Abdomen: Auscultation Correct Answer- *Bowel sounds* - present, normoative all 4 quadrants *Bruits* - with bell *Aortic* - right below xiphoid process, midline *L renal* - above & lateral to L of umbilicus *R renal* - above & right to umbilicus *Iliac* - L below umbilicus & R below umbilicus ---No bruits heard Abdomen: Inspection Correct Answer- Contours & symmetry No distortions Abdomen: Palpation Correct Answer- Palpate all 4 quadrants for *tenderness & masses* --No masses noted Palpate liver & spleen (verbalize) *Liver* - upper right quad, note if you feel edge of liver *Spleen* - upper left quad...come laterally - note if you feel edge of spleen Perform *Blumberg's sign* (verbalize) - hand vertically 90 deg - press down into abdomen...rebound tenderness = +blumberg - peritonitis Abdomen: Percussion Correct Answer- Percuss all 4 quadrants: Tympany Dullness Flatness ---All areas normal & tympanic Ankle strength Correct Answer- Bilateral Dorsi/plantar flex against resistance - 5/5 strength Anterior chest: Inspection & Auscultation Correct Answer- Inspect for obvious deformities & symmetry Auscultate lungs in anterior lung fields --Intercostal spaces *6 spaces* CN 2 Correct Answer- *Optic nerve* *Central vision* *Snellen pocket eye chart 6 ft away, cover one eye...read lowest line possible...repeat other eye --- 20/20 left eye, right eye, both eyes *Peripheral vision* Stand up at eye level, look straight ahead, do not move head. --Hands forward from back --Hands down from above --Hands come from below