text_original: Usually the left rectus is not tense. The spleen is not enlarged. The tension of the rectus prevents your palpating the lower edge of the liver, but percussion enables you to ascertain that this organ is en  larged, both upwards and downwards.
text_transcription: USUALLY THE LEFT RECTUS IS NOT TENSE THE SPLEEN IS NOT ENLARGED THE TENSION OF THE RECTUS PREVENTS YOUR PALPATING THE LOWER EDGE OF THE LIVER BUT PERCUSSION ENABLES YOU TO ASCERTAIN THAT THIS ORGAN IS ENLARGED BOTH UPWARDS AND DOWNWARDS
phonemes: jˈuːʒuːəli ðə lˈɛft ɹˈɛktəs ɪz nˌɑːt tˈɛns. ðə splˈiːn ɪz nˌɑːt ɛnlˈɑːɹdʒd. ðə tˈɛnʃən ʌvðə ɹˈɛktəs pɹɪvˈɛnts jʊɹ pælpˈeɪɾɪŋ ðə lˈoʊɚɹ ˈɛdʒ ʌvðə lˈɪvɚ, bˌʌt pɚkˈʌʃən ɛnˈeɪbəlz juː tʊ ˌæsɚtˈeɪn ðæt ðɪs ˈɔːɹɡən ɪz ˈɛn lˈɑːɹdʒd, bˈoʊθ ˈʌpwɚdz ænd dˈaʊnwɚdz.