WordNet

place signs, as along a road; "sign an intersection"; "This road has been signed"
(medicine) any objective evidence of the presence of a disorder or disease; "there were no signs of asphyxiation"
a perceptible indication of something not immediately apparent (as a visible clue that something has happened); "he showed signs of strain"; "they welcomed the signs of spring" (同)mark
a character indicating a relation between quantities; "dont forget the minus sign"
a fundamental linguistic unit linking a signifier to that which is signified; "The bond between the signifier and the signified is arbitrary"--de Saussure
a gesture that is part of a sign language
a public display of a message; "he posted signs in all the shop windows"
engage by written agreement; "They signed two new pitchers for the next season" (同)contract, sign on, sign_up
approve and express assent, responsibility, or obligation; "All parties ratified the peace treaty"; "Have you signed your contract yet?" (同)ratify
communicate silently and non-verbally by signals or signs; "He signed his disapproval with a dismissive hand gesture"; "The diner signaled the waiters to bring the menu" (同)signal, signalize, signalise
mark with ones signature; write ones name (on); "She signed the letter and sent it off"; "Please sign here" (同)subscribe
be engaged by a written agreement; "He signed to play the casino on Dec. 18"; "The soprano signed to sing the new opera"
communicate in sign language; "I dont know how to sign, so I could not communicate with my deaf cousin"
work a wet mixture, such as concrete or mud
a mixture of wet clay and sand that can be used to line a pond and that is impervious to water when dry
dip into mud before planting; "puddle young plants"
make a puddle by splashing water
mess around, as in a liquid or paste; "The children are having fun puddling in paint"
subject to puddling or form by puddling; "puddle iron"
wade or dabble in a puddle; "The ducks and geese puddled in the backyard"
having a handwritten signature; "a signed letter"

PrepTutorEJDIC

(ある事実・状態・感情などの)『表れ』,印,気配,徴侯(indication);(…の)こん跡,計跡《+『of』+『名』》・『身ぶり』,手まね,合図 / 『標識』,看板 / (数学・音楽などの)記号 / (…の)『象徴』,シンボル(symbol)《+『of』+『名』》・《文》(…の)『前兆』,きざし《+『of』+『名』》・宮(きゅう)(黄道12区分の一つ) ・〈手紙・書類・作品など〉‘に'『署名する』・(…に)〈名前など〉‘を'書く《+『名』+『on』(『to』)+『名』》 / …‘を'雇う契約に署名する・…‘を'合図する,知らせる;…に合図する・署名する・契約書に署名して雇われる
〈C〉(特に,雨水・泥水の)水たまり / 〈U〉(漏水を防ぐための)こね土 / …‘を'泥水でよごす / 〈粘土など〉‘を'こね土にする;…‘に'こね土を塗る / 〈銑鉄〉‘を'錬鉄にする
撹練(かくれん)法(加熱して銑鉄中の不純物を除去し練鉄にする)
=ti

Wikipedia preview

出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2015/06/22 22:43:39」(JST)

wiki en

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]

The steps are outlined as follows:^[2]

Patient lies prone for 5 minutes
Patient then rises onto elbows and knees
Apply stethoscope diaphragm to most dependent part of the abdomen
Examiner repeatedly flicks near flank with finger. Continue to flick at same spot on abdomen
Move stethoscope across abdomen away from examiner
Sound loudness increases at farther edge of puddle
Sound transmission does not change when patient sits

In relation to auscultatory percussion, the puddle sign is more specific, but less sensitive.^[3]

References

^ Shah R. Ascites. eMedicine.com. URL: http://www.emedicine.com/med/topic173.htm. Accessed on: September 17, 2007.
^ FamilyPracticeNotebook.com URL: http://www.fpnotebook.com/GI41.htm. Accessed on: March 14, 2008.
^ 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.

External links

Puddle sign - fpnotebook.com.
Puddle test (discussion in relation to EBM) - bmj.com

UpToDate Contents

全文を閲覧するには購読必要です。 To read the full text you will need to subscribe.

1. 成人における頭蓋骨骨折 skull fractures in adults
2. 成人における皮膚筋炎および多発性筋炎の臨床症状 clinical manifestations of dermatomyositis and polymyositis in adults
3. 思春期特発性側弯症：臨床的特徴、評価および診断 adolescent idiopathic scoliosis clinical features evaluation and diagnosis
4. 小児および思春期における自然縦隔気腫 spontaneous pneumomediastinum in children and adolescents
5. ムコール症（接合真菌症） mucormycosis zygomycosis

English Journal

PMID 11566675

A simple bedside manoeuvre to detect ascites.

Chongtham DS, Singh MM, Kalantri SP, Pathak S.SourcePostgraduate Institute of Medical Education and Research, Chandigarh, India.
The National medical journal of India.1997 Jan-Feb;10(1):13-4.
PMID 9069699