Physical examination maneuver

Physical Exam

Abdominal Aorta Palpation

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Video coming September 2026

How to Perform

With the patient supine, knees slightly flexed and the abdomen relaxed, press the fingers of both hands deeply into the upper-middle abdomen just above the umbilicus, one hand on each side of the aorta. Feel for the aortic pulsation and estimate the width of the aorta between your hands, noting whether the pulsation is expansile (pushing your hands apart) rather than simply transmitted.

How to Interpret

Showing all 1 finding

Abdominal Aortic Aneurysm

A widened aortic pulsation on deep palpation — the aorta felt as expansile (pushing the examining hands apart), not merely a transmitted pulse
Rule in
Very helpful
Rule out
Evidence:Strong

References

  • Lederle FA, Simel DL. The rational clinical examination. Does this patient have abdominal aortic aneurysm? JAMA. 1999;281(1):77-82. PMID: 9892455.
  • McGee S. Evidence-Based Physical Diagnosis. 6th ed. Philadelphia, PA: Elsevier; 2025.