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Liver span

From Wikipedia, the free encyclopedia
Medical diagnostic method
Liver span
Anterior view of the position of the liver (red) in the human abdomen.

Theliver span is a measurement performed during physical examination to determine the size of theliver and identify possiblehepatomegaly.

It is the distance between the lower border of the liver in themid-clavicular line obtained bypalpation, and the upper border of the liver in the mid-clavicular line detected bypercussion (the upper border of the liver lies behind the ribs and can not be palpated). More accurate methods of estimating liver span include ultrasound and cross-sectional imaging (computed tomography or magnetic resonance imaging).[1]

Normal liver span is 6–12 cm (2.4–4.7 in), but varies with age, height, and weight.[2][3][4] Depending on the physician's technique, estimates of the same liver span can vary by 8 cm (3.1 in), on average.[5]

References

[edit]
  1. ^Gosink, BB; Leymaster, CE (January 1981). "Ultrasonic determination of hepatomegaly".Journal of Clinical Ultrasound.9 (1):37–44.doi:10.1002/jcu.1870090110.PMID 6792230.
  2. ^"Evidence Base - Liver & Ascites Exam - Physical Diagnosis Skills - University of Washington School of Medicine". Retrieved2009-04-05.
  3. ^"Examination of the Liver".
  4. ^"Evaluation of the Size, Shape, and Consistency of the Liver".Clinical Methods: The History, Physical, and Laboratory Examinations. Butterworths. 1990.ISBN 9780409900774.
  5. ^McGee, Steven.Evidence-Based Physical Diagnosis. p. 434.ISBN 978-0-323392761.
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