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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 movement of liver and spleen by the turn of a wheel WHAT’S INCLUDED 60000 60054 • Integral amplifier and surface mounted MP3 player allow training in auscultation of normal and high-pitched Abdominal Examination Base Unit or obstructed bowel sounds, renal and aortic bruits - Abdominal Examination Skin in variable locations Abdominal Examination Rectus Bag • Volume of bowel sounds can be adjusted and MP3 player Abdominal Examination Organ Locator allows for additional sounds to be loaded Abdominal Wall • Distension set allows for the following: Abdominal Examination Livers (Set of 3) - Realistic checking for ascites using percussion, Abdominal Examination Spleens (Set of 2) shifting dullness or fluid thrill technique Abdominal Examination Kidneys (x2) - Simulation of bowel obstruction on percussion Abdominal Examination Bladder Abdominal Examination Pathologies (Set of 6) and auscultation Abdominal Examination Aortas (Set of 2) • bulb allows simulation of normal and aneurysmal Abdominal Examination - Distension Set aortic pulse International 5V DC Power Supply SAFETY AA Batteries (x4) Carry case (x2) • Latex free

CLEANING & CARE • Skin surface is washable using soap and water 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 specific examination of ... the gastrointestinal system University of Otago, Clinical Skills UNDERGRADUATE including an examination of the abdomen. Recognise and in the Undergraduate Medical describe normal and abnormal findings.” Curriculum, page 9 & 22

“Doctors should be able to appropriately assess patients presenting with common, important conditions, including POSTGRADUATE the accurate identification of symptoms, signs and/or Australian Curriculum Framework – RESIDENCY problems and their and then use that For Junior Doctors, V 2.2 JUNIOR DOCTORS information to further manage the patient ... Gastrointestinal conditions and problems; , constipation, liver disease.”

“Diagnosis and management of common and important acute SPECIALIST GP RACGP Curriculum for Australian serious illness and traumatic conditions including ... acute TRAINEES General Practice 2011 abdominal pain.”

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