12: What Does this Suggest? Flashcards

1
Q

What does this finding suggest may be the problem?

Positive crossover test (adduct patient’s arm across chest).

A

Inflammation or arthritis of the AC joint

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2
Q

What does this finding suggest may be the problem?

Positive drop arm test in a patient over 60 years of age.

A

Degenerative rotator cuff tear. The combined findings of supraspinatus weakness, infraspinatus weakness, and a positive impingement sign increase the likelihood of a tear.

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3
Q

What does this finding suggest may be the problem?

Difficulty with the Apley scratch test.

A

Rotator cuff disorder or adhesive capsulitis

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4
Q

What does this finding suggest may be the problem?

Pain with Neer’s sign.

A

Inflammation or rotator cuff tear

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5
Q

What does this finding suggest may be the problem?

Pain with Hawkin’s sign.

A

Inflammation or rotator cuff tear

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6
Q

What does this finding suggest may be the problem?

Weakness with empty can test.

A

Rotator cuff tear

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7
Q

What does this finding suggest may be the problem?

  • Weakness when asking the patient to place arms at the side and flex the elbows to 90 degrees with the thumbs turned up.
  • Provide resistance as the patient presses the forearms outward.
A

Rotator cuff tear or bicipital tendinitis

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8
Q

What does this finding suggest may be the problem?

Pain with forearm supination.

A

Inflammation of the long head of the biceps tendon or rotator cuff tear

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9
Q

What does this finding suggest may be the problem?

Weakness with the drop arm test.

A

Rotator cuff tear

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10
Q

What does this finding suggest may be the problem?

Pain with Finkelstein’s test.

A

deQuervain’s Tenosynovitis

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11
Q

What does this finding suggest may be the problem?

Weakness with thumb abduction.

A

Carpal Tunnel

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12
Q

What does this finding suggest may be the problem?

Aching and numbness in the first 3 fingers with Tinel’s sign.

A

Carpal Tunnel

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13
Q

What does this finding suggest may be the problem?

Numbness and tingling with Phalen’s sign.

A

Carpal Tunnel

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14
Q

What does this finding suggest may be the problem?

Elbow supination causes pain.

A

Medial Epicondylitis (Golfer’s Elbow)

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15
Q

What does this finding suggest may be the problem?

Elbow pronation causes pain.

A

Lateral Epicondylitis (Tennis Elbow)

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16
Q

What does this finding suggest may be the problem?

Swollen olecranon process.

A

Bursitis

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17
Q

What does this finding suggest may be the problem?

Thenar eminence is flattened.

A

Carpal Tunnel

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18
Q

What does this finding suggest may be the problem?

Weakness with thumb/first finger opposition to resistance.

A

Carpal Tunnel

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19
Q

What does this finding suggest may be the problem?

Deformity of the thorax with forward bending (Adam’s bend test).

A

Scoliosis

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20
Q

What does this finding suggest may be the problem?

Persistence of lumbar lordosis with forward bending.

A
  • Muscle Spasms
  • Ankylosing Spondylitis
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21
Q

What does this finding suggest may be the problem?

Decreased spinal mobility with back extension.

A
  • Osteoarthritis
  • Ankylosing Spondylitis
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22
Q

What does this finding suggest may be the problem?

A wide standing/walking base.

A

Cerebellar disease or foot problems

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23
Q

What does this finding suggest may be the problem?

A waddling gait caused by the pelvis dropping on the other side.

A
  • Hip dislocation
  • Arthritis
  • Leg length discrepancy
  • Abductor weakness
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24
Q

What does this finding suggest may be the problem?

Loss of lordosis.

A

Paravertebral spasm

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25
*What does this finding suggest may be the problem?* Excess lordosis.
Flexion deformity of the hip
26
*What does this finding suggest may be the problem?* Leg shortening and external rotation of the hip.
Hip fracture
27
*What does this finding suggest may be the problem?* Sacroiliac joint tenderness.
Sacroilitis
28
*What does this finding suggest may be the problem?* Bulges along the inguinal ligament.
* Inguinal hernia * Aneurysm (occasionally)
29
*What does this finding suggest may be the problem?* Tenderness in the groin area.
* Synovitis of the hip joint * Arthritis * Bursitis * Psoas abscess (possibly)
30
*What does this finding suggest may be the problem?* Focal tenderness over the trochanter.
Trochanteric bursitis
31
*What does this finding suggest may be the problem?* Tenderness over the posterolateral surface of the greater trochanter.
* Localized tendinitis * Muscle spasm from referred hip pain * ITB tendinitis
32
*What does this finding suggest may be the problem?* Mimics sciatica but has hip tenderness as well.
Ischiogluteal bursitis (Weaver's Bottom)
33
*What does this finding suggest may be the problem?* Restricted hip abduction.
Hip osteoarthritis
34
*What does this finding suggest may be the problem?* Restriction of internal and external hip rotation.
Arthritis (and other hip disease)
35
*What does this finding suggest may be the problem?* Stumbling or "giving way" of the knee during heel strike.
* Quadriceps weakness * Abnormal patellar tracking
36
*What does this finding suggest may be the problem?* Swelling over the patella.
Prepatellar bursitis
37
*What does this finding suggest may be the problem?* Swelling over the tibial tubercle.
Infrapatellar or anserine (more medial) bursitis
38
*What does this finding suggest may be the problem?* Pain and crepitus of the patella.
Roughening of the undersurface of the patella that articulates with the femur
39
*What does this finding suggest may be the problem?* Pain with patellar compression and with patellar movement during quadriceps contraction.
* Chondromalacia * Degenerative patella (patellofemoral syndrome)
40
*What does this finding suggest may be the problem?* Swelling above and adjacent to the patella.
* Synovial thickening * Effusion in the knee joint
41
*What does this finding suggest may be the problem?* Thickening, bogginess, or warmth in the patellar area.
* Synovitis * Nontender effusions from osteoarthritis
42
*What does this finding suggest may be the problem?* A fluid wave on the medial side between the patella and the femur.
Positive bulge sign consistent with effusion
43
*What does this finding suggest may be the problem?* Pain or a gap during the valgus stress test (abduction).
MCL injury
44
*What does this finding suggest may be the problem?* Pain or a gap during the varus stress test (adduction).
LCL injury
45
*What does this finding suggest may be the problem?* Click or pop with McMurray test.
Meniscus tear
46
*What does this finding suggest may be the problem?* Joint line tenderness.
Meniscus tear
47
*What does this finding suggest may be the problem?* Focal heel tenderness or pain along the plantar aspect of the midfoot that is worse in the morning.
Plantar fasciitis
48
*What does this finding suggest may be the problem?* Tenderness along the posterior medial malleolus.
Posterior tibial tendinitis (and causes flat feet)
49
*What does this finding suggest may be the problem?* Acute inflammation of the first metatarsophalangeal joint.
Gout
50
*What does this finding suggest may be the problem?* Tenderness over the heads of the 3rd and 4th metatarsals on the plantar surface.
Morton's neuroma
51
*What does this finding suggest may be the problem?* Heberden's nodes.
Osteoarthritis
52
*What does this finding suggest may be the problem?* Bony overgrowth on DIP joints.
* Heberden's nodes * **Heberden’s** nodes are **Higher** up on the finger. * **Bouchard’s** nodes are closer to the **Body**.
53
*What does this finding suggest may be the problem?* Bony overgrowth on PIP joints.
* Bouchard's nodes * **Heberden’s** nodes are **Higher** up on the finger. * **Bouchard’s** nodes are closer to the **Body**.
54
*What does this finding suggest may be the problem?* Bouchard's nodes
* **Both** Heberden’s and Bouchard’s nodes can be found in **osteoarthritis**. * However, the presence of Bouchard’s nodes (with the absence of Heberden’s nodes) on a board question can help you in diagnosing **Rheumatoid Arthritis**.
55
*What does this finding suggest may be the problem?* Lateral deviation of the great toe and enlargement of the head of the first metatarsal on the medial side.
Hallux valgus (Bunion)
56
*What does this finding suggest may be the problem?* * Most commonly involves the 2nd toe. * Characterized by hyperextension at the metatarsophalangeal joint with flexion at the proximal interphalangeal joint.
Hammer Toe
57
*What does this finding suggest may be the problem?* * Painful thickening of skin that results from recurrent pressure on the normally **thin** skin. * The apex points inward and causes **pain**. * Usually over bony prominences such as the 5th toe.
Corn
58
*What does this finding suggest may be the problem?* * An area of thickened skin that develops in a region of recurrent pressure. * Involves skin that is normally **thick**, such as the sole. * Usually **painless**.
Callus
59
*What does this finding suggest may be the problem?* Hyperkeratotic lesion caused by HPV on the sole of the foot.
Plantar wart
60
*What does this finding suggest may be the problem?* Positive Thompson squeeze test.
Achilles tendon rupture
61
*What does this finding suggest may be the problem?* Pain during Apley's grind test.
Meniscal tear
62
*What does this finding suggest may be the problem?* Anterior shoulder pain (with or without trauma) that does not radiate below the elbows and worsens when arm is lifted overhead:
Rotator Cuff Tendonitis
63
*What does this finding suggest may be the problem?* Complaints of heaviness and numbness in arm.
Rotator Cuff Tear/Instability
64
*What does this finding suggest may be the problem?* Positive apprehension test.
Glenohumeral Instability
65
*What does this finding suggest may be the problem?* Pain with palpation of the bicipital groove.
Bicipital Tendonitis
66
*What does this finding suggest may be the problem?* Snuffbox tenderness.
Scaphoid Fracture