Percussing the spleen

AFRIKAANS	TRANSCRIPT	XHOSA
	Are you still okay? / Is alles nog reg? / Usonwabile?
	I will now tap again to check your spleen. / Ek gaan nou u milt beklop. / Ngoku ndiza kubetha nje kancinci ukuxilonga udakada wakho.
	Try and relax. / Probeer ontspan. / Zama ukuziyekelela.

Percussing the spleen: See how it is done.

Palpating the spleen

The spleen is palpated in two stages.

Firstly, with the patient lying on his or her back, one starts below and medial to where the edge is expected, and then moves a centimetre or two up at a time until the edge is encountered. Again hand movement is coordinated with breathing.

AFRIKAANS	TRANSCRIPT	XHOSA
	Now I am going to check if I can feel your spleen. / Nou gaan ek u milt ondersoek deur dit te voel. / Ndiza kujonga ukuba ndingamva na udakada wakho.
	Please breathe in and out when I ask you to. / Asem asseblief in en uit wanneer ek u vra. / Nceda uphefumlele ngaphakathi nangaphandle xa ndikucela.

Secondly, turn the patient fully on to her right side and palpate the spleen bimanually. Place your left hand over the lower ribs on the left posteriorly, and pull the ribcage (and spleen) towards you.Now palpate for the spleen just below, and immediately underneath, the costal margin.

AFRIKAANS	TRANSCRIPT	XHOSA
	We’re almost done. / Ons is amper klaar. / Sesiza kugqiba.
	Please turn towards me. / Draai asseblief na my toe. / Khawuguqukele ngakum.
	I will check again if I can feel your spleen. / Ek sal nou weer die milt voel (palpeer). / Ndizama kwakhona ukuva udakada wakho.