How would you assess for hepatomegaly in Tina's case?

Assessing for hepatomegaly involves physical examination techniques that focus specifically on the liver’s size and condition. Palpating the liver below the right costal margin is a direct method used to feel for any enlargement of the liver. During this assessment, the clinician uses their hands to gently press in the upper right quadrant of the abdomen, just beneath the rib cage, to determine if the liver is palpable. An enlarged liver (hepatomegaly) may indicate various conditions, including liver disease or other systemic issues.

The other options do not directly assess for hepatomegaly. Checking for jaundice involves looking for yellowing of the skin and sclera of the eyes, which indicates liver dysfunction but does not provide information about liver size. Measuring abdominal girth is useful for assessing fluid accumulation or overall abdominal distension, but it does not specifically identify liver enlargement. Listening for abnormal bowel sounds can provide insight into gastrointestinal functioning, but it also does not directly inform about the liver’s size or condition.