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An anatomically accurate adult male torso, used to teach and practise the , and elements of abdominal or gastrointestinal (GI) examination.

With interchangeable organs of varying sizes, ABDOMINAL and an integral MP3 player providing realistic EXAMINATION sounds, the trainer provides the ability to recognise and differentiate a range of abnormal TRAINER organs and .

60000 LIGHT

60054 DARK

Ideal for OSCE preparation and assessment.

Learning has never been more lifelike limbsandthings.com SKILLS

• Familiarity with the abdominal regions and underlying anatomy • Practice in abdominal palpation, auscultation and percussion • Ability to differentiate normal from abnormal anatomy • Identification of , specifically and fluid thrill • Identification of gaseous distension and • Ballottement of kidneys • Professional-to-patient communication

QUALITIES ANATOMY

REALISM • Torso featuring , pelvis and lower part of thorax • Organs feel realistic on palpation and respond appropriately • Bony landmarks include ribs, costal margin, xiphisternum, to percussion pubic crest and anterior superior iliac spines • Lifelike quality of abdominal skin accommodates stretching • 3 Livers: slightly enlarged, enlarged with smooth edge and for gaseous distension and ascites simulation enlarged with irregular edge • Realistic ballottement of enlarged kidney • 2 Spleens: slightly enlarged and markedly enlarged • 2 Enlarged Kidneys VERSATILITY • Distended Bladder • Abdominal skin is simple to remove, allowing quick and easy • 2 Aortas: normal and aneurysmal changeover of organs • Set of 6 Abdominal Pathologies includes: • Suitable for both bench top use and hybrid use with - 4 Smooth masses: 2 sizes, each with hard and soft version Simulated Patient - 2 Irregular hard masses • Model can be rolled onto side for examination of ascites and • Distension Set includes: shifting dullness - Ascites bag KEY FEATURES - Gaseous distension bag, pump and foam insert • Simplified representation of lower thoracic & lumbar spine • Interchangeable organs and pathologies of varying sizes can be quickly and easily inserted into the abdomen • Trainer or Simulated Patient can vary respiratory WHAT’S INCLUDED 60000 60054 movement of liver and spleen by the turn of a wheel • Integral amplifier and surface mounted MP3 player allow Abdominal Examination Base Unit training in auscultation of normal and high-pitched Abdominal Examination Skin or obstructed bowel sounds, renal and aortic bruits - Abdominal Examination Rectus Bag in variable locations Abdominal Examination Organ Locator • Volume of bowel sounds can be adjusted and MP3 player Abdominal Wall allows for additional sounds to be loaded Abdominal Examination Livers (Set of 3) • Distension set allows for the following: Abdominal Examination Spleens (Set of 2) - Realistic checking for ascites using percussion, Abdominal Examination Kidneys (x2) Abdominal Examination Bladder shifting dullness or fluid thrill technique Abdominal Examination Pathologies (Set of 6) - Simulation of bowel obstruction on percussion Abdominal Examination Aortas (Set of 2) and auscultation Abdominal Examination - Distension Set • bulb allows simulation of normal and aneurysmal International 5V DC Power Supply aortic pulse AA Batteries (x4) Carry case (x2) SAFETY • Latex free

CLEANING & CARE You may also be interested in: • Skin surface is washable using soap and water 60002 Abdominal Examination Trainer Value Set Visit limbsandthings.com SET-UP EXAMPLES FOR SCENARIOS

ACUTE - BLADDER SLIGHTLY ENLARGED LIVER

OVARIAN CYST - SMOOTH SOFT MASS ENLARGED KIDNEY

CARCINOMA ON MASS IN LEFT ILIAC FOSSA CARCINOMA WITH LIVER METASTASIS

LYMPHOMA AORTIC ANEURYSM CURRICULUM REFERENCES

“Perform a full . Outcomes for Graduates Interpret findings from the history, physical examination... UNDERGRADUATE (Tomorrow’s Doctors) 2018, Make an initial assessment of a patient’s problems and a page 4-5 .”

Foundation Programme POSTGRADUATE “Illustrative problems to be considered and sampled by SLE’s Curriculum 2012, updated for FY1 AND FY2 (Supervised Learning Events) includes Gastrointestinal problems.” 2014, page 57

“The trainee will be able to assess a patient presenting with CORE MEDICAL to produce a valid differential diagnosis, Core Medical Training Curriculum TRAINING investigate appropriately, formulate and implement a 2013, page 51 management plan.”

“Acute abdomen: To be able to assess and provide the early care CORE SURGICAL Core Surgical Training Curriculum, of a patient presenting with acute abdominal symptoms and TRAINING 2016, page 6 signs.”

“Be able to manage primary contact with patients who have digestive problem. Know how to interpret common symptoms in rcgp.org.uk/training-exams/ GP TRAINING general practice, including dyspeptic symptoms, abdominal pain. gp-curriculum-overview/online- Demonstrate a systematic approach to investigating common curriculum.aspx digestive symptoms.”

Specialty Training Curriculum GASTRO- “Can take a thorough history and elicit physical signs in patients for Gastroenterology And Sub- ENTEROLOGY with abdominal pain. Can plan investigations appropriately, Specialty Training Curriculum For TRAINEES reach a diagnosis and formulate a plan of management.” Hepatology, August 2010

“Receiving patients with undifferentiated and undiagnosed problems and making an assessment of their health care needs, ADVANCED NURSE RCN Competences: Advanced based on highly-developed nursing knowledge and skills, PRACTITIONERS Nurse Practitioners, page 4 including skills not usually exercised by nurses, such as physical examination.”

PARAMEDIC “Medical Emergencies in Adults: Abdomen: Feel for tenderness UK Ambulance Service Clinical TRAINING and guarding in all four quadrants, check for bowel sounds.” Practice Guidelines (2015), page 4

UK V.4 Mar 2021

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