What does a liver friction rub sound like?
A hepatic friction rub sounds close to the ear and is very similar to the sound produced by forcibly rubbing the thumb and forefinger together close to the ear. If the rub is being produced by movement of the liver, the rub will usually be confined to the abdomen and will not radiate into the chest.
How do you Percuss your liver and spleen?
Technique
- Starting in the midclavicular line at about the 3rd intercostal space, lightly percuss and move down.
- Percuss inferiorly until dullness denotes the liver’s upper border (usually at 5th intercostal space in MCL).
- Resume percussion from below the umbilicus on the midclavicular line in an area of tympany.
Where do you listen for liver friction rub?
Listen for friction rubs over the liver and spleen using the bell of the stethoscope. Friction rub is a rare finding that indicates inflammation of the peritoneal surface of the organ from infection, tumor, or infarct.
Where do you Auscultate for hepatic bruit?
If bruits are present, you’ll typically hear them over the aorta, renal arteries, iliac arteries, and femoral arteries. The bell of the stethoscope is best for picking up bruits. The diaphragm is more attuned to relatively high-pitched sounds; the bell is more sensitive to low-pitched sounds like bruits.
What does a friction rub over the liver mean?
Appreciating a leathery friction rub suggests localized peritonitis. Noting a friction rub over the liver suggests primary hepatocellular carcinoma, metastatic cancer, or liver abscess. Friction rub over the spleen suggests splenic infarction. Hearing 2 loud component (systolic and diastolic) bruits suggests the development of aortovenous fistulae.
What does friction rub over the spleen mean?
Friction rub over the spleen suggests splenic infarction. Hearing 2 loud component (systolic and diastolic) bruits suggests the development of aortovenous fistulae. Hearing an epigastric bruit suggests an abdominal aortic aneurysm.
What does friction rub in abdominal exam mean?
Friction rub is a rare finding that indicates inflammation of the peritoneal surface of the organ from infection, tumor, or infarct. Gastrointestinal disease accounts for millions of office visits and hospital admissions annually, which makes the abdominal physical exam one of the most commonly performed assessments.
How is light pressure used in liver examination?
The patient is examined for size, location, and configuration of the liver. Light pressure of the examining hand is used to feel a thrill over the liver which is related to respiration. If felt, a friction rub will be heard, but a rub more often is heard and not felt.