Which of the following accurately describes a distinguishing feature that will assist you in determining whether you are palpating an enlarged right kidney or an enlarged liver?
a. The edge of the liver is sharper, and the pole of the kidney is more rounded.
b. The edge of the liver can be "captured," whereas an enlarged kidney cannot.
c. Dullness to percussion is heard over the liver, whereas resonance is heard over the right kidney.
d. A palpable notch on the medial edge of the organ favors the kidney.
A
The distinguishing features between an enlarged liver and an enlarged kidney include: 1) the edge of the liver tends to be sharper and to extend medially and laterally, whereas the pole of the kidney is more rounded; and 2) the edge of the liver cannot be "captured," but an enlarged kidney can be. Distinguishing features between an enlarged left kidney and an enlarged spleen include: 1) a palpable notch on the medial edge of the organ favors the spleen; and 2) percussion of the spleen produces dullness because the bowel is displaced downward; however, resonance is heard over the left kidney because of the intervening bowel.
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