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Shifting dullness - Wikipedia
https://en.wikipedia.org/wiki/Shifting_dullness
WebIn medicine, shifting dullness refers to a sign elicited on physical examination for ascites (fluid in the peritoneal cavity). 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.
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Techniques - Liver & Ascites Exam - Physical Diagnosis Skills
https://depts.washington.edu/physdx/liver/tech.html
WebShifting Dullness. This maneuver is performed with the patient supine. Percuss across the abdomen as for flank dullness, with the point of transition from tympany to dullness noted. The patient then is rolled on his/her side away from the examiner, and percussion from the umbilicus to flank area is repeated.
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Abdominal Exam - StatPearls - NCBI Bookshelf
https://www.ncbi.nlm.nih.gov/books/NBK459220/
WebOct 10, 2022 · Shifting dullness, present in ascites, should be demonstrated by percussing from the midline to the flank till the note changes from dull to resonant and then having the patient roll over on their side towards the examiner and wait for ten seconds. This allows any fluid, if present, to move downwards.
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Ascites - StatPearls - NCBI Bookshelf
https://www.ncbi.nlm.nih.gov/books/NBK470482/
WebAug 8, 2023 · Patients with ascites typically will have flank dullness on examination, shifting dullness, a fluid wave, evidence of pleural effusions, and findings related to the underlying cause of the ascites, such as stigmata of cirrhosis (cirrhosis includes spider angioma, palmar erythema, and abdominal wall collaterals.
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Ascites & Venous Patterns - Stanford Medicine 25
https://stanfordmedicine25.stanford.edu/the25/avp.html
WebShifting Dullness with Ascites. Begin percussing in the center or most protuberant part of the abdomen. You should hear tympany from air in the loops of bowel that have floated up. Percuss laterally towards you from that point till you encounter dullness. KEEP YOUR FINGERS THERE. Ask patient to turn to the side away from you.
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Guidelines on the management of ascites in cirrhosis - PMC
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7788190/
WebOct 16, 2020 · Shifting dullness is detectable when about one and a half litres of free fluid accumulate in the abdomen; the physical sign has 83% sensitivity and 56% specificity in detecting ascites. 11 12 However, in the presence of obesity or smaller amount of fluid, imaging such as ultrasound or CT is necessary to confirm the presence of ascites.
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Ascites - Hepatic and Biliary Disorders - The Merck Manuals
https://www.merckmanuals.com/en-ca/professional/hepatic-and-biliary-disorders/approach-to-the-patient-with-liver-disease/ascites
WebSymptoms and Signs. Diagnosis. Treatment. Key Points. Ascites is free fluid in the peritoneal cavity. The most common cause is portal hypertension. Symptoms usually result from abdominal distention. Diagnosis is based on physical examination and often ultrasonography or CT.
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Shifting Dullness - an overview | ScienceDirect Topics
https://www.sciencedirect.com/topics/medicine-and-dentistry/shifting-dullness
WebShifting dullness and fluid thrill (wave) are clinical signs that confirm ascites. Free fluid will flow to the dependent part of the abdominal cavity, while the gut filled with air will float in the middle.
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Approach to ascites: Clinical sciences - Osmosis Video Library
https://www.osmosis.org/learn/Approach_to_ascites:_Clinical_sciences
WebHistory typically includes progressive abdominal distension; while physical exam reveals bulging flanks, a palpable fluid wave, and shifting dullness to percussion. Additionally, order an abdominal ultrasound, which can help you detect free fluid in the peritoneal cavity, which is commonly seen as an anechoic space.
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Assessment for Abdominal Ascites - YouTube
https://www.youtube.com/watch?v=Eog7addNRwc
WebThis video demonstrates two techniques for assessing for abdominal ascites - shifting dullness and fluid thrill.
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