I. Indication

  1. Diagnosis of Hydropneumothorax (Bronchopleural Fistula)

II. Pathophysiology

  1. Pleural Fluid in absence of Pneumothorax is silent
  2. In hydropneumothorax, chest contains air and fluid
    1. When patient moves, splash sound is audible

III. Technique

  1. Examiner auscultates lungs while:
    1. Patient moves OR
    2. Assistant grasps patients Shoulders and shakes

IV. Differential Diagnosis of splash sound auscultated

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