Palpation

Anxiety. Mental apprehension frequently accompanied by somatic signs such as increased heart rate, palpations, and increased muscle tension. 

Tendinitis is an inflammatory painful tendon disorder which can be caused by quinolones. Typical cases are characterized by acute onset, palpation and sharp pain mostly of one or both Achilles tendons, but other tendons may also be affected. Magnetic resonance imaging (MRI) is used to support the diagnosis. Estimates for the incidence of quinolone-induced tendinitis range from approximately 1 100 to 1 10,000. The etiology remains unknown, concomitant... 

Extremely low blood pressure Tachycardia (heart rate > 100 bpm) Palpations %ncope (fainting)... 

URINARY RETENTION. If a patient receives a cholinergic drug for the treatment of urinary retention, die nurse palpates die abdomen in the pelvis area to determine if distention is present. A rounded swelling over die pelvis usually indicates retention and a distended bladder. The patient may also complain of discomfort in the lower abdomen. In addition, die nurse takes die patient s blood pressure and pulse rate... 

If a cholinergic drug is ordered for the prevention of urinary retention, die nurse measures and records the fluid intake and output. If die amount of each voidingis insufficient or die patient fails to void, the nurse palpates the bladder to determine its size and notifies the primary healdi care provider. 

Nausea and vomiting may occur with the administration of an analeptic therefore, the nurse should keep a suction machine nearby should vomiting occur. Urinary retention may be seen with the administration of doxapram therefore, the nurse measures intake and output and notifies the primary health care provider if the patient is unable to void or the bladder appears distended on palpation. 

Oxytocin may be given IM after delivery of the placenta The nurse obtains the blood pressure, pulse, and respiratory rate every 5 to 10 minutes after the drug is administered. The nurse palpates the patient s uterine fundus for firmness and position. The nurse immediately reports any excess bleeding to the primary health care provider. 

The nurse notifies the primary health care provider if milk drips from the breast before or after breastfeeding or if milk drips from the opposite breast during breastfeeding because there would be no need to continue drug therapy. The primary health care provider is notified if nasal irritation, palpations, or uterine cramping occurs. 

General interventions, such as increasing the fluids in the diet, allowing for adequate rest, and keeping the atmosphere quiet and nonstimulating, may be beneficial. The primary health care provider may prescribe acetaminophen, every 4 hours, to control these reactions. Local irritation at the injection site may be treated with warm or cool compresses, depending on the patient s preference. A lump may be palpated at the injection site after a diphtheria, pertussis, tetanus (DPT) injection or other immunization. This is not abnormal and will resolve itself within several days to several months. 

In this chapter, AFM palpation was introduced to verify the entropic elasticity of a single polymer chain and affine deformation hypothesis, both of which are the fundamental subject of mbber physics. The method was also applied to CB-reinforced NR which is one of the most important product from the industrial viewpoint. The current status of arts for the method is still unsophisticated. It would be rather said that we are now in the same stage as the ancients who acquired fire. However, we believe that here is the clue for the conversion of rubber science from theory-guided science into experiment-guided science. AFM is not merely high-resolution microscopy, but a doctor in the twenty-first century who can palpate materials at nanometer scale. 

Nodular hyperplasia of the prostate is usually associated with a normal serum acid phosphatase activity. Complications such as acute urinary obstruction or prostatic infarction will elevate this serum activity for several days as will cystoscopy and catheterization (98). Digital palpation of the prostate may result in an elevation which subsides within a few hours. 

Palpation of the abdomen may reveal left lower quadrant tenderness, which may indicate a tender sigmoid colon. 

VS Blood pressure 125/75 mm Hg, pulse 84 beats per minute, temperature 37.3°C (99.1 °F), respiratory rate 18/minutes, oxygen saturation 98% on room air CV RRR, no murmurs, rubs, or gallops Chest CTA bilaterally, no crackles or wheezes Abd Tense, distended abdomen that is tender to palpation, decreased bowel sounds, (+) hepatosplenomegaly Exts 2 + pedal pulses, 2+ pitting edema... 

Abd Mildly distended, tender to deep palpation, decreased bowel sounds, (+) hepatosplenomegaly and fecal occult blood test... 

Gyn Normal external appearance of labia minora and majora, vaginal walls within normal limits, cervix well visualized and without lesions, midposition uterus, no cervical motion tenderness, no adnexal masses palpated... 

BPH is present as microscopic disease in many elderly males.1 The prevalence increases with advancing patient age. However, only about 50% and 25% of patients with microscopic BPH disease develop an enlarged prostate on palpation and clinical voiding symptoms, respectively.2 It is estimated that 25% of males 40 years of age or more have voiding symptoms consistent with BPH,3 and 20% to 30% of all male patients who live to the age of 80 years will require a prostatectomy for severe voiding symptoms of BPH. 

Digital rectal exam of Prostate is palpated Prostate is soft, symmetric, Prostate is enlarged, greater than 20 g ... 

Eye will be harder on palpation through closed eyelid. 

May present with high fever with significant leukocytosis with left shift, anemia, elevated alanine aminotransferase, and dull abdominal pain on palpation... 

Aggravated by movement, supine positioning, coughing, sneezing, neck flexion, straight-leg raise, Valsalva maneuver, and palpation of spine... 

A 2.%i fear-old female complains of increasing anxiety and restlessness. Physical examination reveals tachycardia and tremors. Palpation of the neck reveals a 3-cm nodule on her thyroid gland. While awaiting laboratory confirmation of the diagnosis, she is given a drug that diminishes her tachycardia and tremors. 

On examination, joint swelling may be visible or may be apparent only by palpation. The tissue feels soft and spongy and may appear erythematous and warm, especially early in the course of the disease. Chronic joint deformities commonly involve subluxations of the wrists, metacarpophalangeal joints, and proximal interphalangeal joints (swan-neck deformity, boutonniere deformity, ulnar deviation). 

Clinical signs of improvement include reduction in joint swelling, decreased warmth over actively involved joints, and decreased tenderness to joint palpation. 

Cardiovascular Palpation of cardiac region Stokes breathing, Kussmaul breathing Thrill, bradycardia, arrhythmia,... 

Physical examinations of monkeys are usually conducted no more than once a week and generally consist of the measurement of rectal temperature, observation of general demeanor, palpation of the head, thorax, and abdomen, examination of eyes, ears, and bodily orifices, as well as testing of the pupillary and patellar reflexes. 

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