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. Fingers over inguinal floor during straining maneuver. Palpation of inguinal floor without straining. Examiner places finger at external ring. Right external ring examined with right fifth finger.