اصوات البطن. كيفية التخلص من أصوات البطن المزعجة

Name: اصوات البطن
Rating: 5,9 (1819 reviews)

Percussion is helpful to diagnose the causes of a protuberant abdomen	Tenderness elicited by percussion is abnormal, and peritoneal inflammation should be suspected
In the midclavicular line, the liver span is generally between six and twelve centimeters	Tenderness on percussion is abnormal and can indicate peritoneal inflammation

Abdominal: Percussion

Explain the procedure to the patient and obtain their consent before starting with the exam.

قرقرة: First, let's talk about the expected abdominal percussion sounds and their interpretations
هل قرقرة المعدة تعني أنك تشعر بالجوع؟: In the ascitic abdomen, gas-filled bowel loops float to the top while the ascitic fluid falls to the dependent portion of the abdomen
فحص بطني: tympany or resonance allows for determination of the size and margins of organs and masses, as well as identification of fluid accumulation and areas of consolidation

Overview Source: Alexander Goldfarb, MD, Assistant Professor of Medicine, Beth Israel Deaconess Medical Center, MA Medical percussion is based on the difference in pitch between the sounds elicited by tapping on the body wall	If the percussion note is dull, or becomes dull on inspiration, splenomegaly should be suspected
Perform light percussion over each of the nine abdominal regions	Correct percussion technique is critical for this method to be effective

Percuss in the right midclavicular line downwards starting at the nipple line to identify an upper border of liver dullness.

قرقرة: Then, ask the patient to roll on his side and re-percuss
هل قرقرة المعدة تعني أنك تشعر بالجوع؟: Thank you for taking us up on our offer of free access to JoVE Education until June 15th
هل قرقرة المعدة تعني أنك تشعر بالجوع؟: tympany or resonance allows for determination of the size and margins of organs and masses, as well as identification of fluid accumulation and areas of consolidation

One should also be aware of the limitation of the method and the sensitivity of each diagnostic maneuver	Therefore, by percussing one can predict the cause of protuberant abdomen, which helps in diagnosis of conditions like ascites
The presence of large areas of dullness should prompt evaluation for organomegaly, intra-abdominal masses, or fluid	Lastly, percussion is helpful to detect the cause of a protuberant abdomen

Note the point where the resonant sound changes to dullness…and mark it with a skin pencil.

Abdominal: Percussion: Occasional areas of dullness lower pitched, shorter, and quieter sound than tympany are produced by fluid and feces, and are normal as well
هل قرقرة المعدة تعني أنك تشعر بالجوع؟: Normally the spleen and liver are covered by the rib cage, with the liver edge occasionally found 1-2 cm below the costal margin
هل قرقرة المعدة تعني أنك تشعر بالجوع؟: Make a mark where the tympany changes to dullness lower border with a skin pencil