Normally not palpable.
Projection: Over the left mid-axillary Line and posterior axillary line, level of the 9th,
10th, and 11th ribs, normally the tip is not palpable.
Estimate:
Site
Shape
Volume
Surface
Mobility
Consistency
Tenderness
Temperature
Megaly
(nodular, hard-soft, irregular, granular, pulsatile).
Palpation Maneuvers
1) Left hand pushes the costal margin so that the right hand can penetrate beneath it.
2) Patient in the left lateral decubitus, with thighs flexed.
See the
Abdomen
page.