If it's wider than that, you could have a problem such as an aneurysm. Your healthcare provider also looks for tenderness or pain that you might feel when they briefly push in and then quickly lift their hands off your stomach.
Such pain means that the membrane that lines the belly cavity is inflamed. This often happens when the appendix is diseased.
It also happens when the bowel has a hole, or you have inflammation in the lining of the belly. Your provider can often feel whether certain internal organs such as the liver, spleen, or uterus are larger than normal. The next step is finding the reason for the enlargement.
It may possibly be disease. Percussion means tapping the belly and listening to the tone of different sounds. When a healthcare provider taps just below the rib cage, they can hear the sounds made by a normal liver. Why is the physician poking the patient?
Why begin near the foot? Kanha Profile bio tidbit goes here. Answerbag is for entertainment, so please be civil. For medical advice, always consult your medical doctor,. Discussion of suicide or self-harm is not tolerated and will result in an immediate ban. Please seek professional guidance. T o test for nerve sensation. A lot of nerves end up in the foot and it gives them an idea of where an injury to these nerves may be.
Once again, I donated blood for testing and underwent a more elaborate CT scan. Not on your life. The surgeon gave me another tummy-squish, and my regular doctor listened to my heart and lungs. He's a pretty nice guy, so I asked him: "Why don't doctors conduct physical exams of their patients anymore?
Technology only partly explains why touching patients seems to be going the way of the buggy whip. There are time pressures. The average length of a doctor's appointment these days has scrunched down to 13 minutes, according to the National Ambulatory Medical Care Survey. That's barely enough time to say, "Hi, how are you," order a blood test and fill out all the required paperwork. Second, many doctors are not trained in, tested or re-tested on taking a patient history or conducting a physical exam.
A study in the Journal of the American Medical Association examined stethoscope skills among practicing physicians and 88 medical students. Whatever their age or experience, the doctors correctly recognized only 20 percent of heart problems. Given that, maybe we patients are better off with those high-tech images.
Still and all, says Kenneth M. Flegel, professor of internal medicine at McGill University in Montreal and senior associate editor of the Canadian Medical Association Journal, "There are good reasons why we should not be giving up on the physical exam. Signs of illness he or she detects by poking, palpating, feeling, measuring and merely looking can help zero in on what might be wrong.
A study of patients in the hospital published in Lancet, the British medical journal, found that 26 percent had signs identifiable on physical examination that led to important changes in treatment. Of these, only 54 percent had conditions that could have been detected by laboratory testing or imaging. Only after a physical exam has narrowed possibilities should technology come into play.
That's when "testing is the most discriminatory," says Flegel. And, I would add, more convenient. When physicians order a wholesale battery of tests upfront, patients unless they're already in the hospital have to scurry to labs and facilities all over town -- and wait days for results.
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