IPPA

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{{Infobox diagnostic

| name = IPPA

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| synonyms = inspection, palpation, percussion, and auscultation

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IPPA is a physical examination with four key steps: inspection, palpation, percussion, and auscultation.{{cite journal |author=Kirby RL |title=Inspection-palpation-percussion-auscultation and an outcome-oriented alternative approach to the musculoskeletal examination |journal=Med Educ |volume=15 |issue=2 |pages=106–9 |date=March 1981 |doi=10.1111/j.1365-2923.1981.tb02406.x |pmid=7207269 |s2cid=8264727 }}

Although the steps are consistent across organ systems, the order may vary. Notably, for the abdominal exam, auscultation is performed before palpation,{{cite book|author1=Mark Kauffman|author2=Michele M. Roth-Kauffman|title=History and physical examination workbook: a common sense approach|url=https://books.google.com/books?id=exEv_tqORVEC&pg=PA94|access-date=6 March 2011|date=6 July 2006|publisher=Jones & Bartlett Learning|isbn=978-0-7637-4340-6|pages=94–}} because the act of palpation could change what was auscultated.