Examination of the Spleen

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14101   3 years ago
samer176 | 2 subscribers
14101   3 years ago
Start in RLQ (so you don’t miss a giant spleen).
Get your fingers set then ask patient to take a deep breath. Don’t dip your fingers or do anything but wait.
When patient expires, take up new position.
Note lowest point of spleen below costal margin, texture of splenic contour, and tenderness
If spleen is not felt, repeat with pt lying on right side. Gravity may bring spleen within reach.
“LET THE SPLEEN PALPATE YOUR FINGERS AND NOT THE OTHER WAY AROUND. THERE IS NO GOLD, SO DON’T DIG!”
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