scratching sound

Abdominal squeaking is mainly used to measure the measurement of micro-ascites and the lower edge of the liver. The measurement of the lower edge of the liver was confirmed by a hearing examination. The patient is lying on his back. On the right side of the doctor, the stethoscope body is fixed with the left hand food and the middle finger on the left lobe of the xiphoid. The left thumb is marked by the intersection of the right clavicle midline and the right rib margin. The right palm is up, the ring finger and the little finger are flexed, the food and the middle finger are half-stretched, the middle finger is slightly upward, and the index finger is pressed down the middle finger. The abdominal wall is struck by the index finger end, and the force is uniformly applied from top to bottom along the rib of the right clavicle. Basic Information Specialist classification: Digestive examination classification: chest and ascites examination Applicable gender: whether men and women apply fasting: fasting Tips: Check your feelings of relaxation and react to the feeling of knocking. Normal value Check for no ascites symptoms. Clinical significance Abnormal results: When the lower edge of the liver is measured, when it hits the surface of the abdominal wall where the liver is present, you can hear the loud and squeaky "squeaky, squeaky" sound; when you leave the liver and hit the adjacent organs, the percussion sound is immediately Turn into a low, weak and far, and different sounds of "啪, 啪" sound, the sound of the change, that is, the lower edge of the liver. Thus, the entire lower edge of the liver can be determined by bounced from the top to the bottom of the right rib and gradually moved to the lower area of ​​the xiphoid. Determination of trace ascites The finger flicks the side of the abdominal wall and listens to its sound. Repeat the same part with the same force, while the body moves to the far side. When the sound suddenly changes, the body part is the edge of the ascites. Using this method, as little as 120 ml of free ascites can be detected. People who need to be examined: people with obvious abdominal distension, increased waist circumference, weight gain, and lower extremity edema. Precautions Taboo before inspection: no special contraindications. Requirements for inspection: Check the feeling of relaxation and faithfully respond to the feeling of knocking. Inspection process Determination of the lower edge of the liver: confirmed by listening to the percussion examination. The patient is lying on his back. On the right side of the doctor, the stethoscope body is fixed with the left hand food and the middle finger on the left lobe of the xiphoid. The left thumb is marked by the intersection of the right clavicle midline and the right rib margin. The right palm is up, the ring finger and the little finger are flexed, the food and the middle finger are half-stretched, the middle finger is slightly upward, and the index finger is pressed down the middle finger. The abdominal wall is struck by the index finger end, and the force is uniformly applied from top to bottom along the rib of the right clavicle. Determination of trace ascites: using the bullet method. The patient takes the elbow and knee digits for a minute, so that the ascites accumulates in the umbilical region at the lowest point in the abdomen. The membrane body of the stethoscope is placed here, and the physician uses the finger to flick the side of the abdominal wall and listen to the sound. Not suitable for the crowd Inappropriate crowd: None. Adverse reactions and risks No related complications and hazards.