2b. OSCE Approach to Cervical Complaint Flashcards
1
Q
Landmarks to palpate on the neck
A
2
Q
Examination of neck lymph nodes
A
3
Q
Examination of the trachea
A
4
Q
Examination of the thyroid
A
5
Q
Where would you palpate the carotid pulse?
A
6
Q
What is central neuropathy?
A
- nerve entrapment by musculoskeletal or myofascial tissue
- produces parethesias in the area of the distribution of the nerve
- creates sensory dysfunction/pain
- may also decrease muscle strength
- common sites: intervertebral foramen & thoracic outlet
7
Q
Compression Test & Spurling’s Test
A
8
Q
Neck Distraction Test
A
9
Q
What is thoracic outlet syndrome?
A
- results from compression of NV bundle (subclavian a., subclavian v., and brachial plexus) through neck and shouder
- distal pulses may be decreased or absent
- digital cyanosis and ischemia may be present
- some assoc. with sympathetic autonomic dysfunction > UE symptoms
10
Q
Adson’s test
A
11
Q
Roos Test
A
12
Q
What should you rule out before performing tests for subarachnoid irritation?
A
injury to C-spine or cervical cord
13
Q
Nuchal Rigidity Test
A
14
Q
Brudzinski’s Sign
A
15
Q
Kernig Sign
A