19+ How To Palpate Spleen

Start in the right lower quadrant and proceed diagonally toward the left upper quadrant. Splenomegaly can be examined by two primary techniques.


Clinical Examination Of Spleen

Attempt to feel spleen with superficial palpation.

. A healthy gallbladder is not normally palpable. With your left hand reach over and around the patient to support and press forward the lower left rib cage and adjacent soft tissue. The best way to support your spleen and entire lymphatic and digestive systems is to eat a diet high in antioxidants vitamins minerals and essential fluids.

Move the hand superiorly and medially each time the patient breathes out and repeat. There are three well-studied palpation maneuvers. Palpation for splenic enlargement should begin with the patient supine and with knees flexed.

Move hand up diagonally. If the spleen is not palpable in the supine position the patient must be rolled onto the right side towards the examiner with the left hip and knee flexed and palpation repeatedPlace the other hand posteriorly to support the lower rib cage and repeat the examination. Attempt superficial palpation of abdomen.

Keep hand still and ask patient to take a deep breath through the mouth to feel spleen edge being displaced downwards. Palpation During the Spleen Exam Technique Start in RLQ so you dont miss a giant spleen. Then use your left hand to palpate along the left costal margin.

Palpation of Spleen - YouTube A description of steps involved in the palpation of spleen. Dont dip your fingers or do. Therefore it is not always palpable.

Place your right hand just below the costal margin leaving enough room to detect an enlarged spleen and depressing the hand inward and upward to locate the splenic edge. The steps are first described with static photos followed by a video showing bedside. Using the right hand the examiner should begin well below the left costal margin and feel.

To palpate the spleen place your right hand behind the patients inferior rib cage to support it. Normally the spleen lies in the left upper quadrant and is quite posterior. With your right hand.

Palpation of the spleen is carried out according to the general rules of deep gliding topography palpation in the patients position on the right side with straightened right. Here one begins to. Get your fingers set then ask patient to take a deep breath.

Apply gentle pressure to the right lower quadrant. Ask the patient to take a deep breath in.


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