Consistency Firm, bluntness/rounding or irregularity of liver edge suggest an abnormality. Obstructed, distended gallbladder may be palpable on the inferior liver edge. Nodules may be palpable; rock hard and umbilicated (central dimple) nodules suggest malignancy.

2023年2月25日 · Abnormalities of the liver detected on palpation include: firm and irregular liver, tenderness, and pulsatility. See also hepatomegaly and hepatosplenomegaly. Differential diagnosis.

High probability of disease, liver edge palpable: Palpate specifically to assess the quality of the liver edge only if there are signs of liver disease, including unequivocal hepatomegaly.

When the liver can be felt, it is usually due to: (1) increased diaphragmatic descent; (2) presence of a palpable caudate or Riedel's lobe; (3) presence of emphysema with an associated depressed diaphragm; (4) thin body habitus with narrow thoracic cage; (5) fatty infiltration (enlarged with rounded edge); (6) active hepatitis (enlarged and tend...

To avoid overlooking gross enlargement, it is advisable to palpate from Right iliac fossa,gradually upwards. By this upward movement, the tip of the fingers will slip over the edge of a palpable liver.

Topographically, the liver has two surfaces and two edges. The anteroom (upper) surface is attached to the surface of the diaphragm and is bulged in accordance with its bend. The lower one is located behind and below, having several impressions from adjacent organs.

2013年7月11日 · The edge may be palpable, leading the examiner to believe that the patient has hepatomegaly when the real problem is a hyperdistended lung. Percussion will reveal that the upper border is lower than expected.

2019年11月26日 · Palpation of the liver can be used to assess the liver span and consistency, as well as for tenderness over the liver or gallbladder. The size of the liver, by estimating the location of the upper and lower liver edges.

Begin palpation over the right lower quadrant, near the anterior iliac spine. Palpate for the liver with one or two hands palm down moving upward 2-3 cm at a time towards the lower costal margin.

In normal patients, the edge of the liver may be palpable just below the costal margin. It is soft and smooth and may be slightly tender. You should try to palpate liver by superficial palpation and not deep palpation. Liver edge is just hugging anterior abdominal wall.