{"id":208,"date":"2010-12-02T11:27:21","date_gmt":"2010-12-02T11:27:21","guid":{"rendered":"https:\/\/cloverock.info\/mockosce23\/new\/auscultation\/"},"modified":"2023-01-11T23:37:29","modified_gmt":"2023-01-11T23:37:29","slug":"auscultation","status":"publish","type":"post","link":"https:\/\/www.qpercom.com\/sim\/index.php\/the-examination-of-the-abdomen\/the-abdominal-examination\/auscultation\/","title":{"rendered":"Auscultation"},"content":{"rendered":"<h2>Procedure<\/h2>\n<p><iframe loading=\"lazy\" src=\"https:\/\/player.vimeo.com\/video\/122520396?dnt=1&amp;app_id=122963\" width=\"640\" height=\"480\" frameborder=\"0\" allow=\"autoplay; fullscreen; picture-in-picture\" allowfullscreen><\/iframe><\/p>\n<ul>\n<li>Place the earplugs well in your ears [Figure 12]<br \/>\n<em>The earplugs should point forward slightly in the direction of the nose<br \/>\n(the auditory canal runs in this direction).<\/em><\/li>\n<\/ul>\n<p><span class=\"jce_caption\" style=\"display: inline-block;\"><img loading=\"lazy\" decoding=\"async\" class=\" size-full wp-image-203\" style=\"margin: auto;\" src=\"https:\/\/cloverock.info\/mockosce23\/new\/wp-content\/uploads\/2010\/12\/Abdomen_ab-fig-12.jpg\" alt=\"\" width=\"400\" height=\"294\" srcset=\"https:\/\/www.qpercom.com\/sim\/wp-content\/uploads\/2010\/12\/Abdomen_ab-fig-12.jpg 400w, https:\/\/www.qpercom.com\/sim\/wp-content\/uploads\/2010\/12\/Abdomen_ab-fig-12-300x221.jpg 300w\" sizes=\"auto, (max-width: 400px) 100vw, 400px\" \/><span style=\"width: 400px; display: block;\">Figure 12<\/span><\/span><\/p>\n<ul>\n<li>Ensure that the diaphragm of the stethoscope is not too cold by placing it first on the back of the patient\u2019s hand<\/li>\n<\/ul>\n<ul>\n<li>Place the diaphragm on the patient\u2019s abdomen [Figure 13]<\/li>\n<\/ul>\n<p><span class=\"jce_caption\" style=\"display: inline-block;\"><img loading=\"lazy\" decoding=\"async\" class=\" size-full wp-image-204\" style=\"margin: auto;\" src=\"https:\/\/cloverock.info\/mockosce23\/new\/wp-content\/uploads\/2010\/12\/Abdomen_ab-fig-13.jpg\" alt=\"\" width=\"400\" height=\"294\" srcset=\"https:\/\/www.qpercom.com\/sim\/wp-content\/uploads\/2010\/12\/Abdomen_ab-fig-13.jpg 400w, https:\/\/www.qpercom.com\/sim\/wp-content\/uploads\/2010\/12\/Abdomen_ab-fig-13-300x221.jpg 300w\" sizes=\"auto, (max-width: 400px) 100vw, 400px\" \/><span style=\"width: 400px; display: block;\">Figure 13<\/span><\/span><\/p>\n<ul>\n<li>Place the stethoscope gently but maintain good contact with the abdominal skin.<\/li>\n<\/ul>\n<ul>\n<li>Avoid touching the stethoscope tube with your hands, clothing etc. This can cause background noise [Figure 14]<\/li>\n<\/ul>\n<p><span class=\"jce_caption\" style=\"display: inline-block;\"><img loading=\"lazy\" decoding=\"async\" class=\" size-full wp-image-205\" style=\"margin: auto;\" src=\"https:\/\/cloverock.info\/mockosce23\/new\/wp-content\/uploads\/2010\/12\/Abdomen_ab-fig-14.jpg\" alt=\"\" width=\"400\" height=\"294\" srcset=\"https:\/\/www.qpercom.com\/sim\/wp-content\/uploads\/2010\/12\/Abdomen_ab-fig-14.jpg 400w, https:\/\/www.qpercom.com\/sim\/wp-content\/uploads\/2010\/12\/Abdomen_ab-fig-14-300x221.jpg 300w\" sizes=\"auto, (max-width: 400px) 100vw, 400px\" \/><span style=\"width: 400px; display: block;\">Figure 14<\/span><\/span><\/p>\n<ul>\n<li>Listen systematically to all abdominal regions [Figure 15] and listen uninterrupted and for a sufficient amount of time (at least 30 seconds for a patient with abdominal pain).<\/li>\n<\/ul>\n<p><span class=\"jce_caption\" style=\"display: inline-block;\"><img loading=\"lazy\" decoding=\"async\" class=\" size-full wp-image-206\" style=\"margin: auto;\" src=\"https:\/\/cloverock.info\/mockosce23\/new\/wp-content\/uploads\/2010\/12\/Abdomen_ab-fig-15.jpg\" alt=\"\" width=\"400\" height=\"300\" srcset=\"https:\/\/www.qpercom.com\/sim\/wp-content\/uploads\/2010\/12\/Abdomen_ab-fig-15.jpg 400w, https:\/\/www.qpercom.com\/sim\/wp-content\/uploads\/2010\/12\/Abdomen_ab-fig-15-300x225.jpg 300w\" sizes=\"auto, (max-width: 400px) 100vw, 400px\" \/><span style=\"width: 400px; display: block;\">Figure 15: auscultation points &#8211; intestines<\/span><\/span><\/p>\n<ul>\n<li>Listen above the major arteries [Figure 16].<\/li>\n<\/ul>\n<p><span class=\"jce_caption\" style=\"display: inline-block;\"><img loading=\"lazy\" decoding=\"async\" class=\" size-full wp-image-207\" style=\"margin: auto;\" src=\"https:\/\/cloverock.info\/mockosce23\/new\/wp-content\/uploads\/2010\/12\/Abdomen_ab-fig-16.jpg\" alt=\"\" width=\"400\" height=\"300\" srcset=\"https:\/\/www.qpercom.com\/sim\/wp-content\/uploads\/2010\/12\/Abdomen_ab-fig-16.jpg 400w, https:\/\/www.qpercom.com\/sim\/wp-content\/uploads\/2010\/12\/Abdomen_ab-fig-16-300x225.jpg 300w\" sizes=\"auto, (max-width: 400px) 100vw, 400px\" \/><span style=\"width: 400px; display: block;\">Figure 16: Auscultation points &#8211; major arteries<\/span><\/span><\/p>\n<p><em>1 = abdominal artery<\/em><br \/>\n<em>2 = bifurcation<\/em><br \/>\n<em>3 = iliac arteries, left and right<\/em><br \/>\n<em>4 = femoral arteries, left and right<\/em><br \/>\n<em>5 = renal arteries, left and right<\/em><\/p>\n<ul>\n<li>Listen at the site of any swellings<\/li>\n<\/ul>\n<p><em><strong>Focus points<\/strong><\/em><\/p>\n<ul>\n<li>Assess peristaltic noises<br \/>\n<em>&#8211; normal peristalsis<\/em><br \/>\n<em>&#8211; absent peristalsis (listen for at least 30 seconds, as heart and<br \/>\n&nbsp; respiratory sounds can be heard)<\/em><br \/>\n<em>&#8211; increased peristalsis<\/em><br \/>\n<em>&#8211; abnormal peristaltic sounds (e.g. gurgling)<\/em><\/li>\n<\/ul>\n<ul>\n<li>Determine whether murmurs can be heard<br \/>\n<em>&#8211; murmurs always indicate pathology<\/em><\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Procedure Place the earplugs well in your ears [Figure 12] The earplugs should point forward slightly in the direction of the nose (the auditory canal runs in this direction). Figure 12 Ensure that the diaphragm of the stethoscope is not too cold by placing it first on the back of the patient\u2019s hand Place the [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[22],"tags":[126],"class_list":["post-208","post","type-post","status-publish","format-standard","hentry","category-the-abdominal-examination","tag-the-examination-of-the-abdomen"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Auscultation - Qpercom | Skills in Medicine<\/title>\n<meta name=\"description\" content=\"Online Mock OSCEs with examiners, patient actors, instant results and personalised feedback. 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