THINK BEFORE YOU KNOW

BECAUSE
YOU CAN SEE IN YOUR ROOM EVEN IF ITS DARK *

BUT YOU CAN NOT SEE IN MY ROOM IF ITS DARK

THEY SAY,


YOUR EYES WILL ONLY SEE THOSE THING
THAT YOUR BRAIN ALREADY KNOWS
INTERACTIVE DISCUSSION FOR LEVEL -1 MED- STUDENTS

SOLELY DESIGNED FOR ASC 2014-2015

THIS APPROACH BELONGS TO DEEPAK GHIMIRE ,MED-3A-SWU-CM

ANATOMICAL APPROACH OF
CLINICAL ABDOMINAL EXAMINATION
VENUE : ASC- MHAM BLDG. SWU
TIME : 4 PM* SATURDAY SEP 27


WHAT DO YOU WANT TO TAKE HOME ?
WHAT IS YOUR EXPECTATION FROM
OUR DISCUSSION NOW ?

WHO ARE YOU ?
IM a Doctor

WHAT IS YOUR JOB ?
Treat patients
Examine my patients
Find out whats wrong




3.
2.
1.

TOPIC OUTLINES
1. General orientation of structures
2. Introduction : layer by layer
3. visceral structures of abdomen
4. basic dermatomes
5. Approach to abdominal complaints
Mass/ Organ enlargement
Obstruction
Clinical/ applied anatomy




GENERAL ORIENTATION
OF STOMACH
What do you see when a
patient comes to you ?

WHAT DO YOU SEE WHEN A PATIENT
COMES TO YOU ?

A: DEVIATIONS
IN NORMAL
SHAPE AND SIZE
OF ABDOMEN

DISTENTION ?
CONSTIPATION?
OBSTRUCTIONS?
HERNIA ?




CONSIDER DISTENDED ABDOMEN
WHAT IS YOUR NEXT STEP ?
WHERE IS THE DISTENTION ?
WHICH QUADRANT ?
RUQ
RLQ
LUQ
LLQ

ORIENTATION OF STRUCTURES

Boundary of abdomen
Landmarks of abdomen
4 quadrants
9 segments
Underlying structures