اصوات البطن. كيفية التخلص من أصوات البطن المزعجة

Perform light percussion over each of the nine abdominal regions Percussion is a critical part of the abdominal examination; therefore, learning the correct technique is essential for any physician aiming to make quick, yet accurate diagnosis of gastrointestinal pathologies
Percussion remains an intricate part of the physical diagnosis since it was first introduced more than 200 years ago, and is especially useful in examination of the lungs and abdomen You should now know the important abdominal percussion steps and understand differential diagnoses that can be performed by proper interpretation of percussion findings

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26
Abdominal: Percussion
For the Castell's method, percuss in the anterior axillary line in the lower intercostal space
كيفية التخلص من أصوات البطن المزعجة
Tenderness on percussion is abnormal and can indicate peritoneal inflammation
قرقرة
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Next step is to determine the liver span In the midclavicular line, the liver span is generally between six and twelve centimeters
Measure the distance between upper and lower border of dullness in cm Dull sound on the right over the liver is expected

Evaluating the size of the liver and sometimes the spleen.

23
Abdominal: Percussion
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If abdominal fluid were present, the level of dullness on the side would shift upwards toward the umbilicus, compared to the level of dullness in supine position
هل قرقرة المعدة تعني أنك تشعر بالجوع؟
If the liver span is increased, percuss laterally and medially