When performing a succession splash in a patient suspected of having a gastric outlet obstruction, which result would suggest this diagnosis?
A) A splashing sound auscultated in upper abdomen 1 hour after a meal
B) A splashing sound auscultated in upper abdomen 3 hours after a meal
C) No splashing sound auscultated in upper abdomen 3 hours after a meal
D) No splashing sound auscultated in upper abdomen 1 hour after a meal
B) A splashing sound auscultated in upper abdomen 3 hours after a meal
Explanation: A) If gastric outlet obstruction is suspected, a succussion splash should be performed. With a stethoscope placed over the stomach (upper abdomen), the patient logrolls back and forth. A splashing sound indicates retained gastric contents. If it occurs more than 3 hours after a meal, it suggests gastric outlet obstruction.
B) If gastric outlet obstruction is suspected, a succussion splash should be performed. With a stethoscope placed over the stomach (upper abdomen), the patient logrolls back and forth. A splashing sound indicates retained gastric contents. If it occurs more than 3 hours after a meal, it suggests gastric outlet obstruction.
C) If gastric outlet obstruction is suspected, a succussion splash should be performed. With a stethoscope placed over the stomach (upper abdomen), the patient logrolls back and forth. A splashing sound indicates retained gastric contents. If it occurs more than 3 hours after a meal, it suggests gastric outlet obstruction.
D) If gastric outlet obstruction is suspected, a succussion splash should be performed. With a stethoscope placed over the stomach (upper abdomen), the patient logrolls back and forth. A splashing sound indicates retained gastric contents. If it occurs more than 3 hours after a meal, it suggests gastric outlet obstruction.
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