EXAMINER FORM

PHYSICAL EXAMINATION STATION: ORGANOMEGALY

1.

Please ask the candidate for his/ her identity sticker & attach it to space
provided on top of the second page.

2.

Please evaluate the candidate physical examination skills in detection &

interpretation of physical signs.

3.

PLEASE INSTRUCT THE CANDIDATE TO EXAMINE THE

ABDOMEN ONLY WITHIN 6 MINUTES.

4.

Please instruct the candidate that a complete gastrointestinal system

examination is not required.

5.

Please observe the candidate technique/ manners & do not interrupt

him/her during the examination unless he/she does not follow the required
instruction.

6.

Please evaluate the candidates individual task according to the following

scoring system:

7.

Mark 0: not performed / not mentioned

Mark 1: performed / mentioned but incompletely

Mark 2: performed / mentioned completely & competently

PLEASE ASK THE CANDIDATE THE FOLLOWING QUESTIONS

WHEN 2 MINUTES ARE LEFT:

8.

What are your abdominal findings?

Mention the 2 most likely differential diagnosis?

Mention 2 systemic signs to support each diagnosis?

Please evaluate the candidate overall approach according to the following

scoring system:

Mark 1: Poor

Mark 2: Marginal

Mark 3: Good

Mark 4: Very Good

Physical examination station-Abdomen-examiner form/King Abdulaziz Medical City-Jeddah

EXAMINER FORM
PHYSICAL EXAMINATION STATION: ORGANOMEGALY

PLEASE FILL THE TABLE BELOW: 8 MINUTES FOR THIS STATION

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Physical examination manners

Introduces self & explains task to the patient
Kind to the patient & covers the patient
Physical examination technique
Inspection of the abdomen for distension, scars, striae, bruising, veins, hernia
Asking for location of abdominal pain, Superficial palpation, Eye contact
Palpation for hepatomegaly, relation to breathing, percussion for liver span
Palpation & percussion for splenomegaly, patient on the right side position
Bimanual palpation for renal enlargement, percussion over renal mass
Percussion for ascites by shifting dullness
Auscultation for bowel sounds, hepatic bruit, renal bruit, splenic rub
Abdominal findings
hepatosplenomegaly
2 differential diagnosis
Chronic liver disease with portal hypertension
Myeloproliferative disorders & lymphoproliferative disorders: CML, lymphoma
2 systemic signs to support each diagnosis
Jaundice, clubbing, palmar erythema, lymphadenopathy, pallor

Over all approach to the task

Over all rating on station

Clear Fail

Borderline

Clear Pass

PLEASE DO NOT WRITE ON THIS SPACE:

Physical examination station-Abdomen-examiner form/King Abdulaziz Medical City-Jeddah