Peritoneal friction in the liver area

The hepatic area peritoneal friction test is an auxiliary examination method for checking whether the abdominal liver is normal. When the examiner gently puts the palm of the hand on the liver area of ​​the examinee and lets it perform the abdominal breathing action, an intermittent and rough vibration feeling is felt at this time. This sign is seen in the perihepatic inflammation. The mechanism of production is due to the presence of fibrinous exudates on the surface of the liver and adjacent peritoneum, which are produced by friction. If you hear it with a stethoscope, it is called the peritoneal friction sound of the liver area. Basic Information Specialist classification: Digestive examination classification: other examinations Applicable gender: whether men and women apply fasting: not fasting Tips: Try to cooperate with the doctor's work. Normal value When the normal abdomen is examined, the palm is lightly attached to the liver area of ​​the examinee, and the abdominal breathing action is performed, and the intermittent and rough vibration feeling is not felt at this time. Clinical significance Abnormal result The examiner gently puts the palm of the hand on the liver area of ​​the examinee, allowing him to perform abdominal breathing, and feels an intermittent and rough vibration feeling at this time. This sign is seen in the perihepatic inflammation. The mechanism of production is due to the presence of fibrinous exudates on the surface of the liver and adjacent peritoneum, which are produced by friction. People who need to be examined: routine physical examination items, abnormal abdominals. Precautions Requirements for inspection: 1 When palpation, the palm should be close to the abdominal wall, up and down with the breathing movement. When inhaling, the speed of lifting the finger should lag behind the lifting of the abdominal wall; when exhaling, the finger should be pressed before the abdominal wall sinks. 2 Check the developed abdominal muscles, the right hand should be placed on the outer edge of the rectus abdominis to palpate upwards, avoiding the rectus abdominis as the lower edge of the liver. 3 In case of full right abdomen, the factors of liver should be considered. When palpation, the right hand should be placed in the midline of the right clavicle at the level of the vertical line of the abdomen or from the position of the right anterior superior iliac spine. Inspection process At the time of palpation, the examinee is in the supine position, the knee joints are flexed, the abdominal wall is relaxed, and deeper abdominal breathing is performed to move the liver up and down. The examiner is placed on the right side of the patient with one or both hands. One-handed palpation is more common. The examiner puts the right hand four fingers together, the metacarpophalangeal joint is straight, and is placed in parallel with the costal margin in the right abdomen to estimate the lower edge of the liver or below the percussive liver dullness. When the gas is blowing, the finger is pressed to the deep part of the abdominal wall. When inhaling, the finger is slowly raised, and the edge of the liver is moved upward toward the rib edge. Care should be taken when checking, so as not to affect the inspection results. Not suitable for the crowd Inappropriate people: Basically no suitable for the crowd, but people with mental disorders should pay attention. Adverse reactions and risks Nothing.

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