describe things seen on percusion respiratory system physical examination on ascites patient
During a percussion respiratory system physical examination on an ascites patient, a healthcare provider may observe the following findings:
1. Dullness or low-pitched sounds: When percussing over the area of ascites fluid accumulation, the sound produced may be dull or muffled compared to normal lung tissue. This is due to the presence of fluid in the abdominal cavity displacing the air in the lungs.
2. Shifting dullness: This occurs when the patient changes position, such as going from lying down to sitting up. The area of dullness on percussion will shift to the dependent side, indicating the presence of free fluid in the abdomen.
3. Tympanic resonance: In areas where there is air in the abdominal cavity, such as over the stomach or intestines, a hollow or resonant sound may be heard on percussion.
4. Reduced diaphragmatic excursion: Ascites can cause upward displacement of the diaphragm, leading to decreased movement of the diaphragm during inspiration and expiration. This may be observed during palpation or auscultation of the respiratory system.
5. Decreased breath sounds: The presence of ascites can also compress the lungs, reducing the amount of air entry and resulting in decreased breath sounds on auscultation.
Overall, a percussion respiratory system physical examination on an ascites patient may reveal findings suggestive of fluid accumulation in the abdominal cavity and its effects on the respiratory system. These findings can help guide further evaluation and management of the patient's condition.