Puddle sign
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Patient resources on Puddle sign Discussion groups on Puddle sign Patient Handouts on Puddle sign Directions to Hospitals Treating Puddle sign Risk calculators and risk factors for Puddle sign
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
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Overview
In gastroenterology, 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]
In relation to auscultatory percussion, the puddle sign is more specific, but less sensitive.[2]
References
- ↑ Shah R. Ascites. eMedicine.com. URL: http://www.emedicine.com/med/topic173.htm. Accessed on: September 17, 2007.
- ↑ 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.
See also
External links
- Puddle sign - fpnotebook.com.
- Puddle test (discussion in relation to EBM) - bmj.com
Symptoms and signs: circulatory (R00–R03, 785) | |||||||
|---|---|---|---|---|---|---|---|
| Cardiovascular |
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| Myeloid/blood |
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Symptoms and signs: respiratory system (R04–R07, 786) | |
|---|---|
| Hemorrhage | * Epistaxis |
| Abnormalities of breathing | ; Respiratory sounds: |
| Other | * Asphyxia |
| Chest, general | * Chest pain |
Symptoms and signs: skin and subcutaneous tissue (R20-R23, 782) | |
|---|---|
| Disturbances of skin sensation | Hypoesthesia - Paresthesia - Hyperesthesia |
| Other | Rash - Cyanosis - Pallor - Flushing - Petechia - Desquamation - Induration - Diaphoresis |
Symptoms and signs: nervous and musculoskeletal systems (R25-R29, 781) | |
|---|---|
| Abnormal involuntary movements (see also movement disorders) | Tremor - Spasm - Fasciculation - Athetosis |
| Gait abnormality | Scissor gait - Antalgic gait - Cerebellar ataxia - Festinating gait - Pigeon gait - Propulsive gait - Steppage gait - Stomping gait - Spastic gait - Myopathic gait - Magnetic gait - Trendelenburg gait |
| Lack of coordination | Ataxia (Cerebellar ataxia, Sensory ataxia) - Dysmetria - Dysdiadochokinesia - Hypotonia |
| Other | Tetany - Meningism - Hyperreflexia - Opisthotonus - Abnormal posturing - Hemispatial neglect |
Symptoms and signs: urinary system (R30-R39, 788) | |
|---|---|
| General | Renal colic - Dysuria - Vesical tenesmus - Urinary incontinence - Urinary retention - Oliguria - Polyuria - Nocturia - Extravasation of urine - Extrarenal uremia |
Symptoms and signs: cognition, perception, emotional state and behaviour (R40-R46, 780-781) | |
|---|---|
| General | Anxiety - Somnolence - Coma - Amnesia (Anterograde amnesia, Retrograde amnesia) - Dizziness/Vertigo |
| Olfaction | Anosmia - Parosmia |
| Taste | Ageusia - Parageusia |
Symptoms and signs: Speech and voice (R47-R49, 784) | |
|---|---|
| Aphasia/Dysphasia | Expressive aphasia - Receptive aphasia - Conduction aphasia |
| Other speech disturbances | Dysarthria - Schizophasia |
| Symbolic dysfunctions | Dyslexia - Alexia - Agnosia (Prosopagnosia) - Apraxia - Acalculia - Agraphia |
| Voice disturbances | Dysphonia - Aphonia |
Symptoms and signs: general (R50-R69, 780-789) | |
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| General | Fever (Hyperpyrexia) - Headache - Chronic pain - Malaise/Fatigue (Asthenia, Debility) - Fainting (Vasovagal syncope) - Febrile seizure - Shock (Cardiogenic shock) - Lymphadenopathy - Edema (Peripheral edema, Anasarca) - Hyperhidrosis (Sleep hyperhidrosis) - Delayed milestone - Failure to thrive - Short stature (Idiopathic) - food and fluid intake (Anorexia, Polydipsia, Polyphagia) - Cachexia - Xerostomia - Clubbing - Tenderness |
Symptoms and signs: Symptoms concerning nutrition, metabolism and development (R62–R64, 783) | |
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| Ingestion/Weight | |
| Growth | Delayed milestone • Failure to thrive • Short stature (e.g., Idiopathic) |
WikiDoc Research Resources for Puddle sign | |
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| Articles on Puddle sign | Most recent articles on Puddle sign • Most cited articles on Puddle sign • Review articles on Puddle sign • Articles on Puddle sign in N Eng J Med, Lancet, BMJ |
| Media (Slides, Video, Images, MP3) on Puddle sign | Powerpoint slides on Puddle sign • Images of Puddle sign • Photos of Puddle sign • Podcasts & MP3s on Puddle sign • Videos on Puddle sign |
| Evidence Based Medicine Regarding Puddle sign | AND (Cochrane Database Syst Rev[http://worldselectshop.com/?id=9361 Cochrane Collaboration on Puddle sign • Bandolier on Puddle sign • TRIP on Puddle sign |
| Cost Effectiveness of Puddle sign | AND (Cost effectiveness) |
| group5 = Clinical Trials Involving Puddle sign | list5 = Ongoing Trials on Puddle sign at Clinical Trials.gov • Trial results on Puddle sign • Clinical Trials on Puddle sign at Google
| group6 = Guidelines / Policies / Government Resources (FDA/CDC) Regarding Puddle sign
| list6 = US National Guidelines Clearinghouse on Puddle sign • NICE Guidance on Puddle sign • NHS PRODIGY Guidance • FDA on Puddle sign • CDC on Puddle sign
| group7 = Textbook Information on Puddle sign
| list7 = Books and Textbook Information on Puddle sign
| group8 = Pharmacology Resources on Puddle sign
| list8 =
AND (Dose)}} Dosing of Puddle sign • AND (drug interactions)}} Drug interactions with Puddle sign • AND (side effects)}} Side effects of Puddle sign • AND (Allergy)}} Allergic reactions to Puddle sign • AND (overdose)}} Overdose information on Puddle sign • AND (carcinogenicity)}} Carcinogenicity information on Puddle sign • AND (pregnancy)}} Puddle sign in pregnancy • AND (pharmacokinetics)}} Pharmacokinetics of Puddle sign •
| group9 = Genetics, Pharmacogenomics, and Proteinomics of Puddle sign
| list9 =
AND (pharmacogenomics)}} Genetics of Puddle sign • AND (pharmacogenomics)}} Pharmacogenomics of Puddle sign • AND (proteomics)}} Proteomics of Puddle sign
| group10 = Newstories on Puddle sign
| list10 = Puddle sign in the news • Be alerted to news on Puddle sign • News trends on Puddle sign</small>
| group11 = Commentary on Puddle sign
| list11 =
Blogs on Puddle sign
| group12 = Patient Resources on Puddle sign | list12 = Patient resources on Puddle sign • Discussion groups on Puddle sign • Patient Handouts on Puddle sign • Directions to Hospitals Treating Puddle sign • Risk calculators and risk factors for Puddle sign
| group13 = Healthcare Provider Resources on Puddle sign
| list13 =
Symptoms of Puddle sign • Causes & Risk Factors for Puddle sign • Diagnostic studies for Puddle sign • Treatment of Puddle sign
| group14 = Continuing Medical Education (CME) Programs on Puddle sign | list14 = CME Programs on Puddle sign
| group15 = International Resources on Puddle sign | list15 = Puddle sign en Espanol • Puddle sign en Francais
| group16 = Business Resources on Puddle sign | list16 = Puddle sign in the Marketplace • Patents on Puddle sign
| group17 = Informatics Resources on Puddle sign | list17 = List of terms related to Puddle sign
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