Stoma examination scenario
Patient ℅ lump around stoma
Brief history
Abdominal examination + stoma examination
- Washes hands, introduces self
- Confirms patient identity
- Checks patient comfort before starting
- Takes focused history
- reason for stoma formation
- Asks about current symptoms
- stoma output
- vomiting
- Past medical history
- Drug history and allergies
- Surgical history
- Examines peripheries
- Inspects abdomen and stoma
- Palpation
- Percussion
- Auscultation
- Gives overall impression
- Suggests appropriate investigations - bloods, ?CTAP
- Explains differentials
- Invites questions
- Address patient concerns
- Thanks patient
- Global mark examiner
- Global mark patient