Abdominal Examination Master Class - Medical School OSCE Revision - Clinical Skills - Dr Gill
This video details each step of the abdominal exam, highlighting why each step is being taking to maximised your clinical skills OSCE revision.
In this video, we demonstrate how to perform a clinical examination of the ABDOMINAL SYSTEM for your medical school Clinical Skills OSCE. As the gastrointestinal exam is sure a core skill when it comes to examining patients, students should assume that an abdominal assessment is a high yield station for any clinical exams or clinical assessments.
For a passing grade in your Clinical Skills OSCE, for Abdominal exam follow the approach of:
- Inspection
- Palpation
- Percussion
- Auscultation
We will also address why in the UK the auscultation is placed higher on the examination approach
HOWEVER, an abdominal examination OSCE station does not just involve pressing around the stomach, this video also demonstrates some of the specialised examination techniques required in examining patients such as shifting dullness for ascites, and checking the size of the liver which may be seen to be enlarged in cirrhosis as an example.
Diarrhoea, pain and general concerns about the abdomen are a common reason for patients to see a doctor, and in any speciality is probably the most commonly performed patient examination
This video has three other abdominal system-focused videos associated with it:
https://www.youtube.com/watch?v=49jdunijTW4&t=1s - Abdo Demo
https://www.youtube.com/watch?v=kbX9HAxirhw - Male Genital Exam
https://www.youtube.com/watch?v=nBrBJjqNcNE&t=8s - How to perform a DRE
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Please note that there is no ABSOLUTE way to perform a clinical examination. Different institutions and even clinicians will have differing degrees of variations - the aim is the effectively identify medically relevant signs.
#clinicalskills #drgill #abdomen
However during OSCE assessments. Different medical schools, nursing colleges and other health professional courses will have their own preferred approach to a clinical assessment - you should concentrate on THEIR marks schemes for your assessments.
The examination demonstrated here is derived from Macleods Clinical Examination - a recognised standard textbook for clinical skills.
Kayser-Fleischer ring - Herbert L. Fred, MD, Hendrik A. van Dijk - https://commons.wikimedia.org/wiki/File:Kayser-Fleischer_ring.jpg
Map - https://commons.wikimedia.org/wiki/File:United_Kingdom_location_map.svg
Ascites - James Heilman, MD - Own work
Angular stomatitis - https://en.wikipedia.org/wiki/Angular_cheilitis#/media/File:Angular_Cheilitis.JPG
Cold Sore - https://en.wikipedia.org/wiki/Herpes_simplex#/media/File:Herpes(PHIL_1573_lores).jpg
B12 - https://www.health.harvard.edu/staying-healthy/the-a-list-of-b12-foods
Glottis - https://en.wikipedia.org/wiki/Glossitis#/media/File:Scharlach.JPG
Gynaecomastia - https://en.wikipedia.org/wiki/Gynecomastia#/media/File:GynecomastiaFrontalAsymSevere.jpg
Spleen - https://en.wikipedia.org/wiki/Spleen
#clinicalskills #abdominalexamination #DrGill
You can now consult via video or in person with Dr Gill at Dr Finlay’s Private Practice - https://www.drfinlays.co.uk/services/video-consultation/