Ascites physical examination
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: M.Umer Tariq [2]
Overview
Physical Examination
Abdomen
Images shown below are courtesy of Professor Peter Anderson DVM PhD and published with permission. © PEIR, University of Alabama at Birmingham, Department of Pathology
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Ascites in a patient with cirrhotic liver disease. Dilated abdominal veins are visible
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Ascites, the same patient, lateral view.
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A 2 month old child with ascites. Ascites is a common form of tuberculosis in higher incidence areas.
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Ascites: Postmortem findings
Images courtesy of Charlie Goldberg, M.D., UCSD School of Medicine and VA Medical Center, San Diego, California
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Ascites: Abdomen symetrically distended secondary to fluid buildup in peritoneal cavity. Note bulging flanks as fluid distributes to most dependent areas of abdomen. Skin is also yellowed due to hyperbilirubinemia
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Ascites with Shifting Dullness: Ascitic fluid will flow to the most dependent portions of the abdomen. The air-filled intestines will float on top of this liquid. The technique of shifting dullness makes use of this relationship in order to detect the presence of ascitic fluid.