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In gastroenterology, the puddle sign is a physical examination maneuver that can be used to detect the presence of ascites.It is useful for detecting small amounts of ascites—as small as 120 mL; shifting dullness and bulging flanks typically require 500 mL.
Laënnec's contributions were refining the procedure, linking sounds with specific pathological changes in the chest, and inventing a suitable instrument (the stethoscope) to mediate between the patient's body and the clinician's ear. Auscultation is a skill that requires substantial clinical experience, a fine stethoscope and good listening ...
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Duroziez's sign is a sign of aortic insufficiency. [1] It consists of an audible diastolic murmur which can be heard over the femoral artery when it is compressed with the bell of a stethoscope.
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Bruit, also called vascular murmur, [3] is the abnormal sound generated by turbulent flow of blood in an artery due to either an area of partial obstruction or a localized high rate of blood flow through an unobstructed artery.
A loud murmur with a thrill. The murmur is so loud that it is audible with only the rim of the stethoscope touching the chest. A loud murmur with a thrill. The murmur is audible with the stethoscope not touching the chest but lifted just off it. The Levine scaling system persists as the gold standard for grading heart murmur intensity.
Using electronic stethoscopes, it is possible to record heart sounds via direct output to an external recording device, such as a laptop or MP3 recorder. The same connection can be used to listen to the previously recorded auscultation through the stethoscope headphones, allowing for a more detailed study of murmurs and other heart sounds, for ...