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- Shifting_dullness abstract "In medicine, shifting dullness refers to a sign, elicited on physical examination, for ascites (fluid in the peritoneal cavity).To perform the test, first the midline of the abdomen is percussed eliciting a resonant note due to gas in the abdomen. If there is no area of resonance then the test cannot be performed. Percussion is then moved progressively more lateral (away from the examiner) - this is depicted as the red section in the diagram on the right - until the note becomes dull, as depicted by the green section. The examiner's index finger remains on the resonant side, and the middle finger remains on the dull side, straddling the fluid-air level. The patient is then asked to lean on their right lateral side (assuming the examiner used the traditional right sided approach). This stabilises the patient by sandwiching them between the examiner's hands and body. It is imperative that the examiner's fingers stay in the same position. After waiting sufficient time for any fluid to shift (up to 30 seconds), the dull position is then percussed. It may now be resonant. The percussion may now be performed down the anterior side until a new dullness is found. To confirm a positive result it is recommended that the now resonant area become dull again when the patient is back in the supine position.If the borders between tympanic (resonant) and dull notes remain the same, the person probably does not have ascites, or has less than 2 litres of free fluid present. If the fluid causing the dullness was not free, then the air-fluid level would not move. Shifting dullness is usually present if the volume of ascitic fluid is greater than 1500 ml. If low volume ascites is suspected, then an attempt to elicit the puddle sign may be performed.".
- Shifting_dullness thumbnail Shifting_dullness.png?width=300.
- Shifting_dullness wikiPageID "3566818".
- Shifting_dullness wikiPageLength "2874".
- Shifting_dullness wikiPageOutDegree "14".
- Shifting_dullness wikiPageRevisionID "674780508".
- Shifting_dullness wikiPageWikiLink Abdomen.
- Shifting_dullness wikiPageWikiLink Abdominal_examination.
- Shifting_dullness wikiPageWikiLink Ascites.
- Shifting_dullness wikiPageWikiLink Bulging_flanks.
- Shifting_dullness wikiPageWikiLink Category:Medical_signs.
- Shifting_dullness wikiPageWikiLink Fluid_wave_test.
- Shifting_dullness wikiPageWikiLink Medical_sign.
- Shifting_dullness wikiPageWikiLink Medicine.
- Shifting_dullness wikiPageWikiLink Percussion_(medicine).
- Shifting_dullness wikiPageWikiLink Peritoneal_cavity.
- Shifting_dullness wikiPageWikiLink Physical_examination.
- Shifting_dullness wikiPageWikiLink Puddle_sign.
- Shifting_dullness wikiPageWikiLink File:Shifting_dullness.png.
- Shifting_dullness wikiPageWikiLinkText "Shifting dullness".
- Shifting_dullness wikiPageWikiLinkText "shifting dullness".
- Shifting_dullness wikiPageUsesTemplate Template:Citation_needed.
- Shifting_dullness wikiPageUsesTemplate Template:Digestive_system_and_abdomen_symptoms_and_signs.
- Shifting_dullness wikiPageUsesTemplate Template:Med-sign-stub.
- Shifting_dullness wikiPageUsesTemplate Template:Redirect.
- Shifting_dullness wikiPageUsesTemplate Template:Reflist.
- Shifting_dullness subject Category:Medical_signs.
- Shifting_dullness type Sign.
- Shifting_dullness comment "In medicine, shifting dullness refers to a sign, elicited on physical examination, for ascites (fluid in the peritoneal cavity).To perform the test, first the midline of the abdomen is percussed eliciting a resonant note due to gas in the abdomen. If there is no area of resonance then the test cannot be performed.".
- Shifting_dullness label "Shifting dullness".
- Shifting_dullness sameAs Q7496277.
- Shifting_dullness sameAs m.09l_sy.
- Shifting_dullness sameAs Q7496277.
- Shifting_dullness wasDerivedFrom Shifting_dullness?oldid=674780508.
- Shifting_dullness depiction Shifting_dullness.png.
- Shifting_dullness isPrimaryTopicOf Shifting_dullness.
