How do I check my Traube space?
Underneath Traube’s space lies the stomach, which produces a tympanic sound on percussion (medicine). If percussion over Traube’s space produces a dull tone, this indicates splenomegaly. Assessing this may be more difficult in obese patients.
What is the difference between Castell’s sign and Traube’s space?
Castell’s sign is a medical sign assessed to evaluate splenomegaly and typically part of an abdominal examination. It is an alternative physical examination maneuver to percussion over Traube’s space. Currently, several such signs of splenomegaly exist, all of whose utility has been debated in medical literature.
Where do you Percuss your spleen?
Splenic Percussion Sign (Castell’s Sign): Percuss the most inferior interspace on the left anterior axillary line (Castell’s Point). This is usually tympanic. Ask patient to breath deeply.
How do you palpate the spleen?
To palpate the spleen, place your right hand behind the patient’s inferior rib cage to support it. Then, use your left hand to palpate along the left costal margin. Have the patient take a deep breath. During the inspiration, perform deep palpation on the inferior edge of the spleen.
How can you tell if your spleen is enlarged at home?
Palpation for splenic enlargement should begin with the patient supine and with knees flexed. Using the right hand, the examiner should begin well below the left costal margin and feel gently but firmly for the splenic edge by pushing down, then cephalad, then releasing (Figure 150.1).
What are the boundaries of Traube’s space?
Traube’s (semilunar) space is an anatomic space of some clinical importance. It is a crescent-shaped space, encompassed by the lower edge of the left lung, the anterior border of the spleen, the left costal margin and the inferior margin of the left lobe of the liver.
Can you live without a spleen?
The spleen is a fist-sized organ in the upper left side of your abdomen, next to your stomach and behind your left ribs. It’s an important part of your immune system, but you can survive without it. This is because the liver can take over many of the spleen’s functions.
How do you palpate the liver and spleen?
Place your right hand on the patient’s abdomen in the right lower quadrant. Gently move up to the right upper quadrant lateral to the rectus muscle. Gently pressing in and up, ask the patient to take a deep breath. If the liver is enlarged, it will come downward to meet your fingertips and will be recognizable.
Which organs are palpable in the RUQ?
In the right upper quadrant, the soft consistency of the liver makes it diffi- cult to feel through the abdominal wall. The lower margin of the liver, the liver edge, is often palpable at the right costal margin.
What are the boundaries of the traubes space?
All these boundaries enclose a near semilunar space called Traubes space. 1. Right : Lateral margin of left lobe of liver. 2. Left : Spleen. 3. Superior : Resonance of lung. 4. Inferior : Costal margin. 1.
Where is the Traube space on the liver?
Traube’s space. Traube’s (semilunar) space is an anatomic space of some clinical importance. It is a crescent-shaped space, encompassed by the lower edge of the left lung, the anterior border of the spleen, the left costal margin and the inferior margin of the left lobe of the liver.
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What does Traube’s space in the stomach mean?
Beneath Traube’s space lies the stomach, which produces a tympanic sound on percussion. Dullness to percussion over Traube’s space may indicate splenomegaly, although this can also be a normal finding after a meal or indicates left pleural effusion.