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At least 253 records · Page 14Linked to original sources
PubMed2006

Office-based arytenoid palpation for diagnosis of disorders of bilateral vocal fold immobility.

Bilateral vocal fold immobility is an uncommon but serious condition with many causes. Accordingly, accurate diagnosis is essential in order to treat patients promptly and avoid long-term sequelae. Historically, diagnosis has been performed in the operating room with the patient under general anesthesia. We present the case of a patient who was diagnosed with bilateral vocal fold immobility by in-office arytenoid palpation that required only topical anesthesia of the larynx. The patient subsequently underwent appropriate treatment. In our opinion, office-based arytenoid palpation is a simple, safe, and accurate procedure for diagnosing bilateral vocal fold immobility.

Aged↗
PubMed1991

[B-image sonography in lymph node staging of the head and neck area. A comparison with palpation, computerized and magnetic resonance tomography].

The results of palpation, CT and MRI and high resolution ultrasound were compared in 100 patients with malignancy of the head and neck. Ultrasound detected far more lymph nodes than the other methods. These diagnostic findings were compared with the operative and histological results in 62 patients. Ultrasound proved superior to the other methods: a lymph node metastasis was missed in only 2 patients by sonography, whereas in 20 patients metastases were overlooked by CT and MRI scans, and in 27 patients by palpation. High resolution ultrasound is at present the most reliable method for the detection of lymph nodes in the head and neck.

Carcinoma, Squamous Cell↗
PubMed1990

Anatomy of the laryngeal and adjacent regions as perceived by palpation of clinically normal standing horses.

The anatomy of each feature and structure of the laryngeal and adjacent regions, as perceived by palpation, is described for clinically normal standing horses. Visible skin contours produced by some of the superficial structures are also described. Concurrent dissection was performed on fresh cadavers to confirm initial findings. The procedure of systematic palpation in relation to clinical diagnosis and surgical procedure is discussed.

Animals↗
PubMed1989

[Radioimmunologic determination of progesterone and rectal ovarian palpation in embryonic death in cows].

Repeated radio-immunological assays of progesterone in milk and ovary rectal palpation were used for indirect determination of embryonal mortality in cows. Milk sampling and rectal examination were made in the insemination period and then in two- to three-day intervals, mostly from the 21st day after insemination till the early pregnancy determination made after the 42nd day on the basis of the double wall phenomenon. Observation was made in 185 animals from two herds. Embryonal mortality was found in 9.06% out of 289 evaluated inseminations, which prolongs the oestral cycle over 25 days. The monitoring corpus luteum function in connection with rectal ovary palpation supplemented by oestrus, ovulation and insemination control enable a more objective indirect diagnosis of embryonal losses prolonging the oestral cycle.

Animals↗
PubMed1988

Self-palpation to assess cervical changes in relation to mucus and temperature.

Women experienced in cervical self-palpation recognize fertile characteristics when the cervix is high, open, soft, and straight; this happens under estrogenic influence. The cervix is said to show infertile signs when it is low, closed, firm, and lying against the vaginal wall; that change occurs quickly under progesterone influence. The objective of this study was to assess the time relationship among changes in the cervix observed by self-palpation, changes in cervical mucus as observed by women, and the shift in basal body temperature during ordinary cycles. A total of 215 symptothermal charts from natural family planning users were analyzed. The duration of the change from the maximum fertility characteristics to the postovulatory return to definite signs of infertility was measured. This duration ranged from 1 to 7 days, with a mean of 2.65. The timing of maximum fertility signs in the mucus was compared with that of maximum fertility signs in the cervix: it varied from 3 days before to 6 days after, with a mean of 0.48 day. The timing of the first high temperature was compared with that of return to definitely infertile characteristics: it varied from 6 days before to 3 days after, with a mean of -0.69 day. Some of the variation may be due to the presence of inexperienced users in the sample. However, a mean difference of half a day between the most fertile cervix and the most fertile mucus on one hand and between the first day of infertile cervix and the first high temperature on the other hand suggest that the cervical changes could be useful indicators of estrogen and progesterone actions.

Adult↗
PubMed1988

Concordance between galvanic skin response and spinal palpation findings in pain-free males.

The concordance between areas of paraspinal low resistance, i.e., galvanic skin response (GSR) and positive palpatory findings in pain-free male subjects was investigated. The concordance between vertebral segments implicated by GSR and by palpation was not found to be significantly different from chance concordance as determined by a t-test comparison of experimental results to randomly generated simulations, and by the application of Cohen's Kappa index of concordance to experimental data. This was true even when the locations of low resistance areas along the dorsal trunk were compared to only those vertebral palpatory findings rated as "severe." When test-retest reliability of GSR was examined, only 27% of vertebral segments implicated by GSR on initial examination were also implicated in the same subjects 4 h later. It was noted that low resistance areas detected by GSR were always punctate in nature and appeared to correspond well to known acupuncture loci. Further investigation revealed that, indeed, the GSR unit was not only effective in locating those acupuncture points that happened to be in a state of lowered resistance at the time but was also able, within about 5 sec, to decrease the resistance of any particular point not already in its lowest state of resistance to a level sufficient to generate a positive and persistent GSR reading where none had been detected previously. It is suggested that GSR may not be a reliable predictor of the location of vertebral pathology, at least as assessed by palpation in pain-free subjects.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗
PubMed1987

Transient focal cerebral ischemia resulting from digital palpation of the carotid artery in the neck.

Complications of digital palpation of the carotid artery in the neck are uncommon. They include cardiac arrhythmias and cerebral ischemic events. A 65-year-old woman experienced transient paralysis of the left arm immediately after palpation of the right carotid artery; at surgery, a friable, atherosclerotic plaque was removed from the bifurcation of the artery. The most likely cause of a transient neurologic deficit after digital manipulation of the carotid artery in the neck is an embolus from an atherosclerotic carotid plaque. The authors review the literature on the frequency and pathogenetic mechanism of this complication.

Aged↗
PubMed1985

[Comparison of the diagnostic possibilities of palpation of the abdominal cavity and ear acupuncture in diseases of the gastrointestinal tract in dogs].

The diagnostic possibilities of the use of palpation and auriculodiagnosis were compared in 89 and 78 dogs with clinical signs of gastritis acuta, gastroenteritis acuta, and gastroenteritis acuta haemorrhagica. A significant difference in the success of diagnosis in favour of auriculodiagnosis was confirmed by the statistical evaluation of the results. The best results were obtained when gastritis acuta was diagnosed: auriculodiagnosis was successful in 100% of the cases, in contrast to palpation which was successful in 33.3% of the cases. The objectivity of detection painfulness and the decrease of relative skin resistance were secured by the use of an atraumatic electrode. The results which are of primary importance in veterinary medicine agree with similar findings in human clinical acupuncture.

Abdomen↗
PubMed1981

Scrotal palpation.

Proper examination of the scrotum consists of inspection, palpation and, if indicated, transillumination. Inspection may reveal the hypoplastic appearance of an undescended testicle; enlargement caused by a testicular mass; the "bag of worms" signifying a varicocele; findings typical of torsion of the spermatic cord, or the "blue dot" sign, which indicates torsion of the appendix testis or appendix epididymis. During palpation, the testis must be differentiated from the epididymis.

Cryptorchidism↗
PubMed1995

Evaluation of the benefits of the timing of pregnancy testing by transrectal palpation in dairy cattle.

OBJECTIVE: To determine the benefits that were associated with pregnancy testing by use of transrectal palpation during the period 30 to 65 days after unsuccessful insemination of dairy cows. DESIGN: Nonconcurrent, cohort study. ANIMALS: Cows in 15 dairy herds in the United States and Canada. PROCEDURE: Reproductive records of cows (n = 713) that did not calve within 294 days of first-service insemination and that had been evaluated for pregnancy 30 to 65 days after first-service insemination were examined. Records were analyzed to determine the day of parturition or date of culling and to determine if the probability of a cow being culled or the interval to parturition was related to the number of days after insemination that pregnancy testing was performed. RESULTS: For cows that calved more than 294 days after first-service insemination, the interval from first-service insemination until parturition was associated significantly with herd, season, and treatment on the day of pregnancy testing with prostaglandin F2 alpha or one of its analogues. Cows treated with prostaglandin F2 alpha on the day of pregnancy testing were less likely to be culled than nontreated cows. For cows pregnancy tested 30 to 65 days after insemination, each additional day after day 30 before pregnancy testing was performed resulted in an increase of 1.09 days in the interval until parturition. CLINICAL IMPLICATIONS: Pregnancy testing by means of transrectal palpation as soon as possible after day 30 after insemination can result in shorter calving intervals.

Animals↗
PubMed1993

[Palpation and sonographic evaluation of the size of the thyroid gland].

The author compared in 88 13-year-old children evaluation of the size of the thyroid gland by palpation and sonography. Evaluation by the two methods was in agreement in 64 cases (73%) and controversial in 24 cases (27%). Palpation led in 24 instances to overestimation of the size and in 7 children (8%) to underestimation, as compared with sonography. Sonography is an essential method for evaluation of the thyroid gland in children.

Adolescent↗
PubMed1993

Accuracy and reproducibility of precordial percussion and palpation for detecting increased left ventricular end-diastolic volume and mass. A comparison of physical findings and ultrafast computed tomography of the heart.

OBJECTIVE: To assess the accuracy and reproducibility of indirect definitive precordial percussion in detecting increased left ventricular end-diastolic volume (LVEDV), left ventricular mass (LVM), and left ventricular end-diastolic wall thickness (LVEDWT), and to compare it with palpation of the apical impulse. DESIGN: Descriptive study. SETTING: Hospitals and clinics of a university medical center. PATIENTS: Convenience sample of 103 patients (62 men and 41 women) referred for ultrafast computed tomography (CT) of the heart. INTERVENTIONS: Percussion dullness distance from the midsternal line in the left fourth through sixth intercostal spaces, distance of the apical impulse from the midsternal line, and apical impulse diameter in the left lateral decubitus position were measured on all patients. Measurements of LVEDV, LVM, and LVEDWT were taken using ultrafast CT of the heart. Investigators performing the physical diagnostic maneuvers were blinded to the clinical history and CT results, and investigators performing the CT scans were blinded to physical findings. RESULTS: Percussion dullness distance in the left fifth intercostal space was the best discriminator of LVEDV (receiver operating characteristic [ROC] area, 0.680; 95% confidence interval [CI], 0.547 to 0.813), and dullness distance in the left sixth intercostal space was the best discriminator of LVM and LVEDWT (ROC areas, 0.831, 95% CI, 0.674 to 0.988; and 0.849, 95% CI, 0.651 to 0.999, respectively). A percussion dullness distance of greater than 10.5 cm in the left fifth intercostal space detected increased LVEDV or LVM with a sensitivity of 91.3% (95% CI, 70.5% to 98.5%) and a specificity of 30.3% (95% CI, 19.9% to 43.0%). There was moderate concordance between investigators for percussion dullness distance (kappa, 0.57; 95% CI, 0.18 to 0.96). In patients in whom an impulse was palpated, an apical impulse diameter of greater than 3.0 cm in the left lateral decubitus detected increased LVEDV or LVM with a sensitivity of 100% (95% CI, 77.1% to 100%) and a specificity of 40% (95% CI, 23.2% to 59.3%). However, an impulse was palpable in only 53% of cases and showed only slight interobserver reproducibility (kappa, 0.18; 95% CI, 0.0 to 0.58). CONCLUSION: Indirect definitive percussion of the precordium is a sensitive and moderately reproducible maneuver for excluding cardiomegaly due to increased LVEDV or LVM. Although measurement of apical impulse diameter was also sensitive in excluding cardiomegaly, lack of a palpable impulse in many patients and low precision between physicians may limit its utility in clinical practice.

Cardiomegaly↗
PubMed1998

How effective is manual palpation in detecting subtle temperature differences?

In the management of diabetic, neuropathic sequelae, namely ulceration and Charcot's arthropathy, appropriate quantification of inflammation is critically important in predicting future events and charting current progress. This article evaluates the ability of the physician to quantify subtle differences in temperature through manual palpation. The "laying on of hands" in a clinical setting is a necessary, crucial component of the doctor-patient relationship; however, our data suggest that manual palpation, even in a controlled environment, may not be an objective means to assess temperature, a cardinal sign of inflammation.

Adult↗
PubMed1982

Pregnancy diagnosis in swine: A comparison of the technique of rectal palpation and ultrasound.

The accuracy of pregnancy diagnosis in swine by rectal palpation and by ultrasound was compared using sows and gilts thirty days or more after breeding. A total of eighty-four pigs were included in this experiment and they were examined an average of thirty-nine days following breeding. Forty-nine animals were slaughtered within a few days of pregnancy examination and thirtyfive were allowed to farrow. Pregnancy status was correctly diagnosed by palpation per rectum in eighty-three of the eighty-four pigs (98.8%) and by ultrasound in eighty-one of the eighty-four pigs (96.6%) examined. The accuracy of the two methods was not significantly different.

Journal Article↗
PubMed1989

The predictive value, sensitivity and specificity of palpation per rectum and transrectal ultrasonography for the determination of bovine luteal status.

Luteal status (classifications 1 and 3 = high progesterone levels, 2 and 4 = low progesterone levels) was diagnosed in randomly cyclic Holstein cows, using palpation per rectum and B-mode transrectal ultrasonography, respectively. The results were compared in 2x2 contingency tables with radioimmunoassay (RIA) classifications. Cows with milk progesterone levels of 5.0 ng/ml or higher were classified high and cows with levels below 5.0 ng/ml of progesterone were low. The predictive value, sensitivity and specificity results were 1) 88.2, 68.2 and 88.9% for Classification 1; 69.6, 88.9 and 68.2 for Classification 2; 90.9, 83.3 and 87.5 for Classification 3; and 77.8, 87.5 and 83.3 for Classification 4. Within each test, the diagnosis of high progesterone status was more accurate than of low status. The types of errors are discussed. A correlation coefficient of 0.68 resulted between RIA progesterone concentration and ultrasonographic luteal diameter. Ultrasonography was a better diagnostic test than palpation per rectum.

Journal Article↗
PubMed1988

Increase of pregnancy rate in dairy cattle after preovulatory follicle palpation and deep cornual insemination.

A total of 334 first-service lactating cows in natural estrus were used in the study. Semen was deposited into the uterine body of 174 cows and deep into the uterine horn ipsilateral to the side of impending ovulation of 160 cows. In both groups, insemination was performed within the interval of 50 to 100 d postpartum at 8 to 15 h after estrus detection and after preovulatory follicle palpation. Pregnancy rates were determined by palpation per rectum 50 d post insemination. The pregnancy rate was higher (P < 0.05) for deep uterine horn insemination (70.62%) than for uterine body insemination (60.34%).

Journal Article↗
PubMed2001

Accuracy of mammography and echography versus clinical palpation in the assessment of response to primary chemotherapy in breast cancer patients with operable disease.

The response to primary chemotherapy is an important prognostic factor in patients with non metastatic breast cancer. In this study we compared the assessment of response performed by clinical palpation to that performed by echography and mammography in 141 out of 157 consecutive breast cancer patients (T2-4, N0-1, M0) submitted to primary chemotherapy. A low relationship was recorded between tumor size assessed clinically and that evaluated by either mammography: Spearman R = 0.38 or echography: R = 0.24, while a greater correlation was found between the tumor dimension obtained by the two imaging techniques (R = 0.62). According to the WHO criteria, the grade of response of breast cancer to primary chemotherapy, showed by mammography and echography, was less marked than the grade of response seen at clinical examination. Residual tumor size assessed clinically depicted a stronger correlation with pathological findings (R = 0.68) than the residual disease assessed by echography (R = 0.29) and mammography (R = 0.33). Post-chemotherapy histology evaluation revealed pathological complete response in three cases (2.1%). Two of these cases were judged as complete responders by clinical palpation but only one was recognized by mammography, and none by echography. Clinical response, but not the response obtained by the two imaging techniques, was a significant predictor for longer disease free survival (p = 0.04). To conclude, physical examination measurements remain the method of choice in evaluating preoperatively the disease response in trials of primary chemotherapy. Prediction of pathological outcome is not improved by echography and mammography.

Adult↗