Static Palpation Flashcards
What is the most sensitive part of the hand?
Thenar
Why do the thoracics often feel warm?
HEART!
What does a high transverse process indicate?
Side of body rotation
Where does spongy edema occur?
- where the nerve exits the spine, except L5 due to the wide TVPs
- in the thoracics, it may be present under the spinous
- center of sacrum
What is tone?
- tissue fullness and active resistance
- change in cell turgidity
- as it becomes chronic, it can lead to pitting edema
Is pitting edema the result of acute or chronic problem?
CHRONIC
Is edema palpable in a PI ilium?
YES
-Posterior & Superior aspect of the joint
Is edema palpable in the IN ilium?
NO
- Anterior aspect of the joint
- Patient may complain of groin pain
Is edema palpable in the EX ilium?
YES
-anywhere along the posterior aspect of the joint
What does the texture of a problem area feel like?
smooth & silky due to sudoriferous changes
What does the skin feel like over the spinous of a problem area?
Sticky
What is pitting edema?
- collagen breakdown in the skin
- due to inadequate nerve supply
- CHRONIC
What causes bilateral pitting edema?
- May be muscle insertion
- Esp. if T5 (rhomboid) or T12 (trapezius)
What are the 8 skin changes in STATIC palpation?
- Contour changes
- Pitting edema
- Spongy edema
- High transverse process
- Texture
- Temperature
- Tone
- Tenderness
What is dishing?
- flatness in thoracics
- compensation due to posterior vertebra below
