0
August 1994, Vol 148, No. 8 >
Article | August 1994

Simultaneous Percussion Auscultation Technique for the Determination of Liver Span

Charles W. Callahan, MC, USAR
Arch Pediatr Adolesc Med. 1994;148(8):873-875. doi:10.1001/archpedi.1994.02170080103020.
Text Size: A A A
Published online
Article
References
Comments

The assessment of liver size is an aspect of the pediatric physical examination that has application for the general pediatrician as well as for other pediatric subspecialists. Estimates of liver size in pediatric patients are often based on the distance of the liver edge below the right costal margin. This estimate does not, however, reflect the liver span in healthy children, much less children with hyperinflated lungs.1

A recent survey of patients hospitalized in our institution assessed the documentation of liver size on the admission history and physical examination (C.C., unpublished data, April 1993). The medical records of 90 patients (age range, 4 days to 22 years) were reviewed. In 50 (55%) of the 90 cases, the only comment about liver size was the absence of hepatomegaly; in 29 (32%) of the 90 cases there was no mention of the liver examination; and in nine (10%) of the 90

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

Figures

Tables

Interactive Graphics

Video

Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

References

Correspondence

Submit a Letter
CME
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Clear Answers | Save For Later
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s “Cited By” API will populate this tab (http://www.crossref.org/citedby.html).
Compression-Only CPR: Pushing the Science Forward
Cone
AAM 2010;304:1493-1495.
All you need to read in the other general journals
BMJ 2010;341:c5893-c1494.
Submit a Comment

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs

More Listings at
JAMACareerCenter.com >

© 2013 American Medical Association. All Rights Reserved.
Powered bySilverchair Information Systems