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Related Concept Videos

Assessment of the Abdomen II: Percussion01:18

Assessment of the Abdomen II: Percussion

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Percussion is a fundamental technique used to assess the liver, spleen, and abdominal organs by tapping the abdomen and interpreting the resulting sounds. This method helps identify fluid, distention, and masses through variations in sound, such as the high-pitched tympany of air-filled areas and the dullness of solid masses. Understanding how to percuss these organs provides valuable information for healthcare professionals in diagnosing conditions early.
Percussion
Percussion is an essential...
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Assessment of the Abdomen III: Palpation01:23

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Palpation is a crucial tactile examination method for assessing abdominal organs and detecting conditions like tenderness, distention, masses, or fluid. It involves both light and deep palpation techniques, each serving specific diagnostic purposes. Light palpation helps identify tenderness and other surface-level indicators, while deep palpation locates and assess abdominal masses and organ boundaries. A skilled professional can gather valuable insights through palpation, including evaluating...
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Related Experiment Video

Updated: Mar 12, 2026

Tilt Testing with Combined Lower Body Negative Pressure: a "Gold Standard" for Measuring Orthostatic Tolerance
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[Peritoneal equilibration test: Conventional versus adapted. Preliminary study].

Ariane Zaloszyc1, Claus Peter Schmitt2, Betti Schaefer2

  • 1Service de pédiatrie I, hôpitaux universitaires de Strasbourg, CHU de Hautepierre, 1, avenue Molière, 67098 Strasbourg, France.

Nephrologie & Therapeutique
|November 5, 2016
PubMed
Summary
This summary is machine-generated.

Adapted automated peritoneal dialysis (aAPD) improves fluid and sodium removal compared to conventional APD. This adapted method enhances ultrafiltration and solute extraction, benefiting patients with peritoneal dialysis.

Keywords:
Absorption de glucoseAdapted dialysisConventional dialysisDialyse adaptéeDialyse conventionnelleExtraction sodéeGlucose absorptionSodium and water balanceSodium extractionUltrafiltrationÉquilibre hydrosodé

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Area of Science:

  • Nephrology
  • Biomedical Engineering
  • Clinical Medicine

Background:

  • Peritoneal dialysis (PD) is a vital treatment for kidney failure.
  • Maintaining optimal fluid and sodium balance is a significant challenge for PD patients.
  • Conventional automated peritoneal dialysis (APD) protocols may not fully address these balance issues.

Purpose of the Study:

  • To evaluate the efficacy of an adapted APD protocol compared to conventional APD.
  • To assess improvements in sodium extraction and ultrafiltration using the adapted APD method.
  • To investigate changes in glucose absorption and osmotic conductance with adapted APD.

Main Methods:

  • A preliminary crossover study involving 4 patients was conducted.
  • Patients underwent both conventional APD and adapted APD protocols over 150 minutes each.
  • The adapted APD involved a sequence of short, low-volume dwells followed by long, high-volume dwells.

Main Results:

  • Adapted APD significantly increased sodium extraction by 169% (29.3 mmol/m²).
  • Ultrafiltration was enhanced by 128% (159 mL/m²) with the adapted protocol.
  • Glucose absorption decreased by 35%, and osmotic conductance improved.

Conclusions:

  • Adapted APD demonstrates superior performance in sodium and fluid management compared to conventional APD.
  • The adapted protocol shows potential for improving patient outcomes in peritoneal dialysis.
  • Findings support the refinement of the European Pediatric Study's protocol on Adapted APD.