Bowel sounds

Healthy persons may have no bowel sounds for several minutes (silent intestinal contractions). Bowel sounds are exaggerated (borborygmus), and increased in rate in mechanical intestinal. Absent (paralytic ileus),

Venous hum:

soft systolic murmur the collaterals of the portal hypertension: large volume of blood flows in umbilical and paraumbilical veins in falciparum ligament (portosystemic shunt)

Hepatic bruit:

Heard over the liver, usually due to hepatocellular carcinoma, or vascular hepatic tumours

Aortic bruit:

Just above the umbilicus

Renal bruit:

Occurs in renal artery stenosis due to turbulent flow through a narrowed vessel

Succussion splash:

Excess fluid in the gut, e.g. from pyloric stenosis, or advanced intestinal obstruction, may splash when the abdomen is shaken, or the patient rolled from side to side

Hematemesis

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