Jump to content
 







Main menu
   


Navigation  



Main page
Contents
Current events
Random article
About Wikipedia
Contact us
Donate
 




Contribute  



Help
Learn to edit
Community portal
Recent changes
Upload file
 








Search  

































Create account

Log in
 









Create account
 Log in
 




Pages for logged out editors learn more  



Contributions
Talk
 



















Contents

   



(Top)
 


1 See also  





2 References  





3 External links  














Puddle sign






العربية
 

Edit links
 









Article
Talk
 

















Read
Edit
View history
 








Tools
   


Actions  



Read
Edit
View history
 




General  



What links here
Related changes
Upload file
Special pages
Permanent link
Page information
Cite this page
Get shortened URL
Download QR code
Wikidata item
 




Print/export  



Download as PDF
Printable version
 
















Appearance
   

 






From Wikipedia, the free encyclopedia
 


Puddle sign
Differential diagnosisascites

Ingastroenterology, the puddle sign is a physical examination maneuver that can be used to detect the presence of ascites. It is useful for detecting small amounts of ascites—as small as 120 mL; shifting dullness and bulging flanks typically require 500 mL.[1]

The steps are outlined as follows:[2]

  1. Patient lies prone for 5 minutes
  2. Patient then rises onto elbows and knees
  3. Apply stethoscope diaphragm to most dependent part of the abdomen
  4. Examiner repeatedly flicks near flank with finger. Continue to flick at same spot on abdomen
  5. Move stethoscope across abdomen away from examiner
  6. Sound loudness increases at farther edge of puddle
  7. Sound transmission does not change when patient sits

In relation to auscultatory percussion, the puddle sign is more specific, but less sensitive.[3]

See also

[edit]

References

[edit]
  1. ^ Shah R. Ascites. eMedicine.com. URL: http://www.emedicine.com/med/topic173.htm. Accessed on: September 17, 2007.
  • ^ FamilyPracticeNotebook.com URL: http://www.fpnotebook.com/GI41.htm Archived 2007-09-16 at the Wayback Machine. Accessed on: March 14, 2008.
  • ^ Chongtham DS, Singh MM, Kalantri SP, Pathak S (1997). "A simple bedside manoeuvre to detect ascites". The National Medical Journal of India. 10 (1): 13–4. PMID 9069699.
  • [edit]
    Retrieved from "https://en.wikipedia.org/w/index.php?title=Puddle_sign&oldid=1066029705"

    Category: 
    Medical signs
    Hidden categories: 
    Webarchive template wayback links
    Articles with short description
    Short description is different from Wikidata
     



    This page was last edited on 16 January 2022, at 13:43 (UTC).

    Text is available under the Creative Commons Attribution-ShareAlike License 4.0; additional terms may apply. By using this site, you agree to the Terms of Use and Privacy Policy. Wikipedia® is a registered trademark of the Wikimedia Foundation, Inc., a non-profit organization.



    Privacy policy

    About Wikipedia

    Disclaimers

    Contact Wikipedia

    Code of Conduct

    Developers

    Statistics

    Cookie statement

    Mobile view



    Wikimedia Foundation
    Powered by MediaWiki