Palpation

My experiences on our family farm defined my career aspirations at a young age. These aspirations developed further through years of assisting with calf chores, bovine obstetrics, and animal health. I was intrigued by the common challenges faced when raising livestock. One of the issues we endured on our farm was neonatal calf scours. I listened as the family DVM explained different diseases, marveling at his analysis and determination to solve complex issues. I have taken every opportunity to…

Materials and Methods: To be more specific, the following procedure was performed. For the palpation of superficial pulse points, a pulse is easily felt when a superficial artery is pressed against firm tissue such as two pointer fingers. It is not advised to use a thumb, as it has its own strong pulse. The common carotid artery is the first pulse felt. It is on the left side of your neck under your throat near the Adam’s apple and/or upper trachea (for females). Another artery that is felt is…

Pulmonary:
No signs of respiratory distress. Decreased breath sounds bilaterally, with no wheezing, crackles, rales or rubs. No tenderness on palpation. Cardiovascular:
 On auscultation of sternal border: RRR with no murmur, clicks, rubs, splitting or abnormal sounds noted. (Placement of cardiac electrodes prevented visualization and palpation of the aortic, pulmonary, and mitral areas; PMI not identified). No carotid bruit detected on auscultation. Carotid, brachial and radial pulses…

Objective: The purpose of this case study is to shed light on a deltoid sprain and a syndesmosis joint sprain in a Division III college level football player. It will include the mechanism of the injury, how the Athletic Trainers diagnosed the injury, and how the Athletic Trainers treated this injury. Background: The injury occurred during the third game of the season. The athlete was on the ground during a play and another player had stepped on his foot while it was planted in the turf. The…

performing complete range of motion in her left shoulder. The main nursing diagnosis that I selected for my client is impaired physical mobility related to pain and musculoskeletal impairment as evidenced by swelling in the left shoulder, tenderness upon palpation, and limited range of motion of the left shoulder (Carpenito, 2013, p. 389). I selected this diagnosis because my client’s overall well-being would improve if she was not experiencing pain and discomfort throughout the entire day. My…

INTRODUCTION Idiopathic scoliosis is a three-dimensional spinal deformity that is characterized by significant curve progression during a growth spurt (1). The longitudinal growth plays an important role in the development and progression of idiopathic scoliosis (1). A histomorphic study of the vertebral endplates from IS patients confirmed a more active growth of the anterior column than the posterior column (2). This mainly affects young kids due to their bones not being fully formed and…

getting worse. Of note, patient has paralysis of the left lower leg since the last visit. Medication history includes Tylenol with codeine#3, 1-2 tablet at bedtime. On examination of the spine, midline lumbosacral spine tenderness is demonstrated. Palpation/compression of the sacroiliac joints are tender. Supine straight leg raise reproduces leg pain. Decreased or painful forward flexion is demonstrated and patient arises abnormally. Step length of gait is decreased bilaterally. Walking…

based on his decreased pain and his increased level of function. IW indicates his medication helps and is well tolerated. On examination of the lumbar spine, there is spasm noted in the bilateral paraspinous musculature. Tenderness was noted upon palpation in the spinal vertebral area L4-S1 levels. Range of motion was moderately limited secondary to pain. Pain was significantly increased with bending to the left, bending to the right, extension and…

Respiratory: Bilaterally clear to auscultation. Cardiovascular: S1 and S2 heard without extra sounds. No bruit. No edema. Abdomen: No distension or pulsation. + Bowel sounds, No bruits. On Percussion, ABD is tympanic. ABD is soft but tender to palpation in the RUQ. Liver span normal. The spleen is nonpalpable. No rebound tenderness. + Murphy sign. Neurologic: Recent memory intact. LABS/DIAGNOSTICS: None Assessment: 1) Biliary colic 2) acute cholecystitis 3) Cholelithiasis 4) GERD Plan:…

minute and oxygen saturation by pulse oximetry was 96% while he was put on oxygen through a non-rebreathing mask, chest auscultation was clear, abdominal examination revealed hypoactive bowel sound, pupils were 5 mm with sluggish response to light, palpation of the axillary skin showed it was dry, bedside glucose test was 6.8 mmol/L, electrocardiogram showed sinus rhythm, QTc by calculation using Bazett's formula was 462 ms, chest and abdominal X-rays were unremarkable, point-of-care tests of…