Simple Treatment Protocol 9

Inspection
This includes:
1. major form of stomach and, if there is a mass,symmetrical a views
2. the stomach wall, seen the blood vessel dilation, stria, scar
3. movement of stomach wall, for example, in the belly breathing, see if there Darm Contour (picture distends intestine), and Darm Steifung (picture peristaltic intestine)

Palpate
Is an important, usually done in a bimanual, grapple whether there defense muscular: the rigid / spasm muscles due to inflammation in the organ / peritoneum and test Ballotement: usually done in the submerged organ peritoneal fluid, the fetus or young age. Aches and pain freelance press (rebound tenderness)identification the mass, need to know about are:
1. location
2. shape
3. major
4. consistency
5. the pain and press
6. the pulses
7. color
8. temperature
9. mobility / fixation
10. relation to the surrounding organs

Percuss
The normal person will be the voice timpani.
Some of the abnormal sound percuss results are:
1. hyper timpani: due to intestinal distends air, the air out of the intestine. Obtained in the usual aerofagi, peritonitis, hepatic and chirosis.
2. deaf / dim: due to the existence of a liquid in the cavity. Obtained in the usual vesika urinary of urine.
3. shifting dullness / dim switch: a result of fluid in the abdomen cavity, which is able to cause a fluid wave. Obtained in the usual acites.
4. phenomenon chessboard: the percuss with the results of the timpani-dim moved. Obtained in the usual TB peritonitis.

Auscultate
Auscultate obtained on the 2 sound source that is:

peristaltic bowel sounds:
1. sound / noisy in the intestine increased diarrhea, ileus in no paralytic
2. increase in the peristaltic bowel diarrhea
3. borborigmi: the sound waves in the diarrhea
4. metallic sound / metallic klinken: metal sound; on mechanical ileus

sound of blood vessel:
1. vote aorta abdominal (example: murmur)
2. Bruit voice of aneurysm aorta due to hepatoma
3. pulses vote on the abdomen mass