Physical examination maneuver

Physical Exam

Liver Percussion

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Video coming September 2026

How to Perform

In the right midclavicular line, percuss downward from the chest (resonant lung) until the note becomes dull, marking the upper border of liver dullness, then percuss upward from the abdomen (tympanic bowel) until the note becomes dull, marking the lower border. Measure the vertical distance between the two marks to estimate the liver span, noting the span and the quality of the borders.

How to Interpret

Showing all 1 finding

Hepatomegaly

Increased liver span on midclavicular percussion (an enlarged vertical span of liver dullness)
Rule in
Not helpful
Rule out
Not helpful
Evidence:Limited

References

  • Joshi R, Singh A, Jajoo N, Pai M, Kalantri SP. Accuracy and reliability of palpation and percussion for detecting hepatomegaly: a rural hospital-based study. Indian J Gastroenterol. 2004 Sep-Oct;23(5):171-174. PMID 15598999.
  • McGee S. Evidence-Based Physical Diagnosis. 6th ed. Philadelphia, PA: Elsevier; 2025.