Physical Examination117 Videos

Assessment of the Spleen

Assessment of the Spleen The normal adult spleen lies immediately under the diaphragm in the left upper quadrant of the abdomen. It ranges in length from 6 to 13 cm and in weight from 75 to 120 g. The spleen is not normally palpable except in slender young adults. When the spleen can be felt […]

Neurologic Examination: Reflexes

REFLEX EXAMINATION Relaxation is critical during the reflex examination. Tendon reflexes are difficult to elicit when patients tense the muscles being tested. It is helpful to distract patients by engaging them in conversation while testing their reflexes. Tendon reflexes — The biceps, triceps, brachioradialis, knee (patellar), and ankle (Achilles) reflexes are the ones commonly tested. The joint […]

Murphy’s sign – clinical examination

Overview of gallstone disease in adults ●Clinical presentation •Asymptomatic The majority of patients with gallstones are asymptomatic and will remain so throughout their lives. Of those with incidental (asymptomatic) gallstones, approximately 15 to 25 percent will become symptomatic after 10 to 15 years of follow-up.    •Biliary colic Patients with symptomatic uncomplicated gallstone disease typically […]