<P> The examiner also typically listens to the two renal arteries for bruits by listening in each upper quadrant, adjacent to and above the umbilicus . Bruits heard in the epigastrium that are confined to systole are considered normal . </P> <P> The examiner typically palpates all nine areas of the patient's abdomen . This is typically performed twice, lightly and then deeply . </P> <P> On light palpation, the examiner tests for any palpable mass, rigidity, or pain . </P> <P> On deep palpation, the examiner is testing for and organomegaly, including enlargement of the liver and spleen . </P>

When should you examine the areas of pain when physically assessing the patients abdomen