What are other exams done before abdominal palpation?

● Inguinal rings and genitals: - To check for hernias, ask the patient to stand up and do a valsalva maneuver: only then can detect a hernia. - Check genital organs for necrosis, abscess… since, sometimes, a pelvic problem can be the cause of an acute abdominal pain. ● DRE (Digital Rectal Exam): to make sure no tumor or blood inside the rectum, or thrombotic hemorrhoids. ● Pelvic / Perineal examination: examine if there’s perianal abscess, thrombotic hemorrhoids, Maladie de Fournier - Fournier Gangrene: necrosis of the perianal/genital area where there’s usually dissemination of the necrosis intra-abdominally (mortality rate 80-90%) (Treatment: wide-excision surgery).