Saturday, November 13

Traube's Space

Salam everyone,

I did this physical examination almost every day to my patients. Sharing is caring. Check this out!

What is Traube's space?
It's a crescent-shaped space overlying the stomach.
The surface markings for Traube’s space
the left sixth rib,
the left mid-axillary line and
the left costal margin.

Percussion should be carried out at one or more levels of Traube’s space from medial to lateral.
Anatomical boundaries are:
1. Right : the inferior margin of the left lobe of liver.
2. Left : the anterior border of the Spleen.
3. Superior : lower edge of the left lung (Resonance of lung).
4. Inferior : Costal margin.



Contents
1. Fundus of stomach (Hence percussion of Traubes area normally gives Tympanic note).
2. Costo-phrenic recess of left pleura devoid of lungs.

Underneath lies the stomach, which produces a tympanic sound on percussion (medicine). If percussion over Traube's space produces a dull tone, this indicates splenomegaly
This maneuver has a sensitivity and specificity between 60 and 70% for splenetic enlargement; however, the sensitivity and specificity increases to approximately 80% in non-obese patients who are fasting.

Other Causes of dull sound on percussion of Traube's space:
1. Full stomach.
2. Left sided Pleural effusion.
3. Enlargement of left lobe of liver due to any etiology.
4. Dextrocardia.
5. Proliferative growth in fundus of stomach.

Note: A left lung mass lesion/consolidation alone never produces impairment as lung is not extending to traube's space.

20 comments:

  1. this is great. thank you for sharing!

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  2. Thnks a lot for sharing..

    Have a happy married life ahead..

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  3. i think it's left anterior axillary line.not mid.

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  4. thankful for the information

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  5. Thank u for ur information. I've read about Traube's space but nothing's clear like yours :)

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  6. thank u very much! Raluca from Romania:)

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  7. Assalaamu alaikum sister.

    Jazaakallah for the very informative discussion, it was extremely well done,clear and concise.You should do more like these.(2nd year med. student in South Africa)

    May Allah(SWT) bless you abundantly.

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