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Answer :
Final answer:
Castell's sign is primarily used to assess for splenomegaly by identifying changes in percussion sounds over the spleen. Other signs listed relate to different conditions. Understanding these signs is essential in the clinical assessment of abdominal organs.
Explanation:
Assessment of Splenomegaly
Among the physical examination signs listed, Castell's sign is primarily used to assess for splenomegaly. This sign involves percussion of the left lower thorax. When the spleen is enlarged, the sound produced may change from a tympanic sound to a dull sound due to the presence of splenic tissue.
- Murphy's sign: Indicates gallbladder issues.
- Carnett's sign: Assesses for abdominal wall pain.
- Obturator sign: Suggestive of appendicitis.
- Psoas sign: Indicates irritation of the psoas muscle, often related to appendicitis.
Each of these signs serves a different purpose during a physical examination, but when specifically evaluating splenomegaly, Castell's sign is the most relevant.
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