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Palpation is the use of physical touch during examination. During palpation, the physician checks for areas of tenderness, abnormalities of the skin, respiratory expansion and fremitus. [14] To assess areas of tenderness, palpate areas of pain, bruises, or lesions on the front and back of the chest.
There is usually more or less jaundice. Owing to portal obstruction, ascites occurs, followed later by generalised oedema. The stools are light or clay-colored, and the urine is colored by bile. On palpation, the liver is found enlarged and tender, sometimes extending several inches below the costal margin of the ribs. [citation needed]
The liver is a major metabolic organ exclusively found in vertebrate animals, which performs many essential biological functions such as detoxification of the organism, and the synthesis of proteins and various other biochemicals necessary for digestion and growth.
Normal resonance/ Resonant, the sound produced by percussing a normal chest. Impaired resonance (mass, consolidation) lower than normal percussion sounds. Dull (consolidation), similar to percussion of a mass such as a liver. Stony dull, the sounds produced on percussion from the pleximeter with no contribution from the underlying area.
On light palpation, the examiner tests for any palpable mass, rigidity, or pain on the surface. On deep palpation, the examiner is testing for any organomegaly (enlarged organs.) Typically, the clinician is looking for enlargement of the liver and spleen or abnormal masses in the intestines.
The hepatopulmonary syndrome results from the formation of microscopic intrapulmonary arteriovenous dilatations in patients with both chronic, and far less commonly acute liver failure. The mechanism is unknown but is thought to be due to increased liver production or decreased liver clearance of vasodilators, possibly involving nitric oxide. [1]
Chilaiditi syndrome is a rare condition when pain occurs due to transposition of a loop of large intestine (usually transverse colon) in between the diaphragm and the liver, visible on plain abdominal X-ray or chest X-ray. [1] Normally this causes no symptoms, and this is called Chilaiditi's sign. The sign can be permanently present, or ...
The normal human spleen measures about 125 millimeters in length, and splenomegaly is an important clinical sign. There are 2 possibilities to evaluate splenomegaly in the clinical examination: percussion and palpation. [1] Percussion can be done in this space. Beneath Traube's space lies the stomach, which produces a tympanic sound on ...