Spleen

Question 1

Sp-1

Answer 1

On the dorsal aspect of the big toe, at the junction of lines drawn along the medial border of the nail and the base of the nail, approximately 0.1 cun from the corner of the nail.

Question 2

Sp-2

Answer 2

On the medial side of the big toe, in the depression distal and inferior to the first metatarso-phalangeal joint.

Question 3

Sp-3

Answer 3

On the medial side of the foot in the depression proximal and inferior to the head of the first metatarsal bone.

Question 4

Sp-4

Answer 4

On the medial side of the foot, in the depression distal and inferior to the base of the first metatarsal bone.

Question 5

Sp-5

Answer 5

On the medial side of the ankle, in the depression which lies at the junction of straight lines drawn along the anterior and inferior borders of the medial malleolus.

Question 6

Sp-6

Answer 6

On the medial side of the lower leg, 3 cun superior to the prominence of the medial malleolus, in a depression close to the medial crest of the tibia.

Question 7

Sp-7

Answer 7

On the medial side of the lower leg, 3 cun superior to SP-6, in a depression just posterior to the medial crest of the tibia.

Question 8

Sp-8

Answer 8

On the medial side of the lower leg, 3 cun inferior to SP-9, in a depression just posterior to the medial crest of the tibia.

Question 9

Sp-9

Answer 9

On the medial side of the lower leg, in a depression in the angle formed by the medial condyle of the tibia and the posterior border of the tibia.

Question 10

Sp-10

Answer 10

2 cun proximal to the superior border of the patella, in the tender depression on the bulge of the vastus medialis muscle, directly above SP-9.

Question 11

Sp-11

Answer 11

On the medial side of the upper leg, 6 cun proximal to SP-10, on a line connecting SP-10 with SP-12.

Question 12

Sp-12

Answer 12

3.5 cun lateral to REN-2, on the lateral side of the femoral artery.

Question 13

Sp-13

Answer 13

On the lower abdomen, 0.7 cun superior and 0.5 cun lateral to SP-12, 4 cun lateral to the midline. This point is also defined as lying 4.3 cun inferior to SP-15.

Question 14

Sp-14

Answer 14

On the lower abdomen, 1.3 cun inferior to SP-15, 4 cun lateral to the midline.

Question 15

Sp-15

Answer 15

On the abdomen, in the depression at the lateral border of the rectus abdominis muscle level with the umbilicus.

Question 16

Sp-16

Answer 16

On the abdomen, in the depression at the lateral border of the rectus abdominis muscle, 3 cun superior to SP-15.

Note: in some patients with a narrow subcostal angle, this point may fall on
the costal margin; the options then are to
1) locate more medially
2) needle transversely on the costal
margin
3) select a different point.

Question 17

Sp-17

Answer 17

On the lateral side of the chest, in the fifth intercostal space, 6 cun lateral to the midline.

Question 18

Sp-18

Answer 18

On the lateral side of the chest, in the fourth intercostal space, 6 cun lateral to the midline.

Question 19

Sp-19

Answer 19

On the lateral side of the chest, in the third intercostal space, 6 cun lateral to the midline.

Question 20

Sp-20

Answer 20

On the lateral side of the chest, in the second intercostal space, 6 cun lateral to the midline.

Question 21

Sp-21

Answer 21

On the mid-axillary line, in the seventh intercostal space.

Note: some sources locate this point in the sixth intercostal space.