Palpation

Question 1

Palpation

Answer 1

• Means of using the hands to uncover and receive information without disrupting tissue
• Application of variable manual pressure at the surface of the body for the purpose of determining the shape, size, consistency, position, and inherent motility, of the structural condition of the tissues beneath
• Used to make medical decisions

Question 2

Active Motion

Answer 2

• motion of a joint produced voluntarily by the patient

Question 3

Passive Motion

Answer 3

• motion of a joint induced by the operator while the patient remains passive or relaxed

Question 4

Inherent Motion

Answer 4

• that spontaneous motion of every cell, organ, system, and their component units within the body

Question 5

Dominant Eye

Answer 5

• Properly helps with depth perception

- Place on the midline for diagnostic accuracy and consistency

Question 6

Somatic Dysfunction

Answer 6

• Injury (traumatic or postural)
• Reflexive (viscero-somatic, somato-somatic)
• Structural problem, articulating surfaces of the joints are changed in a position that is physiologically abnormal
• Normal range of motion is exceeded or restricted

Question 7

Osteopathic Structural Exam (OSE)

Answer 7

• The examination of a patient by an Osteopathic practitioner with emphasis on the neuromusculoskeletal system including palpatory diagnosis for somatic dysfunction within the context of total patient care
• After history and physical exam
• Red Flags are signs and symptoms that need further evaluation

Question 8

Static Evaluation

Answer 8

• No joint motion induced

- Assesses abnormal position, bony/soft tissue abnormalities, tenderness, temperature

Question 9

Dynamic Evaluation

Answer 9

• Joint motion is induced (active or passive)
• Assesses Restricted Range of Motion (ROM), pain, Crepitus (feeling of grinding, may or may not audible), joint popping or clicking (may or may not be audible)

Question 10

Structural Diagnosis

Answer 10

• Positional Diagnosis: Proper Osteopathic structural exam and manual medicine treatment are dependent upon: palpation, visual inspection, communication, knowledge of ab/normal structure, knowledge of disease

Question 11

Three Cardinal Steps of OMM***

Answer 11

1. Diagnosis
2. Treatment
3. Rechecking

Question 12

Palpation by layers

Answer 12

• Start with soft touch, then increased pressure
• Skin, subcutaneous tissue, muscles, organs, ligaments/tendons, bones
• Whole hand palpation
• Finger pads, back of hand, palm of hand

Question 13

Description: TART

Answer 13

• T = Tissue Texture Abnormality (TTA), including temperature changes
• A = Asymmetry: side to side differences
• R = Restriction of motion
• T = Tenderness: pain or senstivity
• Actual order is ATTR

Question 14

Tissue Texture Abnormality (TTA)

Answer 14

• Palpable change in tissues from skin to periarticular structures that represents any combination on the following describable palpatory signs (see slide)

Question 15

Acute v. Chronic SDs

Answer 15

Time:

• Acute: immediate or short-term impairment
• Chronic: longer term impairment

Severity: variable