Curriculum Block

Objectives

• Preparation for abdominal examination: draping, position, instruction to patient, communication during examination, washing hands.
• Height / Weight and Body Mass Index (BMI), WHR (waist/hip ratio)
• Inspection (abdominal): signs of distress, contour, symmetry, masses, umbilicus, skin/scars/ostomy appliances, dilated veins, movement, pulsation
• Auscultation (abdominal): (following inspection) bowel sounds, recognize bowel sounds vs. bruits, surface markings for aortic, renal, iliac artery bruits.
• Percussion (abdominal): tympany, dullness, shifting dullness, organ size, fluid (fluid wave, shifting dullness)
• Palpation (abdominal): light and deep palpation, identify guarding and rebound.
• Rectal examination: position of the patient, inspection, palpation.
• Examination for jaundice.
• Examination of the mouth/pharynx.
• Basic introduction to inguinal canal exam.
• Elicit the relevant history for gastrointestinal disease.
• Conduct a physical examination appropriate to the clinical problem presented.

Assessments

• OSCE #1

• MF 3 Clinical Skills

Tags

Gastrointestinal Examination Gastroenterology and Nutrition Medical Foundation 3 Part 3 Week 1 Part 3 Week 1 Gastroenterology Physical Examination Acute Abdominal Pain Anorectal Pain Chronic Abdominal Pain Clinical Skills 1.1 Gather essential and accurate information about patients and their health through history-taking, physical examination, and the use of laboratory data, imaging, and other tests. 1.3 Interpret laboratory data, imaging studies, and other tests required for the area of practice 2.3 Apply principles of clinical sciences to diagnostic and therapeutic decision-making, clinical problem-solving, and other aspects of evidence-based healthcare 3.1 Solicit and respond to feedback from peers, teachers, supervisors, patients, families, and members of health care teams regarding one’s knowledge, skills, attitudes and professional behaviours 3.2 Integrate feedback, external measures of performance and reflective practices to identify strengths, deficiencies, and limits in one’s knowledge, skills, attitudes and professional behaviours 3.3 Set learning and improvement goals 4.1 Communicate effectively with patients, families, and the public, as appropriate, across a broad range of socioeconomic and sociocultural backgrounds Abdomen [A01.923.047] Clinical Competence [I02.399.630.210] Physical Examination [E01.370.600]