- Detects Ascites down to 120 cc of free fluid
- Patient lies prone for 5 minutes
- Patient then rises onto elbows and knees
- Apply stethoscope diaphragm to most dependent Abdomen
- Examiner repeatedly flicks near flank with finger
- Continue to flick at same spot on Abdomen
- Move stethoscope across Abdomen away from examiner
- Sound loudness increases at farther edge of puddle
- Sound transmission does not change when patient sits
- Augmentation of sound intensity suggests Ascites