Focused Spleen Exam
Focused Spleen Exam
Please assess the student performing a focused spleen exam.
Student's Email:

GENERAL - Observe the student doing the following:

Washes hands
       
Introduces self and exam to patient
           
Appropriate draping of patient

From the nipple line to the ASIS

               

INSPECTION - The student should comment on the following:

Patient's general appearahce

Ex: generally well/unwell, cachectic, writing, still etc.

               
Masses

Inspecting for masses, particularly extending from the LUQ towards the RLQ

               

PERCUSSION - Observe the student performing the following manoeuvers:

Castell's method for splenic enlargement & comment on expected findings

Percuss in lowest left intercostal space at the anterior axillary line during patient inspiration

               
Percuss in Traube's Space for splenic enlargement & comment on expected findings

Percuss in triangle bordered by 6th rib, anterior axillary line, and the costal margin on the left side. 

               

PALPATION - Observe the student performing the following manoeuvers:

Palpate for spleen & comment on expected findings

Palpate from RLQ to the LUQ.

               

GLOBAL RATING SCALES - Please rate the student on their overall performance:

Understands rational of manoeuvers and findings
                   
Organized approach
                   
Sensitivity toward patient concerns and comfort during the examination