роки тому +1

    Love abdominal exam with Dr. Outlaw,

  • @mickelcraig6728
    @mickelcraig6728 4 роки тому +8

    GOOD VIDEO. PUT LISTEN BEFORE YOU FEEL!

  • @_princess_kayteri_11
    @_princess_kayteri_11 Рік тому +5

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

  • @Neve-give-up-9867
    @Neve-give-up-9867 5 років тому +8

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

    • @inioluwakolawole1578
      @inioluwakolawole1578 5 років тому +4

      Yeah same here, same in Bates textbook of physical examination

  • @geekymedics
    @geekymedics  3 роки тому +25

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

  • @cosmiclight91
    @cosmiclight91 2 роки тому +5

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

    • @geekymedics
      @geekymedics  2 роки тому +1

      That's awesome! Congratulations!!!! 🙌

  • @atuljha5827
    @atuljha5827 4 роки тому

    Very good technique

  • @ghazalm1999
    @ghazalm1999 3 роки тому +2

    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🙏🙏🙏

  • @doctorusmle1996
    @doctorusmle1996 2 роки тому

    great work, go on 😍

  • @sashiez1
    @sashiez1 4 роки тому +1

    Brilliant stuff, thank you!🙂👍

  • @safiyahz7743
    @safiyahz7743 3 роки тому +1

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

  • @aryasen353
    @aryasen353 5 років тому +3

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

  • @abdilatif_7
    @abdilatif_7 4 роки тому

    Thanks Geeky medics👍

  • @SHAM6162
    @SHAM6162 5 років тому +4

    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
      @aditdude1994 4 роки тому

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

  • @dr.monikabhuriya10
    @dr.monikabhuriya10 4 роки тому

    Thank you sir.

  • @lujainelomrani6161
    @lujainelomrani6161 3 роки тому

    Thank you!

  • @sangitaadhikaripahs8483
    @sangitaadhikaripahs8483 Рік тому

    thank you so much 💓💓

  • @gerald6802
    @gerald6802 5 років тому +12

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

  • @smile6212
    @smile6212 2 місяці тому +7

    Who else got osce exam tmr?

  • @mariajoseisaisgutierrez5127
    @mariajoseisaisgutierrez5127 4 роки тому +49

    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
      @cathykapowx3 4 роки тому +6

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

    • @lotusrain4102
      @lotusrain4102 4 місяці тому

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

  • @lawrencekuloba9180
    @lawrencekuloba9180 Рік тому

    Good work

  • @khaderhx9007
    @khaderhx9007 4 роки тому +123

    The second step should be auscultation though !

    • @miasumamasyuniuta876
      @miasumamasyuniuta876 4 роки тому +20

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

    • @debrajkuiri2486
      @debrajkuiri2486 3 роки тому +26

      Inspection
      Palpation
      Percussion
      Auscultation
      ✌️

    • @samuelwtj7449
      @samuelwtj7449 3 роки тому +10

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

  • @sylphtajamul2743
    @sylphtajamul2743 5 років тому

    Thank u so much

  • @itssomeone4407
    @itssomeone4407 3 роки тому

    Thanks

  • @mohammedashik.j7878
    @mohammedashik.j7878 Рік тому

    Thanks a lot

  • @harsimrankaur1815
    @harsimrankaur1815 5 років тому +1

    Thank u sir

  • @dr.monikabhuriya10
    @dr.monikabhuriya10 4 роки тому +1

    Superb

  • @raziakhan4328
    @raziakhan4328 5 років тому

    Thanku so much

  • @cassiebovee3888
    @cassiebovee3888 Рік тому +5

    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
      @Nice-xc1yl Рік тому

      You have a point

    • @bethanymcdermott3954
      @bethanymcdermott3954 11 місяців тому

      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.

  • @kapteklanning
    @kapteklanning 4 роки тому +15

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

  • @Nurse-Grace
    @Nurse-Grace 7 місяців тому

    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!

  • @user-go9oq2yc2y
    @user-go9oq2yc2y 4 роки тому

    fantastic

  • @banojosephbrian3064
    @banojosephbrian3064 4 роки тому +14

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

  • @jigarsolanki2499
    @jigarsolanki2499 4 роки тому

    Thanks sir

  • @harrisonmwale2762
    @harrisonmwale2762 Рік тому

    Good video

  • @bryanl1732
    @bryanl1732 5 років тому +2

    Thank you xxx

  • @medicalconceptsandresearch7648
    @medicalconceptsandresearch7648 5 років тому +3

    what about checking for renal angle tenderness?

  • @sarah8844
    @sarah8844 2 роки тому

    thankyou

  • @patient3841
    @patient3841 4 роки тому

    Thx

  • @geekymedics
    @geekymedics  5 років тому +62

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

    • @kicha79
      @kicha79 5 років тому

      what camera do you guys use?

  • @jasmynpolite2756
    @jasmynpolite2756 8 місяців тому

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

  • @sidrarehman8632
    @sidrarehman8632 Рік тому

    very nice

  • @TheKindHearty
    @TheKindHearty 5 років тому +1

    U r awesome

  • @curvinmathebula8232
    @curvinmathebula8232 5 років тому +5

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

    • @lvlupminecraftmore136
      @lvlupminecraftmore136 5 років тому +4

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

    • @neerajvivekbagade6792
      @neerajvivekbagade6792 5 років тому +3

      only in gross ascites, fluid thrill is appreciated.

  • @ellen2932
    @ellen2932 8 місяців тому

    Inspection
    Auscultation
    Percussion
    Palpation

  • @marcelacecilia6936
    @marcelacecilia6936 2 місяці тому

    Que mãos lindas 😍

  • @zahramohammed3360
    @zahramohammed3360 5 років тому +15

    Normally, can we feel the kidneys by palpation?

    • @bonganikubheka3378
      @bonganikubheka3378 5 років тому +8

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

    • @bekastepanishvili11
      @bekastepanishvili11 4 роки тому +2

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

  • @Shahmina2512
    @Shahmina2512 Рік тому

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

  • @rachelogundele9544
    @rachelogundele9544 4 роки тому +4

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

  • @khadaromer7913
    @khadaromer7913 2 місяці тому

    Murphy sign for cholecystitis??

  • @simontrem080
    @simontrem080 5 років тому +1

    Medical exam in heaven :)

  • @Dr.TranHieu
    @Dr.TranHieu 4 роки тому +1

    good

  • @annroberts5185
    @annroberts5185 Рік тому

    Remember to auscultate first before palpating

  • @TrueAnimate
    @TrueAnimate 5 років тому +123

    ASMR seekers anyone?

  • @juliazou1300
    @juliazou1300 7 місяців тому

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