To perform direct (immediate) percussion, you would make a light tapping motion against the patient's body part being percussed with the
a. finger pad of the index or middle finger of your dominant hand.
b. finger pads of the index and middle fingers of your nondominant hand.
c. percussion hammer.
d. ulnar aspect of the closed fist of your dominant hand.
A
Direct (sometimes called immediate) percussion involves striking the finger pad of the index or middle finger of the dominant hand directly against the patient's body to elicit a sound. Direct percussion is used to evaluate the sinus of an adult by tapping a finger over the sinus. A percussion hammer is used to elicit deep tendon reflexes. The fist may also be used in percussion. Fist percussion is most commonly used to elicit tenderness arising from the liver, gallbladder, or kidneys. The ulnar aspect of the closed fist of the dominant hand is used to deliver a firm blow to the area.
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