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Liver Exam | Stanford Medicine 25 | Stanford Medicine With patient supine, place right hand on patient's abdomen, just lateral to the rectus abdominis, well below lower border of liver dullness Ask patient to take a deep breath and try to feel the liver edge as it descends
Techniques - Liver Ascites Exam - Physical Diagnosis Skills . . . Several different techniques have been described for this exam One is to place the diaphragm over the area of the liver and then scratch parallel to the costal margin until the sound intensity drops off marking the edge of the liver
Percussion – Physical Examination Techniques: A Nurse’s Guide Indirect percussion is often used to assess the lungs and the abdomen (e g , bowels, bladder, liver) The steps of this technique are as follows: Non-dominant hand: With your hand parallel to the body, place the distal interphalangeal joint of the pleximeter (middle) finger of your non-dominant hand firmly on the body region to percuss
Percussion of liver . How it is done? - MedicosNotes. com Percussion below the right costal margin is useful in hepatomegaly Ask the patient to breathe in deeply as you percuss, lightly keeping the fingers parallel to the the margin
Percussion of the liver - Gastroepato Due to the plural delimitation of the lower margin of the liver, a very light percussion must be used, given the tympanic resonance that this maneuver raises at the level of the stomach, the small intestine and the colon underlying the liver, favored by the subtlety of the margin
Clinical Skills Programme, University of Cape Town This technique is based on the observation that the liver, as a solid organ, is dull to percussion, whereas most of the abdomen is occupied by gas-filled bowel, and the chest by air-filled lung: in both cases, the gas gives rise to a resonant note
Liver: method of examination | CLINIPEDIA With the two-handed technique the liver edge strikes the tips of almost all ten fingers As with the one-handed technique, the examining fingers are gradually moved upwards, palpating for the liver with the patients successive deep breaths until the liver edge is felt
Chapter 51 - Palpation and Percussion of the Abdomen Nonetheless, two studies applying a standardized percussion technique failed to accurately detect hepatomegaly (likelihood ratio [LR] not significant; EBM Box 51 1)
Respiratory Assessment- Percussion - Physiopedia Percussion plays a key role in such an examination, when performed in conjunction with other techniques such as auscultation, palpation and imaging [1] Percussion produces audible sounds which can be interpreted by a skilled examiner to discern fluid, air or solid material within the chest cavity [2]