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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

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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]


  1. Shah R. Ascites. eMedicine.com. URL: http://www.emedicine.com/med/topic173.htm. Accessed on: September 17, 2007.
  2. 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.

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| group5 = Clinical Trials Involving Puddle sign | list5 = Ongoing Trials on Puddle sign at Clinical Trials.govTrial results on Puddle signClinical Trials on Puddle sign at Google

| group6 = Guidelines / Policies / Government Resources (FDA/CDC) Regarding Puddle sign | list6 = US National Guidelines Clearinghouse on Puddle signNICE Guidance on Puddle signNHS PRODIGY GuidanceFDA on Puddle signCDC 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 signAND (drug interactions)}} Drug interactions with Puddle signAND (side effects)}} Side effects of Puddle signAND (Allergy)}} Allergic reactions to Puddle signAND (overdose)}} Overdose information on Puddle signAND (carcinogenicity)}} Carcinogenicity information on Puddle signAND (pregnancy)}} Puddle sign in pregnancyAND (pharmacokinetics)}} Pharmacokinetics of Puddle sign

| group9 = Genetics, Pharmacogenomics, and Proteinomics of Puddle sign | list9 = AND (pharmacogenomics)}} Genetics of Puddle signAND (pharmacogenomics)}} Pharmacogenomics of Puddle signAND (proteomics)}} Proteomics of Puddle sign

| group10 = Newstories on Puddle sign | list10 = Puddle sign in the newsBe alerted to news on Puddle signNews trends on Puddle sign

| group11 = Commentary on Puddle sign | list11 = Blogs on Puddle sign

| group12 = Patient Resources on Puddle sign | list12 = Patient resources on Puddle signDiscussion groups on Puddle signPatient Handouts on Puddle signDirections to Hospitals Treating Puddle signRisk calculators and risk factors for Puddle sign

| group13 = Healthcare Provider Resources on Puddle sign | list13 = Symptoms of Puddle signCauses & Risk Factors for Puddle signDiagnostic studies for Puddle signTreatment 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 EspanolPuddle sign en Francais

| group16 = Business Resources on Puddle sign | list16 = Puddle sign in the MarketplacePatents on Puddle sign

| group17 = Informatics Resources on Puddle sign | list17 = List of terms related to Puddle sign