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Explanation: No entiendo porque Zareh dice que cambió su respuesta de "bowel sounds" a "tinkles", ya que en este caso se refiere a los ruidos intestinales normales.
Ninguna parte del contexto indica que haya una patología con ruidos intestinales anormales.
Peristalsis es el movimiento intestinal.
Abdominal sounds (bowel sounds) are made by the movement of the intestines ... Since the intestines are hollow, bowel sounds can echo throughout the abdomen ... www.nlm.nih.gov/medlineplus/ency/article/003137.htm - 25k
When auscultating for bowel sounds, one should use the bell of the stethoscope and ... Stating that bowel sounds are increased or decreased is of little ... www.gpnotebook.co.uk/cache/221577216.htm - 5k
-------------------------------------------------- Note added at 42 mins (2006-11-26 03:26:44 GMT) --------------------------------------------------
Se efectúa antes de la percusión y la palpación, ya que éstas pueden alterar los ruidos intestinales o ruidos hidroaéreos. La auscultación debe ser metódica ...
escuela.med.puc.cl/Publ/ManualSemiologia/AbdomExam.html - 32k
Peristalsis: The wavelike muscular contractions of the alimentary canal or other tubular structures by which contents are forced onward toward the opening.
Automatic update in 00:
Answers
13 mins confidence: peer agreement (net): -1
tinkles
Explanation: I changed my answer to ** tinkles ** since hidroae'reo is mentioned in the question... This would be more exact.
Bowel Sounds
normoactive - Normal bowel sounds typically occur 5-35 times per minute, and are of medium to low frequency.
borborygmi - Stomach gurgles of peristalsis. People rarely use this term in real life - we just say "bowel sounds." You can use it to refer to very active bowel sounds if you want to sound like a geek.
hyperactive - Technically, >40 sounds per minute, or continuous bowel sounds - but in reality, it's a subjective term. Associated with diarrhea, or the early phases of bowel obstruction.
absent - No bowel sounds heard over a 2+ minute period of continuous listening. Commonly associated with ileus, a physiologic response in which the intestines stop all activity in response to injury, as seen in volvulus, torsion, intussusception, visceral perforation (such as perforated peptic ulcer, ruptured gall bladder, ruptured appendix, ruptured/perforated intestine) or after almost any abdominal surgery.
hypoactive - Technically, <5 sounds per minute over at least 3 minutes. This is also a subjective term in common usage.
rushes - High-pitched, often hyperactive bowel sounds, often accompanied by cramping feeling. Suggestive of material being forced past or against an obstruction.
** tinkles - Brief, high-pitched (tinkling) bowel sounds, which represent air & fluid ** under pressure. Suggestive of intestinal dysmotility, also suggesting a partial or complete bowel obstruction.
-------------------------------------------------- Note added at 14 mins (2006-11-26 02:59:13 GMT) --------------------------------------------------
My previous answer was ** bowel sounds ** which while acceptable is not specific enough for the context that you have...
-------------------------------------------------- Note added at 16 mins (2006-11-26 03:01:19 GMT) --------------------------------------------------
-------------------------------------------------- Note added at 22 mins (2006-11-26 03:07:17 GMT) --------------------------------------------------
Abdominal Exam
Contour (protuberant, flat, scaphoid, gravid)?
Initial inspection of the contour of Mrs. Anderson’s abdomen provides evidence of both
her nutritional state and her pregnancy status, a very rough estimate of how long she has
been so. For instance, early in pregnancy, you will see no contour change. As the
pregnancy proceeds, the abdomen will progressively protrude.
Visible lesions, ecchymoses, or masses?
Does Mrs. Anderson’s abdomen reveal any evidence of trauma, e.g., any abrasions, cuts,
or ecchymoses (especially of varying ages)? If she has denied trauma or domestic
violence, gently asking her about the source of these lesions may prompt a new
response—or at least make her aware that you care about her welfare. Is any rash
suggestive of herpes zoster visible overlying her right lower quadrant? Does she have
any obvious masses that may suggest a hernia or tumor?
Bowel sounds (absent, hypoactive, hyperactive)?
Listening to Mrs. Anderson’s bowel sounds will help you determine whether she has an
intestinal obstruction. If her bowel sounds are hypoactive with ** high-pitched tinkles and
peristaltic rushes ** in one area, obstruction should remain high among your differential
diagnoses.18
-------------------------------------------------- Note added at 29 mins (2006-11-26 03:13:56 GMT) --------------------------------------------------
Final : My preference would be ** peristaltic rushes ** as it is adequately descriptive.
Zareh Darakjian Ph.D. United States Local time: 04:44 Specializes in field Native speaker of: English, Armenian PRO pts in category: 155
Explanation: No entiendo porque Zareh dice que cambió su respuesta de "bowel sounds" a "tinkles", ya que en este caso se refiere a los ruidos intestinales normales.
Ninguna parte del contexto indica que haya una patología con ruidos intestinales anormales.
Peristalsis es el movimiento intestinal.
Abdominal sounds (bowel sounds) are made by the movement of the intestines ... Since the intestines are hollow, bowel sounds can echo throughout the abdomen ... www.nlm.nih.gov/medlineplus/ency/article/003137.htm - 25k
When auscultating for bowel sounds, one should use the bell of the stethoscope and ... Stating that bowel sounds are increased or decreased is of little ... www.gpnotebook.co.uk/cache/221577216.htm - 5k
-------------------------------------------------- Note added at 42 mins (2006-11-26 03:26:44 GMT) --------------------------------------------------
Se efectúa antes de la percusión y la palpación, ya que éstas pueden alterar los ruidos intestinales o ruidos hidroaéreos. La auscultación debe ser metódica ...
escuela.med.puc.cl/Publ/ManualSemiologia/AbdomExam.html - 32k
Roxanna Delgado United States Local time: 07:44 Specializes in field Native speaker of: Spanish PRO pts in category: 315
peer agreement (net): +5
