Organ palpation

Organ palpation is a method of physical examination using a doctor's finger or touch, and an auxiliary examination method for checking whether the organ is normal. Physically characterized by body surface (skin and subcutaneous tissue, etc.) and organs (heart, lung, liver, spleen, kidney, uterus, etc.) by touch, touch, press, and pressure; such as size, contour, hardness It can help doctors to provide an intuitive and important basis for the detection of lesions and organs. At the time of palpation, it is necessary to closely combine the anatomical parts with the relationship between organs and tissues for analysis. Palpation can be used to examine any part of the body and is especially important during abdominal examinations. Basic Information Specialist Category: Inspection Category: Other Inspections Applicable gender: whether men and women apply fasting: not fasting Tips: Check with your doctor. Normal value Physical characteristics of body surface (skin and subcutaneous tissue, etc.) and organs (heart, lung, liver, spleen, kidney, uterus, etc.) do not cause pain when palpation or normal organs and body surface; The profile is moderate, the hardness is moderate, there is no tenderness, no movement and fluidity. Clinical significance Abnormal results The physical characteristics of the body surface (skin and subcutaneous tissue, etc.) and organs (heart, lung, liver, spleen, kidney, uterus, etc.) may cause pain during palpation or the organ and body surface may differ greatly from normal; Such as size, contour, hardness, tenderness, mobility and fluidity, it can help doctors to provide an intuitive and important basis for the detection of lesions and organs. Regular physical examination items for people who need to be examined, abnormal abdominals. Precautions During the examination, the patient should take the supine position and flex the lower limbs to make the abdominal muscles relax and palpate. You can take the right lateral position to palpate the spleen; take the upright position, the upper body leans forward to touch the kidney. When palpation, the examiner should place the entire palm flat on the patient's abdomen, the hand should be warm and the movement should be light. If the hand is too cold or too strong, it can cause tension in the abdominal muscles, making the palpation check not smooth. Inspection process Depending on the purpose of the inspection, the inspected person takes a different position. If you take the supine position examination, the head cushion is low pillow, the two hands are naturally placed on both sides of the trunk, the two lower limbs are flexed and slightly separated, and the abdominal breathing is performed in a calm state to relax the abdominal muscles and move the underarm organs up and down; In the liver and spleen, the left and right lateral positions can be used separately; when the kidney is examined, the sitting position or standing position can be used; when the abdominal tumor is examined, the elbow and knee position can be used. Palpation should start from the normal site, gradually move to the lesion area, and finally check the lesion, check the tenderness and rebound pain should be placed at the end. Generally, the routine physical examination starts from the left lower abdomen, and in the counterclockwise direction, from bottom to top, first left and right, from shallow to deep, the abdominal area is carefully palpated, and the lesion area and the healthy part are compared. Patients should be taught to perform deep and uniform abdominal breathing before palpation. Pay attention to the patient's expression when checking, especially to check tenderness and rebound pain. Not suitable for the crowd Inappropriate people: Basically no suitable for the crowd, but people with mental disorders should pay attention.

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