| The second criterion requires the patient to elicit tenderness in at least 11 of the 18 defined tender points when palpated digitally. |
| In contrast, a bilateral, solid, irregular, and fixed mass palpated or seen on sonogram should alert the clinician to a possible carcinoma. |
| If deep tissue damage is also present, the area may be indurated or boggy when palpated. |
| The hand and wrist should be palpated to localize the tenderness to a specific location. |
| The cubital fossa was palpated and the median cubital vein was readily located, facilitated by the Sailor repeatedly making a fist. |
| On physical examination, a swollen, fluid-filled sac is noted and palpated over the olecranon. |
