Exam 6: Assessment Techniques and the Clinical Setting
Differentiate between light, deep, and bimanual palpation.
Light palpation is used to evaluate surface characteristics and identify any areas of tenderness. Deep palpation is used to palpate an organ or mass deeper within a body cavity. Bimanual palpation is the use of both hands to envelop or capture certain body parts or organs, such as the kidneys.
Describe the use of palpation as a physical examination technique.
Palpation is the use of touch to determine the texture, size, consistency, and location of body parts. Temperature, moisture, change in size, vibrations, pulsations, rigidity or spasticity, crepitation, presence of lumps or masses, and the presence of tenderness or pain may also be found.
Describe direct and indirect percussion.
Direct percussion, most commonly used to assess the adult sinuses and thorax of an infant, is the technique of striking the finger or hand directly against the body. With indirect percussion the examiner's interphalangeal joint is placed firmly against the patient's skin with the remainder of the hand lifted off the skin. The middle finger of the dominant hand is used as the striking force (plexor). The striking finger, using the action of the wrist, hits directly at right angles to the stationary finger on the portion in contact with the skin surface. Note: To elicit the best tones and to avoid pain, short fingernails are a must.
Relate the parts of the hands to palpation techniques used in assessment.
Identify the equipment needed for the screening physical examination.
Discuss appropriate infection control measures used to prevent spread of infection.
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