SUCCUSSION SOUNDS

Most of us have heard these sounds on ourselves after consuming a large quantity of liquid. If they are heard with the stethoscope in a patient with abdominal disturbance, they are of pathologic significance. When there are associated hyperactive and/or high-pitched bowel sounds, intestinal obstruction should be considered. When there are hypoactive bowel sounds, paralytic ileus or peritonitis should be considered.

Succussion sounds coming from the chest are due to hydropneumothorax or hemopneumothorax. The chest x-ray should make the diagnosis obvious. Other rare causes of succussion sounds are acute gastric dilatation, chronic pyloric obstruction, subdiaphragmatic abscess, and pneumoperitoneum. The diagnostic workup will be determined by associated symptoms and signs (vomiting, page 324 ; abdominal pain, page 1 ; abdominal mass, page 8 ).

Book Source Details

• Book Title: Algorithmic Diagnosis of Symptoms and Signs
• Author(s): R. Douglas Collins
• Year of Publication: 2003
• Copyright Details: Algorithmic Diagnosis of Symptoms and Signs, Copyright © 2003 Lippincott Williams & Wilkins.

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Copyright Details: Algorithmic Diagnosis of Symptoms and Signs, Copyright © 2008 Williams & Wilkins.

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More About This Book: Title: Algorithmic Diagnosis of Symptoms and Signs Authors: R. Douglas Collins Publisher: Lippincott Williams & Wilkins Copyright: 2003 ISBN: 0-7817-3805-9

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