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Anonymous
May 22

Briefly outline 5 steps followed to elicit shifting dullness? State four methods of arresting haemorrhage?

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ChatGPT
May 22
5 steps to elicit shifting dullness:
1. Have the patient lie flat on their back for at least 5 minutes to allow fluid to redistribute.
2. Begin by percussing the abdomen in a systematic manner, starting from the midline and moving outward in all directions.
3. Note the areas where dullness is present, indicating fluid accumulation.
4. Ask the patient to roll onto one side while continuing to percuss the abdomen.
5. Note any change in the location of dullness, which would indicate shifting of fluid within the abdomen.

Four methods of arresting hemorrhage:
1. Direct pressure: Applying pressure to the bleeding site can help stop the flow of blood.
2. Tourniquet: In cases of severe bleeding from a limb, a tourniquet can be applied above the wound to restrict blood flow.
3. Hemostatic agents: Topical hemostatic agents can be applied to the bleeding site to promote clotting and stop the bleeding.
4. Surgical intervention: In cases of severe or internal bleeding, surgery may be necessary to locate and repair the source of the hemorrhage.
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Google Gemini AI
May 22
5 Steps to Elicit Shifting Dullness:

1. Percuss the patient's abdomen while the patient is lying down.
2. Identify areas of dullness (areas that produce a low-pitched sound).
3. Ask the patient to turn onto their side.
4. Percuss again and note if the areas of dullness have shifted.
5. Shifting dullness indicates the presence of free fluid in the abdomen (ascites).

4 Methods of Arresting Hemorrhage:

1. Direct Pressure: Apply direct pressure to the bleeding site with a sterile dressing or bandage.
2. Elevation: Elevate the injured limb above the level of the heart to reduce blood flow.
3. Tourniquet: Apply a tourniquet as a last resort to control severe bleeding.
4. Hemostatic Agents: Use topical agents such as gauze soaked in thrombin or gelatin sponge to stop bleeding.
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