Auscultation performed in all quadrants. Auscultation performed before palpation or percussion. Examiner assesses for peritoneal signs. All four quadrants palpated. Watches face during palpation.
Examiner palpates superficially first, then more deeply.
Abdomen is percussed. Examiner attempts to define liver edge beginning inferiorly and progressing superiorly on the right side. Liver edge palpation done during inspiration. Examiner measures liver span. Examiner inspects for spleen tip.