Physical examination maneuver

Physical Exam

Skin Turgor

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How to Perform

Gently pinch and lift a fold of skin — commonly over the forearm or sternum — hold it briefly, then release and watch how quickly it returns to its resting position. Reduced turgor is present when the fold returns slowly (tenting).

How to Interpret

Showing all 2 findings

Dehydration

Decreased skin turgor
Rule in
Not helpfulWide CI
Rule out
Not helpfulDerived CI
Evidence:ModerateResearch in progress

Hypovolemia

Decreased skin turgor
Rule in
Somewhat helpful
Rule out
Minimally helpful
Evidence:ModerateResearch in progress

References

Research in progress on one or more findings above; ratings may change.

  • Steiner MJ, DeWalt DA, Byerley JS. Is this child dehydrated? JAMA. 2004;291(22):2746-2754. doi:10.1001/jama.291.22.2746. PMID: 15187057.
  • Shimizu M, Kinoshita K, Hattori K, Ota Y, Kanai T, Kobayashi H, et al. Physical signs of dehydration in the elderly. Intern Med. 2012;51(10):1207-1210. doi:10.2169/internalmedicine.51.7056. PMID: 22687791.
  • McGee S. Evidence-Based Physical Diagnosis. 6th ed. Philadelphia, PA: Elsevier; 2025.

Research last updated September 10, 2026.