Card Set Information

2011-11-28 23:41:06

palpation fcm 3
Show Answers:

  1. 3 ways of palpating
    • touching (skin)
    • stroking (flesh and muscle)
    • pressing (determines size, shape, texture of masses, sinews, bones)
  2. when palpating looking for
    • hot or cold (temp)
    • moisture
    • texture
    • lumps or masses
    • reaction to pressure
    • if a person is sweating
  3. all four limbs cold
    sp\st yang deficiency
  4. lower back, knees, feet, cold
    kindey yang xu
  5. lower abdomen cold
    spleen yang xu
  6. if skin feels hot and after some time warmth ceases
    wind - heat (external heat)
  7. if skin feels hot and after some time warmth increases
    internal heat (heating coming from inside)
  8. if skin is hot on heavy pressure (deep)
    yin deficiency heat (heat is very deep)
  9. moisture due to sweat
    exterior condition or interior condition
  10. exterior moisture
    wind cold or wind heat
  11. interior moisture
    lung qi deficiency
  12. dry skin
    • liver blood xu
    • lung yin xu
  13. edema where skin is swollen, distended and a pit is left after pressing is caused by
    water swelling from spleen or kidney yang xu
  14. edema where skin is swollen distended and tight and no pit is left after pressing
    qi swelling from qi stagnation or dampness
  15. cold limbs, arms, legs
    yang vacuity of sp and kid
  16. cold feet, legs
    kidney yang xu
  17. cold fingers, toes
    liver qi stag
  18. deficiency of blood may cause
    cold hands and feet
  19. phlegm obstruction or intense heat obstructing qi circulation can lead to
    cold hands and feet
  20. palms and soles of feet warm to the touch and patient feels warmth in chest
    yin xu
  21. apical pulse (just beneath left breast) reflects
    • state of zong qi
    • too strong of a pulse or irregular generally indicate heart organ disease
  22. faint but clear apical pulse
    xu of zong qi
  23. palpating chest tender or worse with pressure
    repletion pattern
  24. palpating chest better with pressure
    vacuity pattern
  25. palpating area below xiphoid
    • should feel soft
    • -if hard- indicates bottled up emotions, stagnation of lung and heart qi
    • - if too soft, deficiency of heart
  26. breast lump somewhat soft
  27. breast lumps somewhat hard
    blood stasis
  28. breast lumps distinct edges
  29. breast lumps indistinct edges
    toxic heat
  30. breast lumps moves on palpation
  31. breast lumps immovable on palpation
    blood stasis or toxic heat
  32. palpation of abdomen
    • should feel firm but not hard
    • resilient but not tight
    • elastic but not soft
    • indicating good state of original qi
  33. area below umbilicus should be
    slightly tenser than rest - good state of original qi
  34. if abdomen feels hard or painful on palpation
  35. abdomen too soft or an ache is relieved by palpation
  36. abdominal masses that move under the fingers
    qi stagnation
  37. abdominal masses that do not move and feel hard
    blood stasis
  38. back transport (shu) points
    qi and blood of particular organ "infuse" there
  39. sharp pain in back shu points
  40. dull pain on back shu points
  41. palpation of front mu points if tender indicate
    repletion pattern of organ
  42. palpation of lower he sea points
    for st or intestinal diseases