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  • Dr. John Mckaigney Division of Gastroenterology University of Alberta 2004

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    Fabian Ramirez Hincapié
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    Dr. John McKaigney discusses physical examination techniques for assessing the liver and spleen. The document outlines methods for liver palpation including the scratch test, shifting dullness, and fluid wave. It also discusses signs of ascites like the puddle sign and Castell's sign. Evaluation of the spleen is covered, including splenic ballotment, the hooking maneuver, and sensitivity of spleen examination techniques. Expected findings with portal hypertension and IVC obstruction are also mentioned.

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    CLINICAL

    Original Title

    Clinical Signs

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    Dr. John McKaigney discusses physical examination techniques for assessing the liver and spleen. The document outlines methods for liver palpation including the scratch test, shifting dullness, and fluid wave. It also discusses signs of ascites like the puddle sign and Castell's sign. Evaluation of the spleen is covered, including splenic ballotment, the hooking maneuver, and sensitivity of spleen examination techniques. Expected findings with portal hypertension and IVC obstruction are also mentioned.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as ppt, pdf, or txt
    65 views89 pages

    Dr. John Mckaigney Division of Gastroenterology University of Alberta 2004

    Uploaded by

    Fabian Ramirez Hincapié
    Dr. John McKaigney discusses physical examination techniques for assessing the liver and spleen. The document outlines methods for liver palpation including the scratch test, shifting dullness, and fluid wave. It also discusses signs of ascites like the puddle sign and Castell's sign. Evaluation of the spleen is covered, including splenic ballotment, the hooking maneuver, and sensitivity of spleen examination techniques. Expected findings with portal hypertension and IVC obstruction are also mentioned.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as ppt, pdf, or txt
    of 89

    Dr.

    John McKaigney
    Division of Gastroenterology
    University of Alberta
    2004

    LIVER PALPATION
    METHODS

    THE SCRATCH TEST

    SHIFTING
    DULLNESS

    FLUID
    FLUID
    WAVE
    WAVE

    THE PUDDLE SIGN

    SENSITIVITY OF DIAGNOSTIC EXAMS - ASCITES

    CASTELLS SIGN
    CASTELLS

    TRAUBES SPACE

    STANDARD PALPATION METHOD

    SPLENIC BALLOTMENT METHOD

    HOOKING MANOEUVRE

    SENSITIVITY OF SPLEEN EXAM TECHNIQUES

    EXPECTED

    PORTAL
    HYPERTENSION

    IVC
    OBSTRUCTION

    DETERMINATION OF VENOUS
    FILLING DIRECTION

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