Palpation

“Sandwich” the abdomen at the level of the umbilicus (one hand at the front, one hand at the back)
Note size, contour, and tenderness
Only extremely enlarged kidney is palpable → ADPKD

Special maneuver

	Spleen	Kidney
Percussion on LUQ	Dull	Resonant
Border	Notch on medial border	No notch
Probe finger into	Medial and lateral border	Mass and costal margin
Midline	Can extend beyond midline	Does not extend beyond midline

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