Shifting Abdominal Dullness: Causes & Reasons

Possible Causes for Shifting Abdominal Dullness

His abdomen was distended, with shifting dullness. [ncbi.nlm.nih.gov]

[…] physical examination: Abdominal distention Bulging flanks Shifting dullness Elicitation of a "puddle sign" in patients in the knee-elbow position Hepatic encephalopathy The [emedicine.com]

Diseases, Rakuwakai Otowa Hospital, Kyoto, Japan. hatayoshiyoshi@gmail.com Abstract A 40-year-old man with severe alcoholic liver cirrhosis with a 2-day history of fatigue and abdominal [ncbi.nlm.nih.gov]

Pancreatic Ascites

Frequently, the physical examination will reveal abdominal distension, shifting dullness, and flank dullness. [slideshare.net]

Frequently, the physical examination will reveal abdominal distention, shifting dullness, and flank dullness. [wisegeek.com]

They may also lose proteins in their abdominal cavity from the ascites and may develop ankle swelling or anasarca. [slideshare.net]

Ovarian Adenoma

A positive fluid thrill and negative shifting dullness suggesting encysted intra-abdominal fluid. There was no organomegaly. The bowel sound are positive but distant. [austinpublishinggroup.com]

The abdomen was cystic tense on palpation without tenderness or shifting dullness (Figure 1). A giant pelvi-abdominal mass noticed on abdominal examination. [ncbi.nlm.nih.gov]

[…] notes, transmitted thrill and shifting dullness clinical tests [2].Occasionally, patients present to outpatient clinic with increasing abdominal distension which may be misinterpreted [austinpublishinggroup.com]

Complication of Peritoneal Dialysis

Physical examination revealed tachycardia, abdominal distension without a fluid wave or shifting dullness, and diffuse tenderness to palpation. [shmabstracts.com]

Abdominal xray showed a non-obstructive bowel gas pattern. [shmabstracts.com]

Presinusoidal Portal Hypertension

[…] swelling (if tense, can impair respiration and food intake), early satiety, enlargement of inguinal/periumbilical hernias; shifting dullness on abdominal percussion when [quizlet.com]

Patients with ascites develop physical examination findings of increasing abdominal girth, a fluid wave, a ballotable liver, and shifting dullness. [usmleforum.com]

[…] use IV somatostatin (splanchnic vasoconstrictor); then prescribe beta-blockers on discharge; if uncontrollable bleeding: emergent TIPS ascites: clinical presentation, exam abdominal [quizlet.com]

Peritoneal Disease

Fluid within the peritoneum (ascites) may be suggested by shifting dullness on percussion of the abdominal wall, or by the detection of a fluid wave when one hand depresses [medical-dictionary.thefreedictionary.com]

[…] abdomen is tapped with a percussing finger (the patient will wince, guard the abdomen, and complain that the percussion is very painful); it may also be evident when the abdominal [medical-dictionary.thefreedictionary.com]

Cystadenoma

The abdomen was cystic tense on palpation without tenderness or shifting dullness (Figure 1). A giant pelvi-abdominal mass noticed on abdominal examination. [ncbi.nlm.nih.gov]

On abdominal examination, a huge ill-defined pelvi-abdominal mass was noticed, extended up to xiphisternum, with evident dermal striae. [ncbi.nlm.nih.gov]

Lesser Sac Abscess

Biliary Peritonitis

Shifting dullness is noted on physical exam. [medbullets.com]

[…] pain diarrhea Physical exam fever diffuse abdominal tenderness a sign of peritonitis flank dullness shifting dullness fluid wave Evaluation Diagnostic paracentesis serum [medbullets.com]

Critical Essential Core Tested Community Questions (2) (M2.GI.4694) A 56-year-old African American male presents with altered mental status, abdominal pain, and a fever of [medbullets.com]

Mechanical Complication of Prosthetic Joint

Her lower lung fields sounds were a bit quieter than normal, heart rate was 97 beats per minute with no significant pathological murmur, abdominal distension, shifting dullness [journals.lww.com]

The features of ascites include a fullness of the flanks and shifting dullness. Pelvic examination may reveal an ovarian mass. [patient.info]

Abdominal examination may reveal a tumour arising from the pelvis but this may be obscured by ascites. [patient.info]

Abdominal Radiation

Clinical features include progressive abdominal distension, shifting dullness, and a positive fluid wave test. [amboss.com]

Shifting dullness: change of resonance from dull to tympanic resonance when patient changes from supine to lateral decubitus position. [amboss.com]

Ascites may be associated with abdominal pain in rare cases. [amboss.com]

Dilatation and Curettage

The abdomen was cystic tense on palpation without tenderness or shifting dullness (Figure 1). A giant pelvi-abdominal mass noticed on abdominal examination. [ncbi.nlm.nih.gov]

On abdominal examination, a huge ill-defined pelvi-abdominal mass was noticed, extended up to xiphisternum, with evident dermal striae. [ncbi.nlm.nih.gov]

Meigs Syndrome

Abdominal examination revealed shifting dullness and a palpable mass reaching to the umbilicus. [ncbi.nlm.nih.gov]

On physical examination she had a distended abdomen with dullness in percussion and a positive shifting dullness, with a firm and immobile pelvic mass. [omicsonline.org]

Paralytic Ileus

[…] tenderness (+), Murphy's sign (-), release off (-), Shifting dullness (-) Liver : no palpable enlarged, there was no tenderness in the liver Spleen : no palpable enlarged [authorstream.com]

Physical examinations revealed abdominal distension, cullen and lower abdominal tenderness, weak bowel sounds (0–1 beat/min) and positive shifting dullness. [spandidos-publications.com]

Furthermore, abdominal X-ray examination reported intestinal dilatation of product gas and fluid ( Fig. 2 ). [spandidos-publications.com]

Ovarian Cystadenoma

The abdomen was cystic tense on palpation without tenderness or shifting dullness (Figure 1). A giant pelvi-abdominal mass noticed on abdominal examination. [ncbi.nlm.nih.gov]

The abdomen was cystic tense on palpation without tenderness or shifting dullness (Figure 1). Figure 1 A giant pelvi-abdominal mass noticed on abdominal examination. [rbej.biomedcentral.com]

On physical examination the flanks are bulged, and a fluid wave can be apparent together with a shifting dullness. [clinmedjournals.org]

Delayed Male Puberty

Abdominal examination showed positive shifting dullness test and abdominal wall edema without any tenderness and organomegaly. [pubs.sciepub.com]

Spontaneous Bacterial Peritonitis

Shifting dullness is noted on physical exam. [medbullets.com]

His abdomen was distended, with shifting dullness. [ncbi.nlm.nih.gov]

Physical exam findings suggestive of ascites include dullness to percussion over the flanks or shifting dullness. A fluid wave may also be present. [clinicaladvisor.com]

Tuberculous Peritonitis

• Abdominal discomfort associated with alternate diarrhoea/constipation • Dilated veins along side lower abdominal wall • Shifting dullness • In male child congenital hydrocele [slideshare.net]

Her abdomen was distended, deep tenderness was elicited in both iliac fossae, and a fluid thrill with shifting dullness confirmed the presence of intraperitoneal free fluid [jmedicalcasereports.biomedcentral.com]

On exam, her abdomen was soft and distended, with shifting dullness, without tenderness or organomegaly. [shmabstracts.com]

Ovarian Papillary Cystadenoma

The abdomen was cystic tense on palpation without tenderness or shifting dullness (Figure 1). A giant pelvi-abdominal mass noticed on abdominal examination. [ncbi.nlm.nih.gov]

On abdominal examination, a huge ill-defined pelvi-abdominal mass was noticed, extended up to xiphisternum, with evident dermal striae. [ncbi.nlm.nih.gov]

Pressure Ulcer

The abdomen was cystic tense on palpation without tenderness or shifting dullness (Figure 1). A giant pelvi-abdominal mass noticed on abdominal examination. [ncbi.nlm.nih.gov]

On abdominal examination, a huge ill-defined pelvi-abdominal mass was noticed, extended up to xiphisternum, with evident dermal striae. [ncbi.nlm.nih.gov]

Idiopathic Scrotal Edema

In addition, there were positive shifting dullness, both lower extremities swelling, and mild abdominal wall varices. [austinpublishinggroup.com]

Benign Ovarian Neoplasm

On examination, she had gross abdominal distention and shifting dullness, consistent with ascites. There was no associated tenderness. [hindawi.com]

The features of ascites include a fullness of the flanks and shifting dullness. Pelvic examination may reveal an ovarian mass. [patient.info]

Clinical History A 62-year-old woman presented with a five-month history of increasing abdominal distention, weight loss, and an abdominal mass. [hindawi.com]

Arthropathy

Clinical features include progressive abdominal distension, shifting dullness, and a positive fluid wave test. [amboss.com]

Ascites may be associated with abdominal pain in rare cases. [amboss.com]

CDK4-Linked Melanoma

The abdomen was cystic tense on palpation without tenderness or shifting dullness (Figure 1). A giant pelvi-abdominal mass noticed on abdominal examination. [ncbi.nlm.nih.gov]

On abdominal examination, a huge ill-defined pelvi-abdominal mass was noticed, extended up to xiphisternum, with evident dermal striae. [ncbi.nlm.nih.gov]

Chiari Network

Physical exam was significant for a fluid wave and shifting dullness; paracentesis revealed a total protein of 2.5 g/dL and high SAAG. [uscmedicine.blog]

Abdominal US showed thrombosed right and middle hepatic veins and an attenuated left hepatic vein, consistent with Budd-Chiari syndrome. [uscmedicine.blog]

Ankle Arthritis

Signs include shifting dullness (detected by abdominal percussion) and a fluid wave. Volumes < 1500 mL may not cause physical findings. [merckmanuals.com]

Symptoms of spontaneous bacterial peritonitis (SBP) may include new abdominal discomfort and fever. [merckmanuals.com]

Massive amounts may cause nonspecific diffuse abdominal pressure, but actual pain is uncommon and suggests another cause of acute abdominal pain. [merckmanuals.com]

Rare Arteriovenous Malformation

Abdominal exam showed gross hepatosplenomegaly and positive shifting dullness. Chest and precordium exams were normal. [frontiersin.org]

Urinary Tract Injury

- Suprapubic tenderness present but no dullness. - Varying degree of abdominal rigidity and distension and sometimes shifting dullness. - P/R examination: bulging of rectovesical [slideshare.net]

Solitary Renal Cyst

Physical examination revealed a distended abdomen with shifting dullness. Routine hematology, biochemistry, and serum tumor markers were within normal limits. [bmcresnotes.biomedcentral.com]

Abdominal paracentesis of supposed ascites was performed. [bmcresnotes.biomedcentral.com]

Case presentation A 75-year-old man presented with a five years history of suprapubic pain, abdominal distension. He had no urological symptoms. [bmcresnotes.biomedcentral.com]

Capillary Leak Syndrome

Flushing and edema of the hands [Figure 1] a, weak breath sound of the right lung, and abdominal shifting dullness was detected after the physical examination. [cancerjournal.net]