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Renal Exam
 
 

Abdominal Auscultation

 
 
 
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Overview

  • How to Elicit

  • Listen over the abdomen for bruits
  • Listen For

  • Aortic bruits - over upper abdomen in the midline.
  • Renal bruits - over the upper abdomen, approximately 2cm superior and lateral to the umbilicus on either side.
  • Iliac bruits - over the lower abdomen, either side of the midline.
  • Significance

  • Turbulent blood flow due to endothelial narrowing.
  • Causes

  • Arterial stenosis
  • Atherosclerosis
  • Arterial occlusion with collateral flow
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