- With patient in supine, stand on the
& reach across with your 
hand to patient’s ribs at the mid-axillary line - Place hand at the costal margin (fingers pointing to shoulder)
- Press in & up
- Ask patient to take an “abdominal” breath & the edge of the spleen will move toward your fingers
- Red flag: reproduction of symptom(s); if spleen is palpable, it is probably enlarged
