Which of the following is a normal finding from palpating the liver in a young child?
a. A firm liver edge is palpable 3 cm below the right costal margin.
b. A soft liver edge is palpable 1–2 cm below the right costal margin.
c. The surface of the liver is nodular with a firm, sharp border.
d. The surface of the liver is soft, smooth, and tender.
B
A normal finding from palpating the liver in a young child is a soft edge 1–2 cm below the right costal margin. Abnormal findings are a firm edge that is palpable 3 cm below the right costal margin and a surface that is nodular with a firm, sharp border. When the liver's edge is palpable more than 1 cm below the right costal margin and it is full with a firm, sharp border, hepatomegaly may be present. This occurs in disease states such as viral or bacterial illnesses, tumors, congestive heart failure, and fat and glycogen storage diseases.
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