Specimen-Guard Palpation

Obraztsov-Strazhesko palpation is a method for examining the abdominal and chest organs, which was developed in the 19th century by Russian therapists Vladimir Petrovich Obraztsov and Nikolai Dmitrievich Strazhesko.

The essence of the method is that the doctor runs his hands over the surface of the patient’s body, paying attention to the presence of pain points, seals, changes in the shape and size of organs. This method allows you to identify various diseases, such as pathologies of the liver, kidneys, pancreas, spleen, gall bladder and other organs.

One of the advantages of Obraztsov-Strazhesko palpation is its simplicity and accessibility. The doctor can conduct the study independently, without using special equipment or instruments. This allows you to quickly and effectively assess the patient’s condition and take the necessary measures.

However, like any other research method, Obraztsov-Strazhesko palpation has its limitations. For example, it does not always allow one to accurately determine the shape and size of organs, and also does not provide information about the condition of blood vessels and nerves. In addition, this method is not suitable for examining deep organs such as the uterus or ovaries in women.

In general, Obraztsov-Strazhesko palpation remains one of the most common methods for examining the abdominal and thoracic organs. It allows you to quickly and accurately assess the patient’s condition, as well as identify various diseases in the early stages.

Palpation is one of the types of examination of the upper parts of the body (chest, thyroid and parathyroid glands, mammary gland, bifurcations of the trachea and aorta, spine along the line of attachment of the intercostal muscles), including the anterior surface of the neck at the back, occipital region, supraclavicular fossa. It is carried out with one hand along the main landmarks - the clavicles, costal arches, xiphoid process, sternum, spinous process of the first lumbar vertebra, tip of the first rib. In relation to these points, the direction of palpation can be direct, lateral, or carried out by moving the hand along the corresponding axis (anterior and posterior). For example, when examining the thyroid gland, the left hand is placed at an angle to the cervical spine, positioned in front of it at the upper border of the clavicle. The right hand is used to determine the consistency (soft, dense, moderately compacted) and pain. Explanation: the lower the palm of the right hand is from the collarbone parallel to the neck, the more painful the thyroid gland itself is.

Obraztsova-Strazhesko palpation is used to determine the state of blood circulation (slow), pain, and mobility of adjacent organs. The doctor places at least 3 fingers stacked on top of each other on the anterior chest wall along the collarbones. With his left hand he places his fist on the area of ​​the thyroid gland (does not press) and