Where do you hear a dull sound when percussing abdomen?
Department: Topics in Progressive Care Marjaana Mehta is an adult nurse practitioner in adult medical oncology at Hackensack (N.J.) University Medical Center. Assessing your patient's abdomen can provide critical information about his internal organs. Always follow this sequence:
inspection, auscultation, percussion, and palpation. Changing the order of these assessment techniques could alter the frequency of bowel sounds and make your findings less accurate. Have your patient empty his bladder, then lie supine with a pillow under his head. Expose his abdomen from above the xiphoid process to the symphysis pubis.
SELECTED REFERENCESBickley L. Bates Guide to Physical Examination and History Taking, 10th ed. Philadelphia, Pa., Lippincott Williams & Wilkins, 2009. Jarvis C. Physical Examination and Health Assessment, 5th ed. Philadelphia, Pa., W.B. Saunders Co., 2007. Where should a dull sound be heard when percussing the abdomen?Dullness is typically heard over fluid or solid organs such as the liver or spleen, which can be used to determine the margins of the liver and spleen.
Which is a normal finding when percussing the abdominal area?Normal findings on percussion include tympany over the stomach, epigastric area, and upper midline, and dullness over the liver, a full bladder, a pregnant uterus and the left lower quadrant over the sigmoid colon (if the patient is ready to have a bowel movement).
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