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Related to Shifting dullness: Puddle sign, fluid wave, fluid thrill
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Physical examination revealed right hypochondrial tenderness, abdominal distension and shifting dullness, suggesting the presence of ascites.
There was no visceromegaly but shifting dullness at flanks was present.
The patient was negative for liver and renal region knock pain and shifting dullness.
Shifting dullness and tactile fremitus, which were two of my signature performances, seem to have hardly any sensitivity at all and add little value.