The cityâs electric service area is defined by the Public Utility Commission and includes most of the city limits of Boerne, as well as some areas outside the city limits.
The insertion of a finger through the anus to palpate (feel) the size, shape, firmness, tenderness (discomfort or pain), and mobility of the prostate gland that surrounds the urethra below the urinary bladder in a male.
Hepatomegaly is enlargement of the liver. The liver edge is normally palpable in children and thin adults and some patients may have a palpable right lobe of the liver. It is smooth, uniform, non-tender and descends to meet the palpating fingers on inspiration. The best way to assess size is by percussion - a normal-sized liver can appear enlarged if displaced downwards by lung disorders. An enlarged liver expands down and across towards the left iliac fossa (LIF). To avoid missing a really big liver, always begin liver palpation in the LIF and work towards the right upper quadrant. The most common causes of hepatomegaly in the UK are alcoholic liver disease, malignancy (particularly metastases) and congestive cardiac failure.