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![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj2gzIM3Z83HAy__2GC8UzIc-GJn4fOW8r5EMgJ0TZGxtWFoFABLwUcszthMu28Y5qt2Ux0oVQAiSvUBAx9KLUXA8tLL1oymNaI04njnH-KSb8HLR9kdWrPw7l4qNaywxO53_okSKjcMoA/s200/b.jpg)
Abdomen symetrically distended secondary to fluid build up in peritoneal cavity.
Note bulging flanks as fluid distributes to most dependent areas of abdomen. skin is also yellowed
due to hyperbilirubinemia.
![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgi6AQkz52dJuqAmGMVr8JgkPK2714oO_eDhZE6D6lezIESs26q4dtwqPoXyFcXt2yi5Iqv-Hvnzj2eDObgnDM5v5tyeXaalCh5zpx1Hpy-EvoPDrBYtfEFxwA_ph1g0VVNetuxYyOqE-8/s400/c.jpg)
![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgD7zpxDptUq4onHT62ZMOhEYek-q8ZKk3SMO1vVW8NzT1-Lev6_s9uPsuZzhKUnm3n09ScjPnmgvImNROR-7N68bmrf7HTDJeJX7c6pVhIoQ31rORTfs5js0CW_Y-CABBb-uQcR-Hhrs4/s400/d.jpg)
Ascites with Shifting Dullness: Ascitic fluid will flow to the most dependent portions of the abdomen.
The air-filled intestines will float on top of this liquid. The technique of shifting dullness makes use of
this relationship in order to detect the presence of ascitic fluid.