Abdomen Physical Exam Medical Transcription Examples
ABDOMEN: Normoactive bowel sounds. Soft, nontender, nondistended. No masses. No hepatosplenomegaly.
ABDOMEN: Soft, nondistended, positive bowel sounds. Nontender in all 4 quadrants. No pulsatile mass.
ABDOMEN: Soft and nondistended. Positive bowel sounds. Tenderness in the right upper quadrant. No mass noted. No rebound or guarding. Negative Murphy sign. No tenderness in the lower quadrant of the abdomen.
ABDOMEN: Soft, nondistended, positive bowel sounds. Completely nontender in all 4 quadrants except for some upper abdominal tenderness that appeared to correlate with the lateral aspects of the rectus abdominis muscle. There is no tenderness around McBurney’s point or anywhere below the umbilicus.
ABDOMINAL EXAM: Soft, positive bowel sounds. Diffusely tender. There is no rebound or rigidity. There is no pulsatile mass, no abdominal bruit. No Cullen’s or Grey-Turner’s sign. No CVA tenderness.
ABDOMEN: Soft, positive bowel sounds, slight tenderness in the epigastrium. Noted tenderness of a Murphy’s sign in the right upper quadrant without rebound or rigidity. No pulsatile mass, no abdominal bruit, equal femoral pulses. Nondistended.
ABDOMEN: Soft with some mild suprapubic tenderness to palpation without rebound or guarding.
ABDOMINAL EXAM: Soft, nontender, nondistended. He has a G-tube that is in place. There is no leakage around the G-tube site. There is no evidence of cellulitis. He does seem to have stool throughout his abdomen just by palpation.
ABDOMEN: Soft. He does have some tenderness to palpation in his left lower quadrant into the inguinal area with no rebound tenderness, no guarding. Rest of his abdominal exam is nontender to palpation. He has no organomegaly.
ABDOMEN: Soft with palpation. She really did not have any tenderness to palpation along the abdomen. Her pain was primarily along the lower edge of the sternum and along the xiphoid as well as just to the left along the rib in this area. There was no obvious skin trauma. She denied any pain to palpation with compression of the ribs on the sides.
ABDOMINAL EXAM: Soft without tenderness, lymphadenopathy or masses. There is no upper abdominal organomegaly; however, mass can easily be appreciated arising approximately 6 cm above the superior aspect of the mons pubis. It lies in the midline and the component that can be appreciated abdominally measures approximately 10 x 8 cm.
ABDOMEN: Soft, nondistended. Minimally tender to palpation to the suprapubic region without guarding, rebound or peritoneal signs. Good bowel sounds throughout. No CVA tenderness bilaterally.
ABDOMINAL EXAM: Soft and obese, tender to palpation to the right upper quadrant without guarding, rebound or peritoneal signs. Secondary to body habitus, it is difficult to appreciate if she has any sort of organomegaly, but there are good bowel sounds present throughout. No CVA tenderness bilaterally.
ABDOMEN: Soft, obese. The patient is noted to have an area of cellulitis on the mid lower pannus that is probably about 12 x 8 cm with a central, what appears to be blister or vesicle with some serous and slightly purulent fluid draining from it. There is no evidence for frank abscess at this point or underlying fluctuance. There is about 2 cm in diameter of underlying induration beneath this vesicle that has ruptured on its own. There is no lymphangitic streaking, no inguinal lymphadenopathy associated. His abdomen is, for the most part, nontender with good bowel sounds and no CVA tenderness. The skin is otherwise intact.
ABDOMINAL EXAM: Gravid. Fundal height 37 cm. Estimated fetal weight 6 pounds 8 ounces.
ABDOMEN: Soft, nontender, nondistended with positive bowel sounds. A scar from his previous appendix surgery was noted.
ABDOMEN: Soft with diffuse subjective generalized tenderness, nondistended with positive bowel sounds.
ABDOMINAL EXAM: Soft, moderately tender over the suprapubic area. Otherwise, nondistended. There is no palpable evidence of mass, pulsatile or otherwise, as well as any evidence of visceromegaly. He exhibits no rebound tenderness or guarding. He exhibits no CVA tenderness bilaterally. He has normoactive bowel sounds.
ABDOMEN: Soft, moderately tender in the right flank and right costovertebral angle. He is otherwise nondistended. There is no palpable evidence of mass or visceromegaly. He exhibits no rebound tenderness or guarding. He exhibits right CVA tenderness. He has normoactive bowel sounds.
ABDOMEN: Soft, tender in the suprapubic region. He states that his abdomen is distended, but it is soft. No ascites. He has positive bowel sounds in all 4 quadrants. There is no guarding, no rebound. There are no masses or organomegaly. No bruits appreciated. The patient has flank pain bilaterally with percussion, worse on the right than the left.
ABDOMINAL EXAM: There is slight tenderness in the epigastric region. He had positive bowel sounds all 4 quadrants. No guarding or rebound noted. No bruits appreciated.
ABDOMEN: Protuberant, soft, nontender. No guarding, no rigidity.
ABDOMINAL EXAM: Protuberant and soft with slight tenderness in the right lower quadrant. She states she has had her appendix removed. No guarding or rigidity.
ABDOMEN: The patient has an obese abdomen that is nondistended with positive bowel sounds. It is soft and nondistended. The patient does have some right lower quadrant tenderness just along the inguinal ligament that appears to be tender in the right abdominal wall, though not to deeper palpation. There is no guarding, rebound or organomegaly present. The patient’s aforementioned laparoscopic sites in the inguinal fold do not appear to be grossly infected and are nontender to palpation.
ABDOMINAL EXAM: Soft, nondistended. The patient has normoactive bowel sounds. He has some slight epigastric tenderness, but no rebound, guarding or peritoneal signs. No CVA tenderness. He has no tenderness at McBurney’s point. He has a negative Murphy’s sign.
ABDOMEN: Soft, scaphoid and reproducibly tender in the right lower abdomen with voluntary guarding. No peritoneal signs.
ABDOMINAL EXAM: Hyperactive bowel sounds, nontender.
ABDOMEN: Soft, morbidly obese. Diffusely tender. There is no palpable pulsatile mass; however, the patient’s morbid obesity would likely obscure this.
ABDOMINAL EXAM: There is no abdominal tenderness to light or deep palpation.
ABDOMEN: Soft, nontender, morbidly obese. Surgical incisions are noted. There is a prominent abdominal aortic pulse. There are several areas of induration. There is no active cellulitis and no erythema present.
ABDOMEN: Positive bowel sounds. He does have tenderness in the right flank. This is more flank rather than right CVA. There is certainly no right upper quadrant or McBurney’s point tenderness. Rovsing’s is negative. Abdomen is soft. He does have some guarding over the right flank. There is no tenderness over the left flank or left CVA tenderness.
