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COVID-19 Pandemic and Traditional Chinese Medicines
Published in Hanadi Talal Ahmedah, Muhammad Riaz, Sagheer Ahmed, Marius Alexandru Moga, The Covid-19 Pandemic, 2023
Roheena Abdullah, Ayesha Toor, Hina Qaiser, Afshan Kaleem, Mehwish Iqtedar, Tehreema Iftikhar, Muhammad Riaz, Dou Deqiang
Palpation is examination of body by feeling specifically the wrist pulse, abdomen, and meridian points in body. Different type of pulses like choppy, rapid, strong, slow, weak, shallow, etc., after examination of wrist pulse at various points provide insight to physical and mental condition of the patient. During abdominal examination, TCM practitioner looks for tender or painful areas along with hot or cold, sweaty, swollen, and discolored areas to gain insight into the condition of body [17, 18].
Patient history and physical examination
Published in Peter Houpt, Hand Injuries in the Emergency Department, 2023
The classic fracture symptom, pain on axial compression, is often not present in hand fractures (condylar fractures, avulsion fractures). Pain on palpation is present. Crepitation should not be actively searched for in case a fracture is suspected.
Nutrition-Focused Physical Exam
Published in Praveen S. Goday, Cassandra L. S. Walia, Pediatric Nutrition for Dietitians, 2022
Hanna Leikin, Merideth Miller, Sara Bewley
The nutrition-focused physical exam (NFPE) is a valuable part of a thorough nutrition assessment. The primary techniques used to assess fat stores and muscle mass in pediatrics are inspection and palpation. Inspection includes a general observation of the patient’s physical appearance. The dietitian should observe color, texture, size, and symmetry of body parts. Palpation requires hands-on examination of the body to evaluate texture, temperature, muscle rigidity, and skin hydration.
Physiotherapeutic assessment and management of overactive bladder syndrome: a case report
Published in Physiotherapy Theory and Practice, 2023
Bartlomiej Burzynski, Tomasz Jurys, Karolina Kwiatkowska, Katarzyna Cempa, Andrzej Paradysz
Assessment examination of the lumbopelvic hip complex was then carried out with the patient lying on her back and her lower extremities fully extended. The physiotherapist performed palpation assessment in the anterolateral abdominal wall area using both hands. Muscle tension and pain were evaluated. During palpation, the patient reported any pain and defined its intensity using the NRS. The physiotherapist assessed the following areas with results presented in parentheses: 1) musculus rectus abdominis at the level of umbilicus on the left side (7/10) and right side (7/10); 2) musculus psoas major on the left side (0/10) and right side (5/10); musculus iliacus on the left side (0/10) and right side (8/10); 3) musculus transversus abdominis in the middle of the line connecting the anterior superior iliac spine and public symphysis on the left side (4/10) and right side (8/10); and 4) Abdominal palpation showed abnormalities in the tension of muscles generating intra-abdominal pressure, which may cause symptoms of urgency.
Idiopathic Granulomatous Mastitis: Etiology, Clinical Manifestation, Diagnosis and Treatment
Published in Journal of Investigative Surgery, 2022
Yulong Yin, Xianghua Liu, Qingjie Meng, Xiaogang Han, Haomeng Zhang, Yonggang Lv
A mass with obscure borders in the upper outer quadrant of the breast of 30–45-year-old women is a common clinical presentation of IGM. The lesion usually occurs on one side, in any quadrant of the breast, but still mainly the upper outer quadrant [46]. The mass is usually soft in texture and may be accompanied by overlying skin erythema, orange peel-like skin changes, and even nipple inversion, which sometimes is difficultly discriminable from inflammatory breast cancer [47]. As shown in Figure 1, abscess, ulceration, and fistula or sinus formation often occur in severe or chronic cases. Armina et al. reviewed the clinical manifestations and treatment results of 474 patients with IGM. Skin changes and nipple inversion were found in 19.4% and 17.7% respectively, and the recurrence rate was significantly higher in patients with skin changes [38]. Kiyak found skin changes of IGM occurred principally in the upper outer quadrant and the areolar area (66%) [48]. However, diffuse lesions occurred in 30% of patients, making palpation difficult for breast masses [48]. Of note, many patients take anti-inflammatory drugs early in the course of these lesions, so inflammatory changes that occur at this stage may be subtle [35]. Typically occurring later, the extent of inflammatory changes may extend to enlargement of axillary lymph nodes, even to a diameter of 4 cm [34].
Manual therapy for work-related wrist pain in a manual physical therapist
Published in Physiotherapy Theory and Practice, 2021
Alexandra R. Anderson, Craig P. Hensley
The passive accessory motion was tested in a neutral wrist position. Hypermobility and crepitus were found at the radiocarpal joint in all directions on the involved side without pain. Anterior to posterior mobility of the triquetrum on the lunate reproduced the patient’s pain and was hypomobile. Intercarpal mobility throughout the remainder of the involved wrist was hypomobile and pain-free in both anterior to posterior and posterior to anterior directions, except at the scapholunate joint where hypermobility was found in both directions. Passive physiological movement revealed hypermobility of the radiocarpal joint into flexion and extension and hypomobility of distal on proximal carpal row into flexion and extension. The patient denied joint line tenderness, ligamentous tenderness, or muscular/tendon tenderness of the wrist flexors and extensors. It should be recognized that while reliability and validity of joint mobility testing at the wrist has not been tested, both reliability in the lower extremities (van Trijffel, van de Pol, Oostendorp, and Lucas, 2010) and validity in the spine (Landel et al., 2008) have been questioned. Palpation was pain-free throughout bilateral wrists.