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covered and how to tell when something is wrong.",{"id":215,"name":216},1,"Course previews",[218,228,233,238,245],{"type":219,"data":220},"video",{"readDurationInSeconds":221,"video":222},248,{"platform":223,"name":212,"url":224,"size":225},"YouTube","https:\u002F\u002Fwww.youtube.com\u002Fwatch?v=6xfvMnV08FM",{"width":226,"height":227},200,113,{"type":229,"data":230},"free_text",{"readDurationInSeconds":231,"text":232},10.666666666666666,"\u003Cp>Auscultation of the abdomen (using a stethoscope to listen) is used to assess bowel sounds and detect abnormalities. 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You’ll learn the differential diagnoses associated with different regions of the abdomen and confidently refer symptomatic patients for further testing or therapeutic interventions.\u003C\u002Fp>",{"type":239,"data":240},"cta",{"readDurationInSeconds":241,"text":242,"buttonText":243,"buttonUrl":244},3.466666666666667,"Become a great clinician with our video courses and workshops","Start learning for free","https:\u002F\u002Fwww.medmastery.com\u002Fuser\u002Fregister",{"type":229,"data":246},{"readDurationInSeconds":247,"title":248,"text":249},94.13333333333333,"Video transcript","\u003Cp>Auscultation of the abdomen, the use of the stethoscope to listen, is to generally assess bowel sounds and bruits, or murmurs. Use the diaphragm of your stethoscope. Warm up the diaphragm of your stethoscope by placing it in your hands. This makes it more comfortable when laid on the skin of the patient.\u003C\u002Fp>\u003Cp>Listen for bowel sounds in the abdomen to the right of the umbilicus, where the mid portion of the small bowel is located. Proceed to listen to all four quadrants. Normally, bowel sounds are low pitched, gurgling sounds that occur every five to 10 seconds, with peristalsis or bowel movement.\u003C\u002Fp>\u003Cp>Note that this frequency varies per person, therefore listen for at least two minutes before concluding that the bowel sounds are absent. Absence of bowel sounds for greater than two minutes of listening may indicate that there is no peristalsis, which usually implies an ileus. Very high pitch bowel sounds can be associated with a mechanical obstruction, such as a small bowel obstruction, which increases the volume and frequency of bowel sounds.\u003C\u002Fp>\u003Cp>Here is a demonstration of auscultation of all four quadrants. Listen for at least five to 10 seconds in each quadrant. 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