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Tympanitic, drum-like sounds heard over air filled structures during the abdominal examination. [4] Hyperresonant (pneumothorax), said to sound similar to percussion of puffed up cheeks. Normal resonance/ Resonant, the sound produced by percussing a normal chest. Impaired resonance (mass, consolidation) lower than normal percussion sounds.
The two steps of shifting dullness. Percussion of the green section shifts from a dull note to a tympanic note after the patient changes from supine to lateral decubitus position. The test is performed by first percussing the midline of the abdomen to elicit a resonant note due to gas in the abdomen. If there is no area of resonance, then the ...
A stomach rumble, also known as a bowel sound, peristaltic sound, abdominal sound, bubble gut or borborygmus (pronounced / ˌ b ɔːr b ə ˈ r ɪ ɡ m ə s /; plural borborygmi), is a rumbling, growling or gurgling noise produced by movement of the contents of the gastrointestinal tract as they are propelled through the small intestine by a series of muscle contractions called peristalsis. [1]
The abdominal examination is conventionally split into four different stages: first, inspection of the patient and the visible characteristics of their abdomen. Auscultation (listening) of the abdomen with a stethoscope. Palpation of the patient's abdomen. Finally, percussion (tapping) of the patient's abdomen and abdominal organs. [1]
Ascites is detected with physical examination of the abdomen by visible bulging of the flanks in the reclining person ("flank bulging"), "shifting dullness" (difference in percussion note in the flanks that shifts when the person is turned on the side), or in massive ascites, with a "fluid thrill" or "fluid wave" (tapping or pushing on one side ...
The cardiovascular examination is a portion of the physical examination that involves evaluation of the cardiovascular system. The exact contents of the examination will vary depending on the presenting complaint but a complete examination will involve the heart (cardiac examination), lungs (pulmonary examination), belly (abdominal examination) and the blood vessels (peripheral vascular ...
Its indications are dullness to percussion in the left flank LUQ and shifting dullness to percussion in the right flank seen with splenic rupture/hematoma. [1] During trauma assessment of the abdomen , "Ballance's sign" may be observed upon exam.
Castell's sign [1] is a medical sign assessed to evaluate splenomegaly and typically part of an abdominal examination. It is an alternative physical examination maneuver to percussion over Traube's space. Splenomegaly, although associated with numerous diseases, remains one of the more elusive physical exam findings in the abdomen.