In an abdominal examination, what is the correct sequence of assessments to perform?

The correct sequence of assessments in an abdominal examination is primarily based on the importance of not altering the normal sounds produced in the abdomen during the examination.

Beginning with inspection allows for a visual assessment of the abdomen, where one can observe for any abnormalities such as swelling, discoloration, lesions, or visible pulsations. Inspection sets the stage for understanding what may be occurring before any other physical engagement with the abdomen.

Following inspection, auscultation is performed. Auscultating the abdomen before palpation and percussion is critical because these latter techniques can stimulate peristalsis and potentially alter the sounds produced by the intestines. By auscultating first, a clinician can obtain the most accurate assessment of bowel sounds, which is important for diagnosing conditions such as obstruction or ileus.

After auscultation, palpation is conducted. This allows for a more detailed assessment of the abdominal organs, masses, or areas of tenderness without the interference that palpation or percussion might introduce prior to listening to bowel sounds.

Lastly, percussion is done, which helps assess the underlying structures and determine the presence of fluid or air within the abdominal cavity. Percussion, being less intrusive than palpation, is best saved until after the other evaluations since it too can affect the