Ascites Examination - Shifting Dullness & Fluid Thrill - Clinical Skills Revision - Dr Gill

Ascites Examination - Shifting Dullness & Fluid Thrill - Clinical Skills Revision - Dr Gill

NB original paper on the scorpion and pancreatitis

https://pubmed.ncbi.nlm.nih.gov/5443968/

Shifting dullness and fluid thrill for ascites is often one of the last parts of the abdominal examination, but it is often something students can become confused over when they first start clinical skills at medical school

In this video, we will look at what ascites is, how it is clinically relevant, what ascites means for the body, how to assess ascites, what causes ascites and crucially what steps we can implement to treat it

Watch further abdominal examinations for your OSCE revision:

Abdominal Examination
   • Abdominal Clinical Examination OSCE -...  

Understanding the abdominal examination
   • Abdominal Examination Explained - Cli...  

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Please note that there is no ABSOLUTE way to perform a clinical examination. Different institutions and even clinicians will have differing degrees of variations - the aim is the effectively identify medically relevant signs.

However during OSCE assessments. Different medical schools, nursing colleges and other health professional courses will have their own preferred approach to a clinical assessment - you should concentrate on THEIR marks schemes for your assessments.

The examination demonstrated here is derived from Macleods Clinical Examination - a recognised standard textbook for clinical skills.

Some people viewing this medical examination video may experience an ASMR effect

#clinicalskills #ascites #DrGill

You can now consult via video or in person with Dr Gill at Dr Finlay’s Private Practice - https://www.drfinlays.co.uk/services/...

00:00 - Overview of Ascites
01:04 - Ascites Fluid Composition
02:00 - Serum Ascites Albumin Gradient (SAAG) Explanation
02:28 - High vs. Low SAAG
04:12 - Paracentesis for Ascites
05:05 - Clinical Examination for Ascites
05:54 - Shifting Dullness Technique Demonstration
07:59 - Fluid Thrill Technique Demonstration
09:40 - Additional Investigations for Ascites
10:48 - Treatment Approaches for Ascites
14:54 - Recap and Final Thoughts