Palpation

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    Based on Sherry’s health history, the examiner decided to perform vital signs and focused physical examination of the eyes and its associated systems. Therefore, the examiner performed a physical exam of head, ears, eyes, nose and throat (HEENT). Like other parts of the physical exam, it begins with inspection, and then proceeds to palpation (Bickley & Szilagyi, 2013). After taking Sherry’s health history, her Vital signs were taken in order to find out if there is any change in her baseline, and to rule out any sign of systemic infection that might reflect on her blood pressure, pulse and temperature (Forbes, & Watt, 2015) . In addition, Sherry’s vital signs will indicate the state of her essential body functions by providing…

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    There are four tools of clinical examination: inspection, palpation, percussion and auscultation (“Clinical assessment,” n.d.). During a doctor’s inspection of a patient, he or she will want to look at patients with determination and knowledge of potential findings. This can be in the form of acknowledging how the patient walks, looks, acts or even dresses. Inspection is used the most to help diagnose patients with cholangiocarcinoma. According to Kowdley, Lowe, Afdhal, and Anderson (2017),…

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    There was tenderness diffusely to palpation. Examination of the knees revealed decreased range of motion. Palpation of the medial joint line and lateral joint line revealed tenderness on the right. Valgu and Varus stress tests were positive on the right. Patellofemoral Grind test was positive bilaterally. Patient was diagnosed with bilateral knee posttraumatic end-stage osteoarthritis, status post left total knee arthroplasty, status post right knee arthroscopy, cognitive disorder with…

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    Female Breast Examination

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    The palpation is carried out carefully and methodically on each breast and the surrounding areas. The examiner should assess the axillary lymph nodes, the collarbone and the breast (Seidel, 2011). There should be no enlargement of the lymph nodes during palpation. Any abnormal masses or lumps that are detected on palpation should be documented and the patient should be referred for further evaluation. The documentation of the lumps should include their structure, size and location. Palpation can…

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    DOI: 5/2/2013. Patient is a 49 year-old female cleaner who sustained low back pain and right hand pain while compacting trash into a big trash can. The patient was subsequently diagnosed with bursitis of hip. As per medical report dated 4/11/16, patient complains of low back pain with associated leg pain. On physical examination, patient has tenderness of the greater trochanter upon bony palpation of the right hip. Soft tissue palpation on the right revealed tenderness of the supraspinous…

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    She has limited range of motion secondary to pain. Sitting root and straight leg raise is positive. Strength is 2+/5. On examination of the right elbow/forearm, she has tenderness to palpation of the right lateral epicondyle and the extensors. She has limited range of motion secondary to pain. Strength is 3+/5. On examination of the right wrist/hand, she has tenderness to palpation of the right wrist joint. She has limited range of motion secondary to pain. Strength is 3+/5. Diagnoses include …

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    He is examined while seated on examination table. His splint has been removed from the right lower extremity. He is utilizing crutches for assistance in walking and was nonweightbearing. The cervical, thoracic, and lumbar spine is nontender to palpation. His shoulders, elbows, wrist, and hands move through a full range of motion without limitation or pain generation. He is nontender to the upper extremities, axillary, radial, median, and ulnar nerves are intact to motor and sensory tone…

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    Fibroadenoma Essay

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    Fibroadenomas are considered a common cause of discrete breast masses in young women. The diagnosis of these changes is based on the clinically relevant trinity of manual examination, imaging methods and non-surgical biopsy (which is sometimes also known as the triple test). Total diagnostic efficacy of the aforementioned three modalities is between 70% and 80%, although they can distinguish between benign and malignant lesions with 95% accuracy rate. Generally there is an agreement that…

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    Case Study: Lumbar Spine

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    exacerbations. Pain is rated 3.5/10. Pain is worsened with bending, lifting and working; and alleviated with rest, stretching and pain medications. Current medications include Oxycontin, Percocet, Lorzone, topical diclofenac, chlorzoxazone, and Advil. The patient has had lumbar facet blocks, and lumbar radiofrequency ablation in the past with good improvement of both the axial and radicular symptoms. On examination of the lumbar spine, there is midline tenderness. Range of motion shows…

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    Opioid Injury Case Studies

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    This is a chronic pain patient and has been on opioids since at least a year. The latest progress report described that the patient has continued pain in the right shoulder, right wrist, right thigh and the lumbar spine. On exam there were trigger points noted on palpation of the shoulders and lumbar spine. There was a limitation in the range of motion of the lumbar spine as well. However, there is no documentation of VAS pain levels with and without the use of the medication. There is no…

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