During a physical exam of the abdomen, what is the recommended approach?

Starting the physical examination of the abdomen opposite the painful area is a recommended approach because it helps to minimize the patient's discomfort and allows for a more comprehensive assessment of the abdomen. When you begin the exam away from the area of pain, it provides an opportunity to establish rapport with the patient and assess for other potential issues without causing immediate discomfort in the region that is already causing them pain.

This strategy also aids in building the patient’s trust, as patients may feel more at ease when their discomfort is respected. Additionally, by examining the non-painful areas first, it may help the examiner identify any abnormalities or issues elsewhere in the abdomen that might influence the interpretation of pain in the specific area.

Evaluating the abdomen in a systematic and thoughtful manner using this method ensures more accurate findings and maintains the integrity of the examination process.