Palpation of the liver

Palpation of the liver is an auxiliary examination method used to check whether the liver is normal. Liver palpation is mainly used to understand the location of the lower edge of the liver and the texture, edges, surface, and pulsation of the liver. At palpation, the examinee was in a supine position, with both knees flexed to relax the abdominal wall and deep abdominal breathing to move the liver up and down. The examiner stands on the right side of the patient and palpates with one or both hands. One-hand palpation is more commonly used. The examiner puts his right fingers together, the metacarpophalangeal joints are straight, and is placed parallel to the costal margin below the estimated lower edge of the liver on the right abdomen or below the percussion liver dullness circle. When inspiring, the fingers are pressed deep into the abdominal wall. When inhaling, the fingers are slowly raised, and the ribs are moved upwards toward the costal margins. Repeatedly, the fingers gradually move toward the costal margin until they touch the hepatic margin or costal margin. On the right midclavicular line and anterior median line, palpate the liver margin and measure it with the costal margin or sword respectively during calm breathing The distance of the root of the process is expressed in centimeters.