Differentiating ascites from distortion caused by solid bowel contents in the distended abdomen is accomplished by
a. assessing for bowel sounds in four quadrants.
b. palpation of the liver margin.
c. measuring abdominal girth.
d. the presence of a fluid wave.
D
Differentiating ascites from distortion by solid bowel contents is accomplished by producing what is called a fluid wave. The fluid wave is elicited by exerting pressure to the abdominal midline while one hand is placed on the right or left flank. Tapping the opposite flank produces a wave in the accumulated fluid that can be felt under the hands.
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