Fluid Wave Physical Examination Form
Document key details and findings for a fluid wave physical examination using this concise, modern form.
Date of Examination
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Examiner Name
*
Patient Initials
*
Patient Age
*
Reason for Examination
*
Patient Position During Exam
*
Supine
Sitting
Other
Technique Used
*
Percussion
Palpation
Assistant Hand Placement
Other
Fluid Wave Detected?
*
Yes
No
Indeterminate
Additional Findings
Examiner Notes or Impression
Submit Examination
Should be Empty: