Introduction to Abdominal Exam
Print Friendly, PDF & Email

almostadoctor app banner for android and iOSalmostadoctor iPhone, iPad and android appsalmostadoctor iOS appalmostadoctor android app
For a detailed walkthrough of abdominal examination, please see the Abdominal Examination article


  • Wash hands
  • Check patient name/DOB/hospital number
  • Introduce- My name is…”
  • Consent – Explain what your going to do;
  • I am going to have a look and a feel of your hands, face and abdomen. Is that ok?”
  • Chaperone
  • Confidentiality
  • Position – supine – lying flat on back on the bed


  • General (at end of bed): Medication, Discomfort, Abdomen Distended, Jaundice, Tattoos, Scars
  • Hands:Clubbing ,Leuconychia, Koilonychia , Palmar Erythema Asterixis (Flapping tremor)
  • Face &Neck: Angular stomatitis , Glossitis , JVP, Lymph Nodes
  • Chest: Spider naevi, Gynaecomastia, Ascites


  • Ask patient if they have any areas of discomfort, if yes begin palpation away from this area &proceed cautiously.
  • Light & Deep- Palpate each region assessing for masses or abnormalities (See Diagram)
  • Liver, Kidneys, Spleen


  • Bowel Sounds
  • Renal Bruits


  • ·“To conclude I would like to examine the external genitalia, hernial orifices, assess for ankle oedema, and perform a per rectal (PR) exam and urine dipstick
  • Thank patient
  • Cover up and check comfortable

The 9 regions of the abdomen



  • Circle indicates area of kidney auscultation.
  • R/L HC –Hypochondrium
  • R/L L – Lumbar
  • R/L IF – Iliac Fossa
  • E – Epigastrium
  • U – Umbilical Region
  • SP – Suprapubic

Related Articles

Dr Tom Leach

Dr Tom Leach MBChB DCH EMCert(ACEM) currently works as a GP Registrar and an Emergency Department CMO in Australia. He is also a Clinical Associate Lecturer at the Australian National University. After graduating from his medical degree at the University of Manchester in 2011, Tom completed his Foundation Training at Bolton Royal Hospital, before moving to Australia in 2013. He started almostadoctor whilst a third year medical student in 2009. Read full bio

Leave a Reply