Splenic palpation and percussion A palpable spleen is at leas | Go Away...
Splenic palpation and percussion
A palpable spleen is at least TWICE its normal size.
Palpate from the right iliac fossa towards the left upper quadrant (ask the child to take deep breaths if appropriate). The edge is usually soft and you will be unable to get above it. The splenic notch is occasionally palpable if markedly enlarged. The spleen should move with respiration.
Measure the degree of extension below the costal margin (in cm) in the mid-clavicular line.
Percuss to delineate the lower border (splenic tissue will be dull to percussion).
Causes of splenomegaly There are several potential causes of splenomegaly including:
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