Hackett graded splenomegaly in malaria based on clinical findings. This same grading scheme can be used for other disorders causing splenomegaly. The author is from the Rockefeller Foundation in New York.
Examination: The patient is lying supine.
Clinical Findings
Grade
spleen non-palpable
0
spleen only palpable when the patient takes a deep breath
1
spleen less than halfway between costal margin and the level of the umbilicus
2
spleen more than halfway between the costal margin and the level of the umbilicus
3
spleen below the umbilicus but not more than halfway between the level of the umbilicus and the symphysis pubis
4
spleen more than halfway between the level of the umbilicus and the level of the symphysis pubis
5
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