- With patient in supine, place left hand under the patient parallel to 11th & 12th ribs & lift upward
- With your
hand at the costal margin, lateral to the rectus (fingers pointing toward the clavicle), gently press up & in - Ask patient to take an “abdominal” breath & you should feel the liver edge move toward your fingertips on the abdomen
- Follow the liver contour for irregularities & note tenderness
- Red flag: reproduction of symptom(s)
