A For the patient: continue to lie supine with arms relaxed on the chest or at the sides may be further relaxed by instructing him to breathe slowly and deepl e For the examiner: 1)make certain that his hands are warm 2)assure the patient that he will make an effort not to cause discomfort and follow up this assurance 3)tackle with the ticklish patient
♣ For the patient: --- continue to lie supine with arms relaxed on the chest or at the sides --- may be further relaxed by instructing him to breathe slowly and deeply ♣ For the examiner: 1) make certain that his hands are warm 2) assure the patient that he will make an effort not to cause discomfort and follow up this assurance 3) tackle with the ticklish patient
A If the patient exhibits ticklishness, the examiner should disregard it and try to continue Cy If this Is proves unsuccessful, it i S useful to have the patient place his own hand on his abdomen. since this never tickles
♣ If the patient exhibits ticklishness, the examiner should disregard it and try to continue. ♣ If this proves unsuccessful, it is useful to have the patient place his own hand on his abdomen, since this never tickles
A The examiner may tentatively exert pressure on the abdomen through the patients own hand, and gradually increase the pressure, while assuring the patient that the examination will cause no discomfort
♣ The examiner may tentatively exert pressure on the abdomen through the patient’s own hand, and gradually increase the pressure, while assuring the patient that the examination will cause no discomfort
a When the patient has relaxed, the examiner again places his own hand on the abdomen and allows the patient to maintain contact with his hand this usually completes the relaxation of the ticklish patient, and the examination p roceeds as usual
♣ When the patient has relaxed, the examiner again places his own hand on the abdomen and allows the patient to maintain contact with his hand. This usually completes the relaxation of the ticklish patient, and the examination proceeds as usual
4)begins with gentle exploration of the abdominal wall and with no effort made to palpate deeply 5)As with inspection, the initial step in palpation may be facilitated by distracting conversation or questions regarding the history 6If the patient remains tense or if the abdominal wall is very muscular, better results may be obtained by having the patient flex the thighs and knees
4) begins with gentle exploration of the abdominal wall and with no effort made to palpate deeply 5) As with inspection, the initial step in palpation may be facilitated by distracting conversation or questions regarding the history. 6) If the patient remains tense or if the abdominal wall is very muscular, better results may be obtained by having the patient flex the thighs and knees