- Post-surgical scars and hernias (increased risk of bowel obstruction); - A flat stomach (perforation); - Flatulence (intestinal obstruction); - Local protrusion of the abdomen (neoplasm), volvulus of the intestine; - Varicose veins, the anterior abdominal wall (alcoholism); - Ascites (cirrhosis of the liver, etc.).
Auscultation of the abdomen and bowel sounds assessment:
Auscultation of the abdomen and bowel sounds assessment:
-weak or absent (in case of peritonitis and paralytic ileus); - Normal (for a local irritation of the peritoneum on the background of acute appendicitis, diverticulitis, etc.); - Reinforced, clear (at the onset of mechanical intestinal obstruction, and then disappear); - Splashing (mechanical obstruction); - Vascular noise (with stenosis or aneurysm of the abdominal aorta and its branches). Percussion Belly - Increased pain in low abdomen shake (with diffuse peritonitis); - Dull percussion sound (with tumors and ascites); - Tympanic percussion sound (if there is gas in the abdomen, flatulence in the intestines); - Increase the size of percussion of the liver (with alcohol disease and heart failure); - Reducing the size of the liver (with ascites).
