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INSPECTION OF ABDOMEN

PATIENT LYING FLAT, ARMS AT SIDE, RELAXED EXPOSE THE ABDOMEN FROM THE NIPPLES TO MID-THIGHS

SHAPE
SKIN, SUBCUTANEOUS TISSUE UMBILICUS PERISTALSIS, PULSATIONS ( LOOK TANGENTIALLY FROM RIGHT SIDE FOR PERISTALSIS

CONTOURS/ SHAPE OF ABDOMEN


IMAGINARY LINE FROM THE TIP XIPHOID PROCESS TO SYMPHYSIS PUBIS
1. SCAPHOID IF THE ABDOMEN IS BELOW THIS LINE AND CONCAVE 2. FLAT ( NORMAL ) IF IT IS ALONG THIS LINE 3. PROTUBERENT ( DISTENDED ) IF THE ABDOMEN IS ABOVE THIS LINE OR CONVEX

FLAT

ROUNDED

SCAPHOID

PROTUBERENT

SHAPES OF THE ABDOMEN


1. FLAT 2. ROUNDED SLIGHTLY DISTENDED 3. SCAPHOID ANTERIOR WALL SUNKEN

4. PROTUBERENT - DISTENDED

FLAT ABDOMEN

DISTENDED/ PROTUBERENT ABDOMEN

SCAPHOID ABDOMEN

9 F OF THE ABDOMEN DISTENSION


1. 2. 3. 4. 5. 6. 7. 8. 9. FAT FLUID FECES FETUS FLATUS FIBROID FULL BLADDER FALSE PREGNANCY FATAL TUMOUR

CULLENS SIGN
SUPERFICIAL OEDEMA AND BRUSING AROUND THE SUBCUTANEOUS

AROUND THE UMBILICUS.


THOMAS S. CULLEN ( 1869 1953 ), A CANADIAN OG, FIRST DESCRIBED IN RUPTURED ECTOPIC PREGNANCY. CAUSES: 1. 2. 3. 4. ACUTE HEMORRHAGIC PANCREATITIS BLEEDING FROM BLUNT ABDOMINAL TRAUMA BLEEDING FROM RUPTURED ABDOMINAL AORTIC ANEURYSM BLEEDING FROM RUTURED ECTOPIC PREGNANCY

CULLENS SIGN AND GREY TURNERS SIGN FOUND IN ACUTE

PANCREATITIS

CULLENS SIGN (OR)


PERIUMBILICAL BRUSING ( OR ) PERIUMBILICAL ECCHYMOSIS DUE TO RUPTURED ABDOMINAL AORTIC ANEURYSM

CULLENS SIGN

BRANDING MARK FROM MOTORBIKE

THE MEDUSA
The medusa was an ugly creature. Let's have a look at how she came into existance, for she wasn't always that ugly... Again, the Gods played their role. The Medusa was the daughter of Phorkys and Keto, the children of Gaia (Earth) and Okeanos (Ocean). She was one of the three sisters known as the Gorgons. The other two sisters were Sthenno and Euryale. Medusa was the only mortal out of the three. She was once very beautiful and lived far in the north were the sun didn't visit. Being very curious, she wanted to see the sun, and asked the Goddess Athena for permission to visit the south. Athena refused to allow her to visit. The medusa got angry and dared to say that Athena hadn't given her permission because she was jealous of her beauty. that was it! Athena was angered and punished her by turning her hair into snakes and cursing her by making her so ugly that who ever lookes at her eyes would turn into stone.

CLASH OF THE TITANS 2010 PERSEUS VS MEDUSA

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