Palpation

Note any heat, tenderness, swelling, or masses. Joints normally not tender to palpation. If any tenderness does occur, try to localize it to specific anatomical structures (e.g., skin muscles, bursae, ligaments, tendons, fat pads, or joint capsule) (Jarvis, 2014). Range of Motion 1. Ask for active ROM while stabilizing the body area…

healed. On examination, the second MP joint is painful to palpate and move. The IW is able to grip ground with the second toe on the left foot. The left ankle is painful posteriorly behind the fibular bone of the peroneal tendons. There is pain to palpation. When asked to evert the foot, the IW has a difficult time moving the foot into eversion due to injury to the peroneal brevis tendon. The sinus tarsi area is swollen and painful, as a result of abnormal gait. IW is overpronated on the left…

tarsi and anterior talofibular ligament. Active range of motion shows dorsiflexion of -10 degrees. The left anterior drawer has a stability of 1+. Sensation is decreased at the superficial peroneal and saphenous nerves. There is tenderness upon palpation of the lateral left calcaneus over the skin graft, which is unchanged. The posterior heel has a “Free Flap” healed and benign. Gait is antalgic. Patient ambulates with a cane. Patient was diagnosed with closed fracture of the metatarsal bone and…

five injections in the shoulder as well as physical therapy over 10 sessions. The patient is currently taking levothyroxine, Oracea and ranitidine. On examination of the right shoulder, there is positive pain over the acromioclavicular joint with palpation. Active forward elevation is 120 degrees. Active external rotation is 40 degrees. Abduction is 100 degrees. Internal rotation is to L3. There is positive pain with impingement profile with positive Neer’s and Hawkin’s tests. She has a…

DOI: 07/23/2002. This is a case of 57-year-old male custodian who sustained injury to his low back while lifting wrestling mats. The patient was subsequently diagnosed with radiculopathy, lumbosacral region; myalgia; and long term (current) use of opiate analgesic. As per office notes dated 5/9/16, the patient complained of chronic pain in his lumbar spine. He states that the pain increases with activity. He needs Tramadol occasionally to control his pain and perform his work duties. He…

In medical school, Dr. Ostrea said, they were taught that when examining a patient, there are three techniques: palpation, percussion and auscultation. This means touching a patient to feel for bumps, bruises, textures growths or abnormalities in organs or body parts and listening to unusual sounds inside and outside a patient’s body. These can be performed either…

1. Fatigue and dyspnea on exertion are two common symptoms associated with mitral valve dysfunction. Many patients may not even show any signs and symptoms in the initial years except tiredness and fatigue. According to Shipton & Wahba, signs and symptoms of mitral dysfunctions include dyspnea on exertion, palpitations, orthopnea, chest discomfort, paroxysmal nocturnal dyspnea, and eventually leading to signs of right-sided heart failure. Although, mitral dysfunctional may be…

DIAGNOSIS: Cervical spine HNP Left Shoulder Bursitis 12/12/15 Progress Report described that the patient presentd with neck pain 8/10-scale level, left shoulder pain 7/10-scale level and low back pain 6/10-scale level. The exam revealed tenderness to palpation over the cervical spine, lumbar spine and left shoulder. There were spasms noted and decreased ROM over lumbar spine, cervical spine and left shoulder. Treatment plan included medications, PT and chiropractic. Follow-up is in 4 weeks.…

Assessment of the neck and lymph nodes showed no swelling of the thyroid glands and the lymph nodes. Client also stated no pain in these areas. The ears were symmetrical and did not have any lesions, tenderness, drainage or pain upon inspection and palpation. Romberg test was performed and client displayed normal equilibrium (D’ Amico & Barbarito, p.327,…

The tools needed for the assessment is a perceptive visual inspection, hands for palpation, and a two part stethoscope with a diaphragm to hear high sounds and bell to hear lower sound for auscultation. Hand washing, self-introduction, and explanation of the assessment procedure is always part of any assessment; place the client in a 30…