Detection of spondylolisthesis by palpation is most often done by palpating for the spinous process. The chest must be examined by inspection, palpation, percussion and auscultation. IPPA is a physical examination with four key steps&colon; inspection, palpation, percussion, and auscultation. They monitored the camel ovaries for ovulation by rectal palpation following insemination of semen samples. Diagnosis is usually made by rectal palpation. Symptoms tend to be worsened on bimanual palpation of the styloid through the tonsillar bed. Symptoms includes tenderness on palpation and pain, often when exercising or with movement. Often, the prostate gland is very tender to palpation through the rectum. Tenderness to palpation occurs over the area of the radial neck. The abdominal wall becomes very sensitive to gentle pressure (palpation). The objective examination process included visual and olfactory clues, palpation and taking of the pulse. Subcutaneous emphysema can be recognized by palpation. This is determined usually either by palpation or electrocardiography. The superficial location of the salivary glands allows palpation and visual inspection. Sister Mary Joseph nodules can be painful to palpation.