Bowel Sounds

Normal Peristalsis

Frequency = 5 per minute.
Wide range of bubbling and gurgling sounds, loud, medium and high-pitched quality.
Evaluate: Frequency, Intensity, Pitch, Location.

Hyperperistalsis

Increased frequency, rushing sounds, coincides with cramps.

Gastric Succussion splash

Air-fluid sound, when shaking the Patient: sloshing sound (obstruction).

Borborygmi

audible bowel sounds without stethoscope.

Bruits

Aortic

(Atherosclerotic aneurysm).

Renal

(unilateral or bilateral).

Femoral

(T-and-fro murmur, is Duroziez' sign -aortic regurgitation- best heard with diaphragm).

Hepatic

(vascular tumors -RUQ-, also venous hums).

Venous abdominal

Rubs

Hepatic

(neoplasm, abscesses, etc).

Splenic

(abscesses, infarction, etc).