Palpation

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palpation

[pal′pā·shən]
(medicine)
Diagnostic examination by touch.

Palpation

 

a method of medical examination of a patient. Palpation in the broad sense, for example, feeling the pulse, is mentioned as early as the works of Hippocrates; however, for examination of internal organs it became common in the second half of the 19th century, following the work of R. Laënnec, Joseph Ŝkoda, and V. P. Obraztsov. Palpation is based on tactile perception that results from moving and pressing the fingers or palm of the palpating hand. Tissues and organs are palpated to determine their position, size, shape, consistency, mobility, topographic interrelations, and tenderness.

Palpation may be superficial or deep. Superficial palpation is performed with one or both palms placed flat on the examined area of the skin, joints, heart, or other part of the body. Blood vessels are palpated with the tips of the fingers to determine fullness and the condition of the walls. Deep palpation is performed by special methods that differ for examination of the stomach, intestinal tract (sliding palpation, developed by Obraztsov), liver, spleen and kidneys, rectum, vagina, and other organs.

REFERENCE

Miasnikov, A. L. Osnovy diagnostiki i chastnoi patologii (propedevtika) vnutrennikh boleznei, 2nd ed. Moscow, 1951.

V. S. IAKOVLEVA

References in periodicals archive ?
These ICC results differed from those obtained in our prior thoracic motion palpation study (12) in which shared examiner confidence was clearly associated with increased interexaminer reliability, and our prior cervical study (13) in which re-analysis of the published data also shows higher agreement with more examiner confidence.
Motion palpation was chosen by about XA of respondents for most/some, while static palpation was chosen most by 12% and some by 4%.
There is some evidence suggesting that under certain circumstances the information provided by cervical motion palpation for the specific site of care may not change the outcome of care.
Thermography provides relatively reliable and objective information compared with other measures used in a clinical exam such as motion palpation.
Interexaminer motion palpation studies generally assess agreement on the spinal level of hypomobility, but infrequently report the direction or side of restriction.
Motion palpation revealed restriction and tenderness at C0-1 on the right, C2-3 on the left, T3-4, and over the third and fourth right costovertebral joints.
Static and motion palpation revealed restrictions at T46, T8-10, and the right side of her pubic symphysis.
Mobilizations of the bones of the wrist, specifically the scaphoid, as it was noted on motion palpation to have insufficient normal motion, were done to re-establish normal motion of the wrist articulations in an attempt to decrease pressure on the surrounding tendons which lead back to the medial and lateral elbow.
Subtalar motion palpation also demonstrated limited, although not completely absent, mobility.
24) Crepitus during chest wall palpation is another common physical exam finding, (24) as well as costovertebral and costotransverse joint restrictions upon joint play assessment (25) and motion palpation (26,27) similar to that discovered in the current case.
The doctor might palpate down from where he or she believes the vertebra prominens (VP) is located, according to the common belief that it lies at either C7 or T1 (depending on which level is determined using motion palpation to be lowest movable segment on extension), or perhaps might palpate up from the level of the iliac crest, according to the common belief that the SP of L4 lines up with the iliac crest.