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Beneath Traube's space lies the stomach, which produces a tympanic sound on percussion. Dullness to percussion over Traube's space may indicate splenomegaly, although this can also be a normal finding after a meal or may indicate certain pathologies, e.g. enlarged left lobe of the liver, a fundus mass, a left pleural effusion or a massive ...
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]
Castell's has been shown to be superior in sensitivity to other spleen percussion signs as well as palpation, which is not likely useful due to the extreme enlargement necessary to feel the spleen below the costal margin. Castell's sign is thus, in the appropriate clinical scenario, an important part of the abdominal physical exam. [5]
Murphy's sign has a high sensitivity and negative predictive value, although the specificity is not high. [2] However, in the elderly the sensitivity is markedly lower; a negative Murphy's sign in an elderly person is not useful for ruling out cholecystitis if other tests and the clinical history suggest the diagnosis.
A physical examination can show an abdominal succussion splash, which is elicited by placing the stethoscope over the upper abdomen and rocking the patient back and forth at the hips. Retained gastric material greater than three hours after a meal will generate a splash sound and indicate the presence of a hollow viscus filled with both fluid ...
Palpation is the process of using one's hands to check the body, especially while perceiving/diagnosing a disease or illness. [1] Usually performed by a health care practitioner, it is the process of feeling an object in or on the body to determine its size, shape, firmness, or location (for example, a veterinarian can feel the stomach of a pregnant animal to ensure good health and successful ...
Similar to western medical practitioners, Japanese physicians and medical therapists use the abdomen (hara) in diagnosis to determine the health or otherwise of the patient, particularly, but not exclusively, the state of the abdominal organs or tissues and the related energy fields. [2] While in western medicine the palpation of the abdomen ...
The bimanual component of the pelvic examination allows the examiner to feel ("palpate" in medical terms) the structures of the pelvis, including the vagina, cervix, uterus, and adnexae (structures adjacent to the uterus, which include the ovaries and any adnexal masses). [22] [23] The bimanual exam traditionally occurs after the speculum is ...