Palpation X-ray

X-ray palpation: what is it and how is it used in medicine

X-ray palpation is a method that is used in medicine to determine the degree of displacement of the organ under study, the localization of pain points and their connection with the organ under study. This method is an important addition to fluoroscopy and allows you to obtain additional information about the condition of the patient’s organs and tissues.

During palpation of the x-ray procedure, the patient is in a position that corresponds to the position required for the x-ray examination. Then the doctor places an X-ray film or detector on the patient’s body and performs palpation, feeling the places where the organ being examined is located.

At the same time, the doctor can apply light pressure to the tissues to determine their density and consistency, and also take into account the patient’s pain. This allows the doctor to determine the degree of displacement of organs, if any, as well as localize pain points and determine their connection with the organ being examined.

X-ray palpation can be used in various fields of medicine, including radiology, gastroenterology, urology, gynecology and others. In radiology, x-ray palpation can be used to determine the position and displacement of organs, as well as to detect tumors and other changes in tissue.

In gastroenterology, x-ray palpation can help determine the location of an ulcer, tumor, or stone in the stomach or intestine. In urology, this method can be used to determine the size and position of the kidneys, bladder and ureters.

In general, X-ray palpation is a simple and safe method that can help doctors obtain additional information about the condition of the patient’s organs and tissues. Like any other method, it should be used with caution and only after careful analysis of medical data and recommendations from appropriate specialists.

X-ray palpation - P., a type of research in traumatology and orthopedics, consisting of palpating an organ or part of the body using a sterile medical spatula or the fingers of a radiologist. It is performed separately - at different angles relative to the patient’s ribs. The term "P." proposed by the Australian radiologist K. Hamlin in 1927. P.'s purposes: diagnosis of traumatic injuries to bones, joints, nerves, muscles and tendons; determining the presence of effusion, monitoring foci of softening of bone tissue, identifying edema at the fracture site, finding foreign bodies, bone fragments, organ fragments; search for amputation in areas of vascular blockage; determining the presence of a strangulation pain zone, determining the contours and density of soft tissue formations of varying density (tumors, hematomas); detection of avulsion fractures, injuries in the pleura and diaphragm. The proposed methods for conducting studies of various parts of the body include various modifications of the vertebral and palpable P. There is also a method for determining the symptomatic reaction of the skeleton during local palpation (x-ray palpation), in which the test results are processed using a special program. The subject must maintain a static position as much as possible, such as “lying on his back” or “sitting on a chair” for 30 seconds. During the procedure, a medical device “Diaplus” is used, which consists of a control unit, an X-ray complex, a pressure sensor and power supplies. Thus, the procedure does not take much time and has an informative component. The skeletal response evaluates the degree of displacement of the vertebrae, cartilaginous processes, and the state of the musculo-ligamentous apparatus of the spine in comparison with the skeletal response during passive flexion of the torso and swaying of the upper and lower extremities.