SA Practical 3 Palpations Flashcards
L4 spinous process
find the top of the iliac crest and move medially
T12 spinous process
right about the region of your belly button- you can also feel for your last rib. Sometimes easier in prone
T7 spinous process
slide over from inferior angle of scapula
T2 spinous process
slide over from superior angle of scapula
C7 spinous process
the big nobby one- T1 is under it. You can tell it’s C7 by flexing (it will ride up) and extension, it will come back down
C2 spinous process
go down from nuchal line
Ligamentum Nuchae
fibrous tissue on the cervical spine (right down from occipital protrubrence)
Transverse process of C1
goto mastoid process, go posteriorly a little and rotate/ turn head 45degrees towards opposite side
Thoracic transverse processes
goto spinous process, go laterally fall into lamina groove, and then keep going laterally and feel the bone
Lumbar transverse processes
goto spinous process, go laterally fall into lamina groove, and then keep going laterally and feel the bone
Lamina groove (cervical, thoracic, lumbar)
just lateral to the spinous process, dips inward
Xiphoid process
move from ribs in and up, not everyones pops out
Sternal angle
kind of a groove where manubrium becomes the body you move up the body- inferior from manubrium
First rib
directly beneath the clavicle, more towards the back, Have patient supine. but you feel by having them elevate their clavicle.Going over your clavicle more posteriorly and pushing down. With your partner supine elevate the scapula. Place your fingers between the clavicle and the trapezius at the posterior triangle. It’s kind of on top of your clavicle
Second rib
slide below the clavicle and explore the 2nd rib
Eleventh and twelfth ribs
kind of belly button level towards back
Abdominal aorta
2 inches above belly button and kind of push down
Spleen (see addendum below)
on the left side under ribcage. Have partner inhale and exhale
Liver (see addendum below)
on the right side under ribcage. Have partner inhale and exhale.
External Occipital Protuberance-
-have partner supine, place hands under skull and feel for the protuberance
the bump right at the back of your head in the middle