We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

Ultrasonic Evaluation of Intraperitoneal Fluid

Barry B. Goldberg, MD
JAMA. 1976;235(22):2427-2430. doi:10.1001/jama.1976.03260480045037.
Text Size: A A A
Published online


ULTRASOUND is rapidly replacing other methods in the evaluation of intraperitoneal fluid collections. The established ability of ultrasound to readily detect fluid and differentiate it from solid makes it an ideal diagnostic examination. Since it is a noninvasive procedure, ultrasound can be used not only in the initial diagnosis but also for serial examinations once the presence of free or loculated fluid has been detected.1,2 The sensitivity of ultrasound in the detection of fluid has been established experimentally: as little as 100 ml of ascitic fluid in cadavers and 300 ml in vivo has been detected.3,4 This degree of resolution compares favorably to all other methods, including percussion, roentgenographic procedures, and isotope dilution examination.4

Ultrasound can differentiate between free and loculated fluid. This is accomplished by simply moving the patient without changing the transducer position. Shifting of the fluid indicates that it is free. Differentiation of loculated


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?




Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.