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1. 診断および治療を目的とした腹腔穿刺diagnostic and therapeutic abdominal paracentesis [show details]
… are some relative contraindications to paracentesis, though in most cases steps can be taken to allow for paracentesis, even in the setting of a relative contraindication. Relative contraindications… site should be specifically avoided. When choosing a site, it is useful to confirm that there is dullness to percussion, that the spleen is not palpable, and that there are no surgical scars within several…
2. 肝生検の種類と方法approach to liver biopsy [show details]
… maximum liver dullness (in both inspiratory and expiratory phases) is percussed over the right hemithorax at the mid-axillary line. The point of maximum liver dullness is usually between… Absolute and relative contraindications to percutaneous liver biopsy based…
3. 成人の浮腫の臨床症状と診断clinical manifestations and evaluation of edema in adults [show details]
… this type of grading scheme may help the clinician record relative changes in edema (eg,… Ascites is associated with abdominal distention and both shifting dullness and a fluid wave on percussion of the abdomen.…
4. うっ血肝congestive hepatopathy [show details]
…right-sided heart failure. Passive congestion often coexists with reduced cardiac output, making their relative contributions to hepatic injury intertwined. Moreover, cardiac dysfunction may occur in the setting … which can be massive (normal liver span on physical examination as measured by the liver dullness is 10 to 12 cm for men and 8 to 11 cm for women; by ultrasound,…
5. 成人における気道内異物airway foreign bodies in adults [show details]
… dullness, bronchial breathing, egophony, increased vocal fremitus) or a pleural effusion (stony dullness,… due to the more vertical angle and sometimes slightly larger diameter of the right main bronchus relative to the left . Physical examination in the early stages may be unrevealing unless there is a monophasic …