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Palpation-A&P2Lab

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Question
Answer
O, I, A, N or Clinical
Scaphoid   deep in the anatomical snuffbox ("some" in SLTPTTCH)   show
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Lunate   show  
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show just distal to ulnar styloid process ("try" in SLTPTTCH)    
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show distal to scaphoid- begin on thumb-> move proximal= trapezium ("that" in SLTPTTCH)    
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show just proximal to base of the 2nd metacarpal ("they" in SLTPTTCH)    
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show just proximal to the base of the 3rd metacarpal ("can't" in SLTPTTCH)    
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show just proximal to ases of 4th and 5th metacarpals ("handle" in SLTPTTCH)    
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Radial Artery   anterior forearm, between flexor carpi radialis and the radial shaft just proximal to wrist crease where the pulse is taken/analyzed   show
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show anterior forearm, between flexor carpi ulnaris and palmaris longus, just proximal to wrist crease    
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show locate distal tendon of palmaris longus and displace it laterally very superficial palpable cord   Carpal Tunnel Syndrome- #1 most common upper extremity nerve entrapment- compression of median nerve in carpal tunnel  
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Ulnar Nerve   show Cubital Tunnel Syndrome- inflammation of Ulnar nerve due to chronic compression or stretching  
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Brachialis   show strong elbow flexor b. brachii overlies brachialis O: distal 1/2 of humeral anterior surface I: tuberosity and coronoid process of ulna A: flex humeroulnar joint N: musculocutaneous  
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Pronator Teres   show O: meidal epicondyle of humerus, common fleor tendon and coronoid process of ulna I: middle of lateral surface of radius A: pronate RU joint(rapid or forceful pronation); synergist to elbow flexors (very weak) N: meidan-> actually goes through the musc  
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Supinator   come directly lateral (& maybe anterior) and it will be the only thing that tenses up on supination   show
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Ulnar groove   show  
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Brachial Artery   locate medial and posterior to the tendon of b. brachii at elbow   show
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Median Cubital Vein   show  
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Radial Nerve   distal to elbow crease, just lateral to brachioradialis   show
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Pectoralis minor   show O: ribs 3. 4. 5 I: coracoid process of scapula A: depress ST joint, abduct scapula, assists in inhalation N: medial pectoral can entrap brachial plexus(TOS)  
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Coracobrachialis   supine- shoulder is ext. rotated and abducted- locate coracoid, have patient horizontally adduct proximal to biceps on medial surface of mid-humerus medial aspect roll medial to short head of biceps   show
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show coronal plane inferior to latissimus and have patient 1in. punch   accessory breathing muscle weakness= winged scapula test= standing (wall) push up "boxer's muscle" O: surfaces ribs 1-8 I: ant surface of med border of scapula A: aBduct, depress, hold med. border of scap. N: long thoracic  
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show prone- handcuff, come in under medial border OR arms up in EXT rotation grab hunk in coronal plane   3 of 4 rotator cuff muscles O: subscapular fossa of the scap I: lesser tubercle of humerus A: internally rotate GHJ, stabilize head of humerus in glenoid N: subscapular nerve  
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show prone- posterior to SCM and anterior to trapezius- middle of posterior triangle- rotate head ipsilaterally   elevates scapula O: TP of C1-C4 I: upper medial border and superior angle of scapula A: unilaterally- elevate scapula, rotate scap downward, lat. flex neck ipsilaterally, rotate head ipsilaterally N: dorsal scapular and cervical nerves  
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Coracoid Process   hand on person's oppo. shoulder and thumb should land on coracoid   show
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Extensor Digitorum Longus   show O: proximal ant. shaft of fibula and interosseous membrane I: middle and distal phalanges of 2-5 digits A: extend 2-5 digits, dorsiflex and evert foot N: deep peroneal  
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show (most lateral above ankle- middle below ankle) pinch snuffbox- dorsiflex v. resistance mid snuffbox= EHL   O: middle ant. surface of fibula and interosseous membrane I: distal phalange of hallux A: extend hallux, dorsiflex and invert the foot N: deep peroneal  
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Tibialis posterior   show too many toes test limits pronation of foot supinator post. shin splints O: prox. post. shaft of tibia, prox. tibia and interosseous membrane I: navicular, cuneiforms, cuboid and bases of 2-4 metatarsals A: inversion and plantarflexion N: tibial  
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show dorsiflex & curl big toe- lat. 1/3 (L to M, FHL->TP->FDL)   O: middle 1/2 posterior fibula I: distal phalange of hallux A: flex hallux at MTP and IP joints, invert foot, weak plantarflexion N: tibial  
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show flex digits, invert foot (L to M, FHL->TP->FDL)   O: middle posterior surface of tibia I: distal phalange of 2-5 digits A: flex 2-5 digits at MTP, PIP and DIP joints, invert foot, weak plantarflexion N: tibial  
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show shelf-like promenence located a fingers-width below medial malleolus    
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Cuneiforms (3)   show  
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Tarsal tunnel   just posterior and inferior to the medial malleolus contains tendons of TP, FDL, and FHL, posterior to tibial artery and tibial nerve   show
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show plantarflex and adduct foot to expose ligament runs from middle part of ant. surface of lateral malleolus and inserts into the lateral talus   #1 ankle sprain tear  
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Dorsal Pedis Artery   show  
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Posterior Tibial Artery   invert foot and palpate posteriorly to the medial malleolus   show
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Sartorius   show longest muscle in the body  
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Popliteal artery   show  
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piriformis   prone- knee bent- resisted external rotation of thigh-- near distal end of glutes   show
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Adductor magnus   supine near edge of table leg in full ABduction- have patient aDduct with toe rotated outward (slightly distal and medial to longus)   show
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show supine- leg in full ABduction- have patient aDduct with toe toward sky   most anterior of adductor group O: pubic tubercle I: medial lip of linea aspera A: adduct and INT rotate hip; assist w/hip flexion N: obturator  
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Tensor Fascia Lata and Iliotibial tract   show TFL controls IT Band O: iliac crest, posterior to ASIS I: iliotibial tract AL flex hip, abduct hip, internal rotation of hip N: superior gluteal  
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Gracilis   show O: inferior ramus of pubis and ramus of ischium I: proximal medial shaft of tibia at pes anserine tendon A: adduct hip, internally roatate hip, flex knee, and internally rotate flexed knee N: obturator  
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show with hip in neutral position, palpate 1/2way b/t the ASIS and pubic symphysis with light pressure and feel for the pulse    
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femoral nerve   show  
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sciatic nerve   with patient sidelying or prone, palpate 1/2way b/t with greater trochanter and the ischial tuberosity the nerve is approx. the width of finger and easy to feel (deep)   show
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show prone- paraspinal gutter- L2 find spinous process-> gutter, bottom out- feel structure of multifidus sup-med,inf-lat like little chevrons S1 base of sacrum- paraspinal gutter- deep to erector spinae   deep to erector spinae, span 3-4 levels above, TP locales C3, T4-5, L2, S1 O: sacrum and transverse process of L-C vert. I: spinous processes of L-2nd C vert. A: uni-rotate spine contralat bi- extend spine N: dorsal rami of lacal spinal nerves  
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show supine with knees bent 3 fingers palpate 1 fingerbreadth lateral to linea alba just above umbilicus   favors left side  
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show locate spinous processes- A&P 1    
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sacral base   prone- palpate the superior aspect of the sacrum   show
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medial sacral crest   middle posterior aspect of sacrum- use broad fingertip contact   show
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show depression at caudal end of medial sacral crest    
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lateral border of sacrum   prone- approach medially with prone patient's gluteal muscle relaxed   show
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show mouth open 1 inch anterior to mandibular condyle   temporalis attaches here  
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show band slightly proximal to wrist crease-shake hands v. resistance   O: med. ant. surface of distal ulna I: lat. ant. surface of the distal radius A: PRONATE Radiounlar joint N: MEDIAN  
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