DONALD O. CASTELL, M.D., F.A.C.P.; KEVIN D. O'BRIEN, M.D.; HUGO MUENCH, M.D.; THOMAS C. CHALMERS, M.D., F.A.C.P.
Estimation of liver size by percussion was determined in 116 normal subjects by three examiners. Factors responsible for variation in percussion measurement within and between examiners were considered. Mean liver dullness was greater for males than for females, with a positive correlation between liver size and height for both sexes. Estimation of lean body mass from height and weight measurements in each individual resulted in better correlation with liver dullness, with males and females forming a homogeneous group. From the data obtained in this study an equation has been derived for predicting the expected range of liver dullness from the height and weight of a given individual which should provide a standard for the clinical estimation of hepatomegaly.
CASTELL DO, O'BRIEN KD, MUENCH H, CHALMERS TC. Estimation of Liver Size by Percussion in Normal Individuals. Ann Intern Med. 1969;70:1183–1189. doi: 10.7326/0003-4819-70-6-1183
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Published: Ann Intern Med. 1969;70(6):1183-1189.
Gastroenterology/Hepatology, Liver Disease.
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