Clinical Correlation in The Abdominal Examination

I've been posting about Abdominal Examination on last June, now I'll show you about some clinical correlation that we usually found in the abdominal examination. I hope this article will be worth,, ^___^

1. Abdominal Bruits. During Auscultation you listen to normal active bowel sound or some normal bruits (like bruits in the epigastric area from abdominal aorta, and the upper quadrants from renal arteries. But in some case you may listen to abnormal bruits. The abdominal bruits may be due to atherosclerotic lession, or masses that may be impinging on the abdominal aorta or renal arteries.
2. Rebound Tenderness. Begin palpating the abdomen very gently in all four quadrants. Look at the patient's face to see any signs of pain or discomfort. if there is abdominal tenderness, look for rebound tenderness by slowly pressing into the tender area then quickly releasing. Rebound tenderness may indicate peritonitis (inflammation of the peritoneum), which is classically seen in appendicitis.