Percussion and Palpation – Major Abdominal Examination Skills The sequence of examining the abdomen changes according to the age and cooperativeness of the child. Frequently all four types of assessments (inspection, auscultation, percussion and palpation,palper rouler) are performed at different times. For example, the medical practitioner may auscultate for bowel sounds following evaluation of heart and lung sounds at the beginning of the examination when the child is quiet. hypoderme Percussion usually follows lung percussion, and palpation may be done toward the end of the examination when the child is relaxed and more trusting of the medical practitional. For descriptive purposes the abdominal palper-rouler cavity is divided into four compartments or quadrants by drawing a vertical line midway from the sternum to the pubic symphysis and a horizontal line across the abdomen through the umbilicus. This method of division actually includes the pelvic cavity. Each section is designated as follows: Right upper quadrant (RUQ), Right lower quadrant (RLQ), Left upper quadrant (LUQ), Left lower quadrant (LLQ),hypoderme.

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