Auscultation Of The Abdomen Case Study

Auscultation of the abdomen is performed for detection of altered bowel sounds, rubs, or vascular bruits. In the presence of no abnormalities, bowel sound should be heard clearly on all the four quadrate of the abdomen. Normal peristalsis creates bowel sounds that may be altered by disease. The bowel sounds are usually increased in diarrhea or early intestinal obstruction. Rushes of high-pitched sounds that coinciding with an abdominal cramp can also be an indication intestinal obstruction. A decrease abdominal sound that progress to absence can be seen in a dynamic ileus and peritonitis. When there are intestinal fluid and air under tension in a dilated bowel, there are high-pitched tinkling sounds suggest. Rushes of high-pitched sounds coinciding with an abdominal cramp indicate an intestinal obstruction. (Bickley, 2012). …show more content…
The liver and kidneys may be palpable in normal individuals, but any other masses are abnormal. An enlarged liver that is firm or hard with an irregular edge or surface suggests hepatocellular carcinoma while an enlarged liver with a firm, non-tender edge is suggestive of cirrhosis (Bickley, 2012). Any form of tenderness on abdominal palpation is abnormal. The degree of the tenderness can give a clue as to the origin of the pain. The tenderness associated with peritoneal inflammation tends to be more severe than visceral tenderness during palpation (Bickley,