percussion

Question 1

where is dullness heard

Answer 1

normal over solid organs like the liver and spleen

abnormal in mid-abdomen

heard of fluid

Question 2

tympanic

Answer 2

normal over mid-abdomen stomach and small intestine

during inspiration, tympanic turns into dull usually

Question 3

high pitch tympanic

Answer 3

may mean distention

Question 4

widespread dullness

Answer 4

may mean organ enlargement or abdominal mass

Question 5

hyperResonance

Answer 5

only heard around umbilicus

presence anywhere else means distended vasculature, aneurysms, or varicosities

Question 6

where should the normal liver be in size

Answer 6

border at costal margin-dullness

upper border 5-7th rib

Question 7

where is spleen going to be located

Answer 7

hard to find

lie supine

spleen dullness 6-10th rib

enlargement may occur before palpable, if enlarged will move down and midline

Question 8

what is reason for spleen enlargement

Answer 8

a/w portal hypertension, thrombosis, stenosis, deformed splenic vein, cysts, tumors, trauma, mono