10/30/13 Flashcards
What are some questions you should ask the patient if they were injured in a motor vehicle accident?
Were you the driver or a passenger?
Were you belted or no?
Where were you impacted?
How severe was the crash–could you get out, were you thrown out, did anyone die?
What was the speed of the car at impact?
What was your physical position at impact?
What are some red flags when dealing w/ musculoskeletal problems?
Pain when resting or at night. Associated weight loss or loss of appetite. History of cancer Steroid Use History of Trauma Bowel or bladder symptoms pain when young or old.
What are some questions you want to make sure you ask when dealing with social history?
What is your occupation–desk job or worker…
Are you retired?
Do you live in a 2 story house or apartment…have to walk up stairs?
Do you use a cane?
How far can you walk?
What are 6 signs of musculoskeletal disease?
Pain Redness (erythema) Swelling Increased Warmth (calor) Deformity Loss of Fcn
What is erythema?
Redness–sign of musculoskeletal disease
What is calor?
Increased warmth–sign of musculoskeletal disease.
Based on palpation, what are the classifications for muscle strength?
0-->no movement 1-->muscle twitch 2-->FROM not against gravity 3-->FROM not against resistance 4-->FROM w/ weak resistance 5-->FROM w/ full strength
What do you percuss?
Only nerves to check for inflammation
If you can’t feel the radial pulse, what do you check?
The brachial pulse
What are the primary lower extremity pulses that you should check?
The posterior tibial & the dorsal pedalis
If you can’t feel the primary pulses in the lower extremities, which pulses should you check next?
The femoral & popliteal pulses.
If you are trying to check for rotator cuff impingement or tear…what tests do you do?
Hawkins Test
Neer Test
If you are trying to check for median nerve integrity…what tests do you do?
Thumb abduction
Tinal Sign
Phalen Test
When you are checking for L2, L3, L4 nerve root irritation, which tests do you do?
Only the Femoral Stretch Test
When you are checking for L4, L5, S1 nerve root irritation, which tests do you do?
Only the Straight Leg Raising
What are the 2 tests that you can use to check for excess fluid in the knee?
Bulge Test
Ballottement Test
What are the 2 tests that you can use to check for a torn meniscus?
The McMurray
And the Apley Test
When you are checking for both anterior & posterior cruciate ligament integrity, which test do you use?
The Anterior & Posterior Drawer Test.
In addition to the Anterior & Posterior Drawer test, what are 2 other tests that you can use to check for the anterior cruciate ligament integrity?
Pivot Shift Test
Lachman Test
What test do you use when you are checking for mediolateral collateral ligament stability in the knee?
Varus Valgus Stress Test
What is Varus…
What is Valgus…
Varus–bowlegged
Valgus–knees touching
How do you check for flexion contracture of the hip?
Thomas Test
How do you check Thomas’ weak hip abductor muscles?
Trendelenburg Test
What are the overall steps to the musculoskeletal exam?
Inspection Palpation Range of Motion Percussion (of nerves) Vascular Status (feel pulses)
