ABDOMINAL PHYSICAL EXAM
Instructions: Pick one of the following cases for your HxPxDx Exam write-up
CASE A
A 17 y/o male, named Steven Johnson comes in because he has had “Severe stomach pain” for
the past 6 hours.
Vital signs
 Temp: 103 F, HR: 120, regular, RR: 23, BP: 90/60
 Pulse-ox: not obtained, Pain: 8/10, Ht: 6’1”, Wgt: 210 lbs [use adult BMI measurements]
Abdomen:
 Pain and tenderness to light and firm palpation in the lower right quadrant.
 Guarding and rigidity. Rebound tenderness.
 Abdominal aorta not deeply palpated due to patient’s condition.
 Negative Murphy’s sign. Positive obturator sign and Rovsing’s sign. Negative psoas sign.
CASE B
A 71 y/o male, named John Stevenson comes in because he has had “Severe stomach pain” for
the past 6 hours.
Vital signs
 Temp: 103 F, HR: 120, regular, RR: 23, BP: 90/60
 Pulse-ox: not obtained, Pain: 8/10, Ht: 6’1”, Wgt: 210 lbs
Abdomen:
 Pain and tenderness to light and firm palpation in the lower left quadrant.
 Guarding and rigidity. Rebound tenderness.
 Abdominal aorta not deeply palpated due to patient’s condition.
 Negative Murphy’s sign. Negative obturator sign and Rovsing’s sign. Negative psoas sign.
Case A
Case B