DONALD O. CASTELL
Percussion over the region of the spleen is generally considered to be of limited value for detecting enlargement and, therefore, is not frequently employed as a diagnostic tool. During recent experience with patients having infectious mononucleosis percussion of the spleen has been used to avoid the risk of splenic rupture which may accompany vigorous palpation. It has become apparent that splenic percussion is quite useful in estimating slight to moderate degrees of splenomegaly. On the basis of this experience percussion over the spleen has been performed routinely during physical examination in all patients. Using the "spleen percussion sign" as described
CASTELL DO. The Spleen Percussion Sign: A Useful Diagnostic Technique. Ann Intern Med. ;67:1265–1267. doi: 10.7326/0003-4819-67-6-1265
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Published: Ann Intern Med. 1967;67(6):1265-1267.
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