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 2 of 3 findings

Abdominal Aortic Aneurysm

Widened aortic pulsation on deep palpation
Rule in
Very helpfulDerived CI
Rule out
Not helpfulDerived CI
Evidence:Limited
Widened aortic pulsation on deep palpation
Rule in
Very helpful
Rule out
Minimally helpful
Evidence:Limited

References

  • Lederle FA, Simel DL. The rational clinical examination. Does this patient have abdominal aortic aneurysm? JAMA. 1999;281(1):77-82. PMID: 9892455.

Research last updated September 9, 2026.