Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Ortho Exam - MT1
| Question | Answer |
|---|---|
| How does VSC typically show on a patient? | Local pain |
| Local pain could be from what 6 things? | VSC; DJD/spondylosis/osteoarthritis; Degenerative Disc Disease; Traumatic injury; Mild Sprain/Strain; Meniscoid block |
| Sclerotomal pain could be from what 2 things? | Facet joint involvement; Myofascial trigger point referral; |
| Sclerotomal pain appears in the absence of what test? | Dejerene's triad |
| Intrathecal pressure symptoms is created by what? | Space between the dura mater and the spinal cord/brain tissue is pressurized and contains cerebrospinal fluid that helps to protect and nourish the tissue |
| Intrathecal pressure symptoms display as what pattern? | Dermatomal pattern |
| Dermatomal findings are created by what? | A space occupying lesion creating pressure on the spinal cord or nerve root will increase intrathecal pressure |
| Dermatomal findings can be created from what 3 things? | Tumor; Disk involvement (eg. herniation); Stenosis; |
| Radiculopathy could form by what three things? | Lateral tumor, disk, or IVF stenosis |
| A key to all dermatomal findings is the presence of what? | 1, 2, or 3 of Dejerene's triad |
| What are the 3 tests for intrathecal pressure? | Dejerene's triad; Valsalva Maneuver; Nafzigger's test; |
| What are the different positive, false positive, and incidental findings for the three intrathecal pressure tests? | Positive - dermatomal pattern is recreated; False positive - local symptom or diffuse non-dermatomal symptom; Incidental - anywhere else; |
| Dejeren's Triad - explain the 5 things needed to know about this test | 1. Pt - sits 2. Dr - observe 3. Demo - ask if symptoms occur when 1-cough, 2-sneeze, or 3-strain; 4. Findings True + - pt says yes; dermatomal False + - local Incidental - elsewhere 5. Significance - space occupying lesion |
| Valsalva Maneuver - Explain the 5 things needed to know about this test | 1. Pt - sits 2. Dr - observe 3. Demo - Have patient breath in, hold and bear down 4. Findings True + - dermatomal False + - local Incidental - elsewhere 5. Significance - space occupying lesion |
| Naffzigger's Test aka Jugular Compression - Explain the 5 things needed to know about this test | 1. Pt - sits 2. Dr - stands behind 3. Demo - compress jugular veins up to 30-40 secs, pt coughs; NOT done on geriatric or atherosclerotic pts 4. Findings True + - dermatomal False + - local Incidental - elsewhere 5. Significance - space occupying l |
| Bakody's Sign aka Shoulder Abduction Relief Sign - Explain the 5 things needed to know about this sign | 1. Pt - hand on head 2. Dr - observe 3. Demo - NA 4. Findings True + - Relieves arm pain & paresthesia False + - Relief of other pain Incidental - elsewhere 5. Significance - Nerve root compression from cervical disk herniation |
| Rust's Sign - Explain the 5 things needed to know about this sign | 1. Pt - Hand support neck 2. Dr - observe 3. Demo - NA 4. Findings True + - Severe injury False + - NA Incidental - NA 5. Significance - Cervical instability: fracture, dislocation, severe sprain/strain. X-ray before other tests |
| Cervical Compression Test aka Foraminal Compression Test - Explain the 5 things needed to know about this sign | 1. Pt - sits 2. Dr - behind 3. Demo - Full ROM on head including neutral. Downward pressure 4. Findings True + - Dermatome False + - Local Incidental - elsewhere 5. Significance - SOL |
| Jackson's Test - Lateral flexion of cervical compression test - Explain the 5 things needed to know about this test | 1. Pt - sits 2. Dr - behind 3. Demo - Bilaterally laterally flex head and compress 4. Findings True + - Dermatome False + - Local Incidental - elsewhere 5. Significance - SOL |
| Maximum Cervical Compression Maneuver - Explain the 5 things needed to know about this maneuver | 1. Pt - sits 2. Dr - behind 3. Demo - Rotate & extend head with no compression (opt: look down) 4. Findings True + - Dermatome False + - Local Incidental - elsewhere 5. Significance - SOL |
| Spurlings Test - Explain the 5 things needed to know about this test - NOT DONE AT LCCW | 1. Pt - sits 2. Dr - behind 3. Demo - Maximum cervical compression maneuver with one hand compression 4. Findings True + - Dermatome False + - Local Incidental - elsewhere 5. Significance - SOL |
| Modified Spurlings Test | 1. Pt - sits 2. Dr - behind 3. Demo - Maximum cervical compression maneuver with TWO hands compression 4. Findings True + - Dermatome False + - Local Incidental - elsewhere 5. Significance - SOL |
| Cervical Distraction Test | 1. Pt - sits 2. Dr - behind/beside 3. Demo - Hand under chin/other occiput OR fingers under mandible/thumbs under occiput 4. Findings True + - Relief dermatome False + - Relief local Incidental - elsewhere 5. Significance - SOL |
| Shoulder Depression Test | 1. Pt - sits 2. Dr - behind 3. Demo - Laterally flex pt's head away & depression shoulder 4. Findings True + - Multiple dermatomes/plexi False + - local Incidental - elsewhere 5. Significance - Dural adhesions |
| Lhermitte's Sign | 1. Pt - sits 2. Dr - observe 3. Demo - Ask pt to flex neck 4. Findings True + - electric shock down spine & limbs False + - non-shock symptoms Incidental - elsewhere 5. Significance - Myelopathy, canal stenosis, central disk, MS, B12 deficient |
| Swallowing Test | 1. Pt - sits 2. Dr - NA 3. Demo - Ask pt to swallow 4. Findings True + - Pain in front of throat False + - Pain around neck Incidental - elsewhere 5. Significance - Soft tissue trauma, whiplash, esophageal carcinoma, DISH |
| O'Donoghue's Test | 1. Pt - sits 2. Dr - behind 3. Demo - ACTIVE:Pt moves full ROM ACTIVE RESISTED:Dr resists ROM PASSIVE:Dr moves head 4. Findings True +: ACTIVE:Strain PASSIVE:Sprain False + - Local Incidental - elsewhere 5. Significance - Sprain/strain |
| Soto-Hall Test | 1. Pt: Supine 2. Dr: Beside/top of table 3. Demo: Pt: hands on chest. Dr: stabilizes chest; passively flexes head 4. Findings True +: Local False +: Radiate Incidental: elsewhere 5. Significance: Fracture, post strain/sprain, post vertebral spurs, |
| Brudzinski's Test | 1. Pt: Supine 2. Dr: Beside/top of table 3. Demo: Dr flexes pt's head stretching dural sac/spinal cord 4. Findings True +: Buckling, headache, neck pain, fever False +: No buckling + 1 other Incidental: elsewhere 5. Significance: Meningitis, need l |
| Kernig's Test | 1. Pt: Supine 2. Dr: Beside at hips 3. Demo: Dr flexes pt's hip/knee to 90 deg & extends leg 4. Findings True +: Kicking opposite leg, headache, neck pain, fever False +: Tight hamstrings Incidental: elsewhere 5. Significance: Meningitis, need labs |
| Thoracic Outlet tests are testing what two things? (What are they differentiating between?) | Neuro-vascular bundle: Brachial plexus Vascular structures (subclavian artery) These can be impinged by osseous or muscular structures |
| Adson's & Modified Adson's Test are looking for an impingement between what two structures? | Cervical rib & Anterior Scalene |
| Eden's & Costoclavicular Tests are looking for an impingement between what two structures? | Clavicle & First rib |
| Wright's and Reverse Backody's Tests are looking for an impingement with what structure? | Pectoralis Minor |
| Halstead's Test is looking for an impingement between what structures? | Cervical rib, Anterior scalene, clavicle, first rib, pectoralis minor (general test) |
| What is the most common neurologic patter for TOS? | Medial forearm and little finger (C8-T1/Ulnar nerve distribution) |
| The textbook positive for any Thoracic Outles testing is...? | Decrease or change in radial pulse amplitude |
| Adson's Test | 1. Pt: Sits 2. Dr: Stands on side 3. Demo: Find radial pulse at rest; hitch hiker thumb; pt looks AT dr, hold breath 10 sec 4. Findings True +: TOS False +: Local Incidental: elsewhere 5. Significance: Cervical rib/ant scalene |
| What is the medical terminology to describe Hitch Hiker's Thumb? | abducts, extends & externally rotates arm |
| Modified Adson's Test | 1. Pt: Sits 2. Dr: Stands on side 3. Demo: Find radial pulse at rest; hitch hiker thumb; pt looks AWAY from dr, hold breath 10 sec 4. Findings True +: TOS False +: Local Incidental: elsewhere 5. Significance: Cervical rib/ant scalene |
| Eden's Test - "one word = one arm" | 1. Pt: Sits 2. Dr: Stands on side 3. Demo: Find radial pulse at rest; hitch hiker thumb; push down on shoulder, hold breath 10 sec 4. Findings True +: TOS False +: Local Incidental: elsewhere 5. Significance: Clavicle on 1st rib |
| Costoclavicular Test - "two words = two arms" | 1. Pt: Sits 2. Dr: Stands on side 3. Demo: Find both radial pulses at rest; hitch hiker thumb; pt shoulders back & flex head 4. Findings True +: TOS False +: Local Incidental: elsewhere 5. Significance: Clavicle on 1st rib |
| Wright's Test - aka Hyperabduction Test | 1. Pt: Sits 2. Dr: Stands on side 3. Demo: Find radial pulse at rest; hitch hiker thumb; abducts arm to 170-180 deg 4. Findings True +: TOS False +: Local Incidental: elsewhere 5. Significance: Pectoralis Minor |
| Reverse Bakody's Test | 1. Pt: Sits or stands 2. Dr: NA 3. Demo: Put hand on head 4. Findings True +: TOS False +: Non-TOS in same arm Incidental: elsewhere 5. Significance: TOS |
| Halstead's Test | 1. Pt: Sits 2. Dr: Stands on side 3. Demo: Find radial pulse at rest; hitch hiker thumb; traction arm; extend head 4. Findings True +: TOS False +: Local Incidental: elsewhere 5. Significance: Neurovascular bundle stress |
Created by:
LCCW
Popular Chiropractic sets