Checks bilaterally for diaphragm excursion. Student goes back and forth from right to left chest for comparison on auscultation. Auscultation anterior and posterior. Auscultation for apices in supraclavicular areas. Removes all clothing from abdomen.
Examiner pauses to inspect before auscultation or percussion.
Auscultation performed in all quadrants. Auscultation performed before palpation or percussion. Examiner assesses for peritoneal signs. All four quadrants palpated. Watches face during palpation.