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1:34
YouTube
AMBOSS: Medical Knowledge Distilled
Ascites: Shifting Dullness - Clinical Examination
The most reliable clinical sign to detect ascites is checking for bilateral flank dullness. If a patient with ascites is lying supine, fluid accumulates in the flank regions, leading to dullness on percussion. At the same time, the air-filled bowel loops are forced upwards by the free fluid due to buoyancy, resulting in tympanitic percussion ...
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