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Related Concept Videos

Assessment of the Abdomen III: Palpation01:23

Assessment of the Abdomen III: Palpation

163
Palpation is a crucial tactile examination method for assessing abdominal organs and detecting conditions like tenderness, distention, masses, or fluid. It involves both light and deep palpation techniques, each serving specific diagnostic purposes. Light palpation helps identify tenderness and other surface-level indicators, while deep palpation locates and assess abdominal masses and organ boundaries. A skilled professional can gather valuable insights through palpation, including evaluating...
163
Assessment of the Abdomen II: Percussion01:18

Assessment of the Abdomen II: Percussion

127
Percussion is a fundamental technique used to assess the liver, spleen, and abdominal organs by tapping the abdomen and interpreting the resulting sounds. This method helps identify fluid, distention, and masses through variations in sound, such as the high-pitched tympany of air-filled areas and the dullness of solid masses. Understanding how to percuss these organs provides valuable information for healthcare professionals in diagnosing conditions early.
Percussion
Percussion is an essential...
127
Assessment of the Cardiovascular System III: Palpation01:27

Assessment of the Cardiovascular System III: Palpation

131
Palpation involves feeling the body to evaluate texture, size, consistency, and tenderness for assessing cardiovascular health. The following steps are organized in a head-to-toe order:
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above...
131
Physical Assessment of the Respiratory Tract II: Palpation01:24

Physical Assessment of the Respiratory Tract II: Palpation

179
Physical assessment of the respiratory tract is critical in identifying potential health issues. One key component of this assessment is palpation, a technique healthcare providers use to assess the body for abnormalities. This content explores the method of palpation in evaluating the respiratory tract, focusing on thoracic palpation and tactile fremitus.
Thoracic Palpation
Thoracic palpation detects tenderness, masses, lesions, respiratory excursions, and vocal fremitus. The nurse assesses...
179
Cardiovascular System Abnormal Findings I: Inspection and Palpation01:29

Cardiovascular System Abnormal Findings I: Inspection and Palpation

199
In a cardiovascular examination, inspection and palpation are crucial for identifying abnormalities.
Abnormal findings observed during an inspection
199
Pulse Assessment Sites01:11

Pulse Assessment Sites

817
Pulse assessment sites are crucial in evaluating a patient's cardiovascular health. By assessing the pulsations of arteries at specific anatomical locations, healthcare professionals can gather valuable information about blood flow, heart rate, and peripheral circulation. Understanding these pulse assessment sites is essential for conducting comprehensive cardiovascular evaluations and monitoring patients' overall health. These sites are strategically chosen due to the accessibility and...
817

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Related Experiment Video

Updated: May 7, 2025

Screening of Axonal Degeneration in Carpal Tunnel Syndrome Using Ultrasonography and Nerve Conduction Studies
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Dynamic Palpation for Diagnosing Clinically Covert Scaphoid Fractures.

Nirmal K Sinha1, Amit Bhardwaj2, Ashutosh S Rao1

  • 1Orthopaedics, Manipal University College Malaysia, Melaka, MYS.

Cureus
|December 30, 2024
PubMed
Summary

Diagnosing scaphoid fractures can be challenging due to subtle symptoms. Dynamic palpation, combined with static methods, enhances physical exam reliability for detecting these difficult-to-diagnose wrist injuries.

Keywords:
anatomy based palpationcovert scaphoid fracturediagnosis of scaphoid fracturedynamic palpationpain provocation manoeuvres

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Area of Science:

  • Orthopedic Surgery
  • Radiology
  • Anatomy

Background:

  • The scaphoid bone is the most frequently fractured carpal bone.
  • Diagnosing scaphoid fractures can be difficult, especially when fractures are not apparent on initial examination.
  • Current clinical tests often have high sensitivity but low specificity, leading to potential misdiagnosis.

Purpose of the Study:

  • To introduce and describe a dynamic palpation technique to improve the accuracy of scaphoid fracture diagnosis.
  • To provide a method for enhancing the reliability of physical examinations for clinically occult scaphoid fractures.

Main Methods:

  • The study utilized cadaver anatomy to inform dynamic palpation techniques at various wrist positions.
  • Pain provocation maneuvers of the wrist and hand were observed in clinical studies.
  • Dynamic palpation was proposed to be combined with static palpation to improve diagnostic accuracy.

Main Results:

  • Dynamic palpation, when combined with static palpation, may elicit tenderness that confirms diagnosis.
  • This technique is particularly useful in cases of clinically covert scaphoid fractures where routine palpation is equivocal.

Conclusions:

  • Dynamic palpation offers a valuable adjunct to static palpation for diagnosing scaphoid fractures.
  • This enhanced physical examination method can improve diagnostic confidence in subtle or occult scaphoid fracture cases, potentially reducing misdiagnosis and guiding appropriate treatment.