{"id":384,"date":"2010-12-02T13:54:36","date_gmt":"2010-12-02T13:54:36","guid":{"rendered":"https:\/\/cloverock.info\/mockosce23\/new\/pain-upon-palpation\/"},"modified":"2023-01-11T22:47:51","modified_gmt":"2023-01-11T22:47:51","slug":"pain-upon-palpation","status":"publish","type":"post","link":"https:\/\/www.qpercom.com\/sim\/index.php\/the-pulmonary-examination\/palpation\/pain-upon-palpation\/","title":{"rendered":"Pain upon palpation"},"content":{"rendered":"<p>If indicated on the basis of the history-taking, the thoracic wall can be examined for tender points by palpation (for example if a rib fracture is suspected). Palpate the thorax for bipolar and local tender points.<\/p>\n<h2>Procedure<\/h2>\n<p><iframe loading=\"lazy\" src=\"https:\/\/player.vimeo.com\/video\/122519002?dnt=1&amp;app_id=122963\" width=\"640\" height=\"480\" frameborder=\"0\" allow=\"autoplay; fullscreen; picture-in-picture\" allowfullscreen><\/iframe><\/p>\n<ul>\n<li>ask the patient to indicate whether they have pain anywhere and if so, where<\/li>\n<\/ul>\n<ul>\n<li>lay one hand on the sternum and the other on the spinal column, and compress briefly and with adequate pressure that potential bone fragments are pressed together [Figure 19]<\/li>\n<\/ul>\n<p><span class=\"jce_caption\" style=\"display: inline-block;\"><img loading=\"lazy\" decoding=\"async\" class=\" size-full wp-image-381\" style=\"margin: auto;\" src=\"https:\/\/cloverock.info\/mockosce23\/new\/wp-content\/uploads\/2010\/12\/Pulmonary_pu-fig-19.jpg\" alt=\"\" width=\"400\" height=\"294\" srcset=\"https:\/\/www.qpercom.com\/sim\/wp-content\/uploads\/2010\/12\/Pulmonary_pu-fig-19.jpg 400w, https:\/\/www.qpercom.com\/sim\/wp-content\/uploads\/2010\/12\/Pulmonary_pu-fig-19-300x221.jpg 300w\" sizes=\"auto, (max-width: 400px) 100vw, 400px\" \/><span style=\"width: 400px; display: block;\">Figure 19: Palpation of the thorax for bipolar and local tender points<\/span><\/span><\/p>\n<ul>\n<li>repeat the technique with both hands positioned on the lateral ribcage<br \/>\n[Figure 20]<\/li>\n<\/ul>\n<p><span class=\"jce_caption\" style=\"display: inline-block;\"><img loading=\"lazy\" decoding=\"async\" class=\" size-full wp-image-382\" style=\"margin: auto;\" src=\"https:\/\/cloverock.info\/mockosce23\/new\/wp-content\/uploads\/2010\/12\/Pulmonary_pu-fig-20.jpg\" alt=\"\" width=\"400\" height=\"294\" srcset=\"https:\/\/www.qpercom.com\/sim\/wp-content\/uploads\/2010\/12\/Pulmonary_pu-fig-20.jpg 400w, https:\/\/www.qpercom.com\/sim\/wp-content\/uploads\/2010\/12\/Pulmonary_pu-fig-20-300x221.jpg 300w\" sizes=\"auto, (max-width: 400px) 100vw, 400px\" \/><span style=\"width: 400px; display: block;\">Figure 20: Palpation of the thorax for bipolar and local tender points &#8211; the sides<\/span><\/span><\/p>\n<ul>\n<li>if needed, palpate the painful region with the finger tips and search for the area of maximum pain [Figure 21]<\/li>\n<\/ul>\n<p><span class=\"jce_caption\" style=\"display: inline-block;\"><img loading=\"lazy\" decoding=\"async\" class=\" size-full wp-image-383\" style=\"margin: auto;\" src=\"https:\/\/cloverock.info\/mockosce23\/new\/wp-content\/uploads\/2010\/12\/Pulmonary_pu-fig-21.jpg\" alt=\"\" width=\"400\" height=\"294\" srcset=\"https:\/\/www.qpercom.com\/sim\/wp-content\/uploads\/2010\/12\/Pulmonary_pu-fig-21.jpg 400w, https:\/\/www.qpercom.com\/sim\/wp-content\/uploads\/2010\/12\/Pulmonary_pu-fig-21-300x221.jpg 300w\" sizes=\"auto, (max-width: 400px) 100vw, 400px\" \/><span style=\"width: 400px; display: block;\">Figure 21: Palpation of the thorax for regional pain<\/span><\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>If indicated on the basis of the history-taking, the thoracic wall can be examined for tender points by palpation (for example if a rib fracture is suspected). Palpate the thorax for bipolar and local tender points. Procedure ask the patient to indicate whether they have pain anywhere and if so, where lay one hand on [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[28],"tags":[123],"class_list":["post-384","post","type-post","status-publish","format-standard","hentry","category-palpation","tag-the-pulmonary-examination"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Pain upon palpation - Qpercom | Skills in Medicine<\/title>\n<meta name=\"description\" content=\"Online Mock OSCEs with examiners, patient actors, instant results and personalised feedback. 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