Gastroenterology Book

http://www.fpnotebook.com/

Shifting Dullness Test

Aka: Shifting Dullness Test
  1. Indication
    1. Confirming presence of Ascites
  2. Test Limitations
    1. False positive Test
      1. Mesenteric fat
      2. Feces in bowel
    2. Decreased sensitivity in Obesity
    3. Requires at least 500 cc of ascitic fluid
  3. Technique
    1. Patient lies supine
    2. Percuss from tympanic bowel down to line of dullness
      1. Mark dullness line with a pen
    3. Patient turns onto side
    4. After 1 minute, re-mark line of dullness
  4. Interpretation
    1. Considerable shift in line of dullness suggests Ascites

You are currently viewing the original 'fpnotebook.com\legacy' version of this website. Internet Explorer 8.0 and older will automatically be redirected to this legacy version.

If you are using a modern web browser, you may instead navigate to the newer desktop version of fpnotebook. Another, mobile version is also available which should function on both newer and older web browsers.

Please Contact Me as you run across problems with any of these versions on the website.

Navigation Tree