Clinical examination of the liver includes percussion, palpation, and auscultation. Liver size can be assessed by palpation under the rib cage. The scratch test, which involves auscultation, can also be used to determine liver size. Video Index: 0:15 - Palpation of the liver 0:31 - Beginning examination of the liver 0:51 - Enlarged liver palpation 1:07 - The Scratch Test