Palpation

103/57, pulse 78, respirations right around 18, O2 sats 97%, temperature is 97 degrees. HEENT: All within normal limits. Pulmonary was clear. Cardiovascular: Regular rate and rhythm without murmur. Severe pain over the mid epigastric region on palpation. Abdomen itself positive bowel sounds, no rebound. I also failed to mention that two years ago patient told me that he went into the Fairmont Hospital and was told that he had a gallbladder that needed to come out, but doctor gave him…

On palpation, paravertebral muscles, spasm and tenderness is noted on both sides. Spinous process tenderness is noted on L4 and L5. Diagnoses include chronic pain syndrome, lumbar radiculopathy, cervicalgia, low back pain and ankle and foot synovitis/tenosynovitis…

the patient. Moreover, therapist should also ask for any other history of diseases related to metabolic syndrome is present or not. For example, micro macro vascular diseases, arthrosclerosis, neuropathy, heart attack, stroke, diabetes etc. So physical therapist can make proper treatment program according to them. 41 Family history: Physical therapist should ask some questions related to family members to the patient. It is possible that other close family members will have it to i.e. brother,…

In the United States, between 2004 and 2012, 27% to 38% of influenza associated pediatric deaths were attributed to IB although it only represented 18-26% of all circulating viruses [2, 5]. About half of these children did not have any known medical conditions. Therefore, IB may contribute to a higher attack rate among children and adolescents, than among adults, and infections may be more severe [1, 4, 5]. An influenza virus infection typically presents as general malaise with fever, headache,…

1. Auscultation method provides a closer to true value systolic blood pressure (SBP). Despite the existence of a potential auscultatory gap, where an underestimation of SBP can occur, crosschecking with the palpation method can eliminate this potential error. The palpation method as well is also subjected to many sources of error, such as strength of the pulse, location etc., and it requires the cuff to be more deflated, giving a lower systolic pressure reading, making it only a good estimate.…

partial squatting. Pain is described as sharp and stiff. Patient has limitations with prolonged walking, stairs, running and bending. On examination of the right knee, recurrent swelling is noted. There is infrapatellar tenderness during deep palpation. Tightness of the hamstring muscle is noted. Range of motion (ROM) shows flexion of 140 degrees and extension of 0 degrees. Stress testing shows 4-/5 with flexion and extension. Assessment is medial meniscus tear. Patient’s problems…

syndrome. As per medical report dated 2/22/16, patient complains of left shoulder pain with overhead use of the arm as well as when forward reaching, noting the moderate pain at the left elbow. Physical examination revealed moderate tenderness to palpation is noted anteriorly over the rotator interval and at the acromioclavicular joint. Active range of motion of the shoulder is full with forward flexion in the plane of the scapula to 170 degrees, external rotation of 80 degrees, and internal…

has recently gotten approval for L4-5 and L5-S1 transforaminal lumbar interbody fusion (TLIF). He is waiting for the letter. On examination, there is limited range of motion in regards to lumbar flexion and extension. There is some tenderness to palpation to the lumbar spine. Diagnoses are lumbar region intervertebral disc displacement and lumbar spondylosis without myelopathy and radiculopathy. It was noted that once he receives his approval letter, surgery will be scheduled. Per the IME…

Wednesday after school I observed our school athletic trainer for approximately an hour. During the hour he was not working much because winter sport season were ending so he helped any athletes who had injury that needed to be observed. While I was there, I saw a dancer get her big toe taped because she had turf toe, a hyperextension of the Hallicus. Before practice, two girl basketball players got their ankles taped because they recently rolled or sprained them. That day in sports medicine we…

Benign prostatic hyperplasia is diagnosed based on symptoms and physical examination. The palpation of an enlarged prostate on rectal examination is the classic feature. Your doctor will also likely order blood tests such as a CMP (comprehensive metabolic panel), CBC (complete blood cell count), and urine analysis. They may send urine for a bacterial…