中国医科大学：《诊断学》课程教学课件（PPT讲稿）palpation

The Physical Examination of Abdomen 2nd Affiliated Hospital China Medical University 内科郑长青

The Physical Examination of Abdomen 2 nd Affiliated Hospital China Medical University 内科 郑长青

Palpation

Palpation

Palpation is the most important in examination of abdomen. The preparation of patient: with the patient in supine position,the head should be elevated on a pillow,patient's arms relax at the two sides of the body,flex his thighs and knees,relax his abdominal muscles

Palpation is the most important in examination of abdomen. The preparation of patient: with the patient in supine position, the head should be elevated on a pillow, patient’ s arms relax at the two sides of the body, flex his thighs and knees, relax his abdominal muscles

According to different parts and organs of examination,the patient can be in right lateral decubitus position such as the examination of spleen,or standing position such as the examination of kidney

According to different parts and organs of examination, the patient can be in right lateral decubitus position such as the examination of spleen, or standing position such as the examination of kidney

The position of doctor the doctor stands at the right side of patient,warm hands,use your palmar aspect of fingers examine gently and lightly from superficial to deep,and from healthy part to lesion area

The position of doctor the doctor stands at the right side of patient, warm hands, use your palmar aspect of fingers examine gently and lightly from superficial to deep, and from healthy part to lesion area

The sequence of palpation usually the sequence of palpation is contraclock direction: left lower left lumber left upper epigastric right upper right lumber right lower hypogastric umbilical

The sequence of palpation usually the sequence of palpation is contraclock direction: left lower left lumber left upper epigastric right upper right lumber right lower hypogastric umbilical

the palpating methods 1、浅部触诊法 (light palpation) 2、深部触诊法 (deep palpation) (I).深部滑行(deep slipping palpation ) (2).双手触诊法 (bimanual palpation) (3).深压触诊法 (deep press palpation) (4).冲击触诊法 (ballottement)

the palpating methods 1、浅部触诊法 （light palpation） 2、深部触诊法 （deep palpation） (1).深部滑行 （deep slipping palpation ） (2).双手触诊法 （bimanual palpation） (3).深压触诊法 （deep press palpation） (4).冲击触诊法 （ballottement）

Abdominal palpation -light palpation

Abdominal palpation -light palpation

Light palpation

Light palpation

Deep palpation

Deep palpation