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Palpation examination involves pulse tracing of patients’ jugular veins, arterial pulses, precordial impulses, etc. This includes examination using the fingers or hands to test patients. Jugular veins can be tested by evaluating the internal jugular veins located in the patient’s neck. Whereas arterial pulse examination involves assessing the arteries located either in the hands or legs, assessment of the hand arteries can be measured by examining how fast or slow the heart rate is. This is done by placing fingers on the arteries located in the patient’s wrist and comparing the timing along with the consistency of the impulses. The physician can use their other hand to palpate the subjec patient’s other wrist to confirm the measurements. The heart rate is determined by counting the radial pulse for 30 seconds and then multiplying it by 2. This can give an accurate result except in the case of irregular rhythm.