Abdominal Examination - Percussion

Percussion

  • it is common practice to start percussing in a quadrant where there is no pain/discomfort and to percuss the painful quadrant(s) last. making sure to percuss all the 9 areas.
  • percuss the liver from the right iliac region to right hypochondrium
  • percuss for the spleen from the right iliac region to the right hypochondrium and the left iliac to the left hypochondrium.

Examination of the spleen

  • Castell's sign or alternatively Traube's space

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