This video describes clinical methods of spleen examination.This includes palpation method- middleton maneuver and percussion methods-Nixon's maneuver,percussion in traube's space and castell method of spleen percussion.
In Nixons method, 8 cm is taken perpendiculary from the mid of left costal margin or from the lowest lung resonant point from the posterior axillary line?
I think percussion should be done from perpendicular line from below upward If dullness extend more than 8cm to this perpendicular line in upward direction,then it is splenomegaly