Percussion (medicine) - Percussion Notes

Percussion Notes

Based on the auditory and tactile perception, the notes heard can be categorized as

  • Tympanic or tympanitic, drum-like sounds heard over air filled structures during the abdominal examination.
  • Hyperresonant (pneumothorax) said to sound similar to percussion of puffed up cheeks.
  • Normal resonance/ Resonant the said produced by percussing a normal chest.
  • Impaired resonance (mass, consolidation) lower than normal percussion sounds.
  • Dull (consolidation) similar to percussion of a mass such as a liver.
  • Stony dull the sounds produced on percussion from the pleximeter with no contribution from the underlying area.

Percussion may induce pain, this is often also noted as it can indicate underlying pathology.

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