Abdominal auscultation

Abdominal auscultation is an auxiliary examination method for checking whether the abdomen is normal. Auscultation is a diagnosis method that uses the ear or a stethoscope to listen to the sounds of various parts of the body of the examinee and judge whether the organ is normal or not based on the strength of the sound, the level of the tone, the nature of the sound, and the change. Abdominal auscultation is used to check bowel sounds, vascular murmurs, fricatives, and squeaky sounds. Women who have been pregnant for more than 5 months can also hear fetal heart sounds below the umbilicus. Through this examination, the lesion and the corresponding symptoms can be judged. Basic Information Specialist classification: Digestive examination classification: other examinations Applicable gender: whether men and women apply fasting: not fasting Tips: The environment should be quiet and warm, and patients should actively cooperate with the doctor's examination. Normal value Abdominal deduction, normal person percussion is the sound of drum sound, that is, drumming. But when there is a lot of liquid in the abdominal cavity, it is "ascites". It can reach 1000 ml. It can produce mobile dullness. Clinical significance Abnormal results: 1. Bowel sound: When the bowel moves, the gas and liquid in the intestine flow with it, producing a kind of intermittent gurglingsound or gas over water, called bowelsound. 2, vascular murmur: abdominal vascular murmur has a certain role in the diagnosis of certain diseases, should not be ignored in auscultation. Vascular murmurs have arterial and venous murmurs. Arterial murmurs are often found in the middle or abdomen. 3, friction sound: in the case of spleen infarction, spleen inflammation, perihepatitis or cholecystitis involving the local peritoneum, etc., in the deep breathing, in the corresponding parts to hear friction sounds (frictionrubs), in severe cases can touch the friction. People who need to be examined: routine physical examination items, abnormal abdominals. Precautions Requirements for inspection: (1) The environment should be quiet and warm. In the cold season, the auscultation chest should be rubbed and then contacted with the body surface of the examinee. (2) The subject takes a certain position, usually taking a sitting position or a lying position. Sometimes you need to cooperate with respiratory movements or change your position before auscultation. (3) The inspection site should be fully exposed, and it is forbidden to auscultate the clothes through the clothes to avoid the friction of the clothes. The chest piece should be placed close to the body surface to avoid friction with the skin to produce additional sound. However, it is not advisable to use excessive force, resulting in pain in the examinee. (4) When auscultating an organ, the other organs should be neglected. For example, when listening to lung sounds or sounds, heart sounds and heart murmurs should be temporarily ignored. (5) Auscultation should be combined with visual diagnosis, palpation, and percussion. When auscultating the lungs, the upper, lower, left and right controls should be identified. Inspection process (1) General auscultation: The examiner uses the ear to listen to the sound emitted by an organ of the examinee, such as voice, cough, hiccup, breathing, crying, suffocation, bowel sounds, bone rubbing, and the like. (2) Direct auscultation: The examiner directly attaches to the body wall of the examinee with the auricle for auscultation, and the body sound heard by this method is very weak. This method is not hygienic and inconvenient to perform, and some parts are more difficult to use for direct auscultation, so it is only used in certain special or emergency situations. (3) Indirect auscultation method is a method of examination for auscultation with a stethoscope. This method is convenient and can be used in any position, and the sound of the movement of the organ can also be amplified. The indirect auscultation method is widely used. In addition to the heart, lungs, and abdomen, vascular sounds, subcutaneous emphysema sounds, muscle beam vibrato sounds, joint activity sounds, and fracture surface friction sounds can be heard. Not suitable for the crowd Inappropriate people: Basically no suitable for the crowd, but people with mental disorders should pay attention. Adverse reactions and risks Nothing.

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