Orthopedic examination 3 Flashcards Preview

*Part IV Boards > Orthopedic examination 3 > Flashcards

Flashcards in Orthopedic examination 3 Deck (20)
Loading flashcards...
1
Q

chest expansion test

A

tape measure placed around the 4th intercostal space. patient exhales completely, measurement taken, then patient inhales deeply, measurement taken. normal 1.5-3in
positive is <1.5” women, <2” men
indicates AS

2
Q

forrestier’s bowstring

A

while standing the patient performs side bending to both sides
positive: muscle tightening on concave side
indicates AS

3
Q

lewin supine test

A

patient supine, doctor hods the ankles on the table; the patient is then asked to sit up without using hands

positive: unable to perform
indicates: AS

4
Q

amoss sign

A

patient is asked to go from a side lying position to a standing position

positive: localized pain and/or lack of ROM
indicates: AS, severe IVD syndrome, sprain/strain

5
Q

brudzinski sign

A

patient supine. doctor passively flexes patient’s head approximating the chin to chest
positive: buckling of patient’s knees
indicates meningitis

6
Q

kernig’s sign

A

patient supine, doctor flexes the hip and knee to 90/90 position and then attempts to extend the knee

positive: patient resists extension; resistance causes kicking motion
indication: meningitis

7
Q

bikele’s

A

patient actively abducts the shoulder to 90 degrees with the elbow flexed to 90 degrees and then extends the shoulder. now the patient extends the elbow

positive: resistance and increased radicular pain
indicates: meningeal irritation, TOS, brachial plexus neuritis

8
Q

lhermitte’s

A

patient seated or supine. patient actively/passively flexes head toward chest

positive: sharp electric shock like sensation down the spine into extremities
indicates: MS, myelopathy

9
Q

sternal compression

A

doctor applies downward pressure on the sternum while patient is in supine position
positive: pain localized at lateral rib border
indicates rib fracture

10
Q

homan’s sign

A

with patient supine doctor puts leg in the 90/90 position, squeezes the calf, and dorsiflexes the foot
positive: deep pain
indicates DVT

11
Q

shepelmann’s

A

patient raises both arms over head while seated and laterally bend to both sides

positive: pain on concave side, pain on convexity
indication: intercostal neuralgia, pleurisy

12
Q

claudication test

A

doctor asks patient to march in place (2 steps/second)

positive: pain in calves
indication: intermittent claudication

13
Q

adam’s position/test

A

doctor observes the patient’s posture from behind then asks the patient to bend forward at the waist with their arms out in front. the doctor observes from behind as well as from the front

positive: if asymmetry changes, if asymmetry does not change
indicates: pathological/functional scoliosis, structural scoliosis

14
Q

rib compression test

A

doctor stands behind the patient and wraps arms around the patient’s chest, clasps the hands, and then extends the elbows or apply pressure with hands bilaterally on the lateral aspects of the rib cage

positive: localized pain
indication: costochrondritis

15
Q

spinal percusiion test

A

doctor percusses over each spinous process with a reflex hammer, then repeat this process in the musculature

positive: pain
indicates: vertebral fracture, ligament sprain, disc herniation, muscle strain

16
Q

spinal vibration test

A

doctor performs vibration with a 128Hz tuning fork over each spinous process
positive: pain
indicates vertebral fracture

17
Q

libman’s

A

doctor applies finger pressure over mastoid process. pressure increased until patient expresses discomfort
used to determine the pain threshold of the patient

18
Q

rust sign

A

patient spontaneously grasps head with both hands when rising from a recumbent position
indicates cervical instability

19
Q

dejerine’s sign

A

patient reports that pain is brought on by coughing, sneezing or straining at the stool
indicates an SOL

20
Q

beevor’s sign

A

doctor observes the patient’s umbilicus while they do a partial sit up

positive: umbilicus moves laterally
indicates: T10 NR lesion