When you Percuss over the liver What should you hear?

When you Percuss over the liver What should you hear?

Dull sound on the right over the liver is expected. On the left, tympany over the gastric air bubble and the splenic flexure of the colon should be heard. Percuss above the pubic symphysis. Dullness on percussion in this area indicates an enlarged uterus or distended bladder.

How do Percuss lower the liver border?

Starting at a level below the umbilicus in the right mid-clavicular line, lightly percuss upward toward the liver. Ascertain the lower border of liver dullness. Identify the upper border of liver dullness in the mid-clavicular line by lightly percussing from lung resonance down toward liver.

How do Percuss liver margins work?

Percussion. Percuss for the upper and lower margins of the liver. Place your non-dominant hand palm down flat on the abdomen with the fingers parallel to the lower costal margin pointed toward the midline. Percuss with the middle finger of your dominant hand on the middle finger of your non-dominant one.

Why is auscultation done before percussion and palpation?

Auscultation refers to the use of a stethoscope by the examiner to listen to sounds from the abdomen. Unlike other physical exams, auscultation is performed prior to percussion or palpation, as both of these could alter the regularity of bowel sounds.

What are normal sounds when Percussing the abdomen?

The anterior gas-filled abdomen normally has a tympanitic sound to percussion, which is replaced by dullness where solid viscera, fluid, or stool predominate. The flanks are duller as posterior solid structures predominate, and the right upper quadrant is somewhat duller over the liver.

Can ascites be cured completely?

Ascites can’t be cured but lifestyle changes and treatments may decrease complications.

What quadrant do you Auscultate first?

Place the diaphragm of your stethoscope lightly over the right lower quadrant and listen for bowel sounds. If you don’t hear any, continue listening for 5 minutes within that quadrant. Then, listen to the right upper quadrant, the left upper quadrant, and the left lower quadrant.

What is the upper border of liver dullness defined by?

The upper border of liver dullness is defined by: 5th intercostal space in the midclavicular line 7th intercostal space in the midaxillary line 9th intercostal space in the scapular line

How do you find the border of the liver?

When defining borders of organs and masses, percuss from resonant (gas filled) to dull (solid organ). The liver edge is located by percussing sequentially from the right iliac fossa to the costal margin in the right midclavicular line.

What does percuss inferiorly until dullness indicate?

Percuss inferiorly until dullness denotes the liver’s upper border (usually at 5th intercostal space in MCL). See 5-7-9 rule. Resume percussion from below the umbilicus on the midclavicular line in an area of tympany. Percuss superiorly until dullness indicates the liver’s inferior border.

Where is the upper edge of the liver located?

The upper edge of the liver usually reaches the fourth right intercostal space, percuss downwards in the midclavicular line from the second or third interspace. Hyper-resonant lung, such as in emphysema and pneumothorax, and a pneumoperitoneum, can make it difficult to locate the dullness of the upper margin.