Anatomic Basis of Clinical Testing Pt. 1 (9/3a) Flashcards

(30 cards)

1
Q

How we understand patient anatomy

A

Observing, palpatings, imaging, clinical tests (EX: PT kits)

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2
Q

Studying Anatomy (Anatomy Approaches)

A

Regional approach
Systemic approach
Clinical anatomy

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3
Q

Regional approach (Anatomy Approaches)

A

Head, Neck, Trunk (abdomen, thorax, pelvis/perineum, back), Upper limbs, Lower Limbs

Regions further subdivided

We will do this each unit

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4
Q

Systemic approach (Anatomy Approaches)

A

Cardiovascular, digestive, endocrine, immune, integumentary, lymphatic, muscular, nervous, reproductive, respiratory, skeletal, urinary

1 I, 2 S, 3 A, 4 M, 5 N, 6 C, 7 D, 8 R, 9 U, 10 G, 11 E

No systems function in isolation

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5
Q

Clinical anatomy (Anatomy Approaches)

A

Stresses clinical application

Consider how the systems interrelate

EX: Ulnar nerve at the elbow - Instead of “the nerve innervates…..” ask “numbness in this location indicates what nerve?”

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6
Q

3 main planes of the body

A

Sagittal, frontal, transverse

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7
Q

Relationships in plane movement

A
Superior/Inferior
Proximal/Distal
Anterior/Posterior
Medial/Lateral
Superficial/Deep
Dorsal/Ventral
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8
Q

Motions related to anatomic neutral

A

Flexion/Extension
Abduction/Adduction
Medial Rotation/Lateral Rotation
Supination/Pronation

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9
Q

Major divisions of the nervous system

A

Central NS/Peripheral NS
Somatic/Autonomic
Afferent/Efferent

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10
Q

Functional unit of the nervous system

A

neuron

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11
Q

Cell body (neuron)

A

cell’s life support center

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12
Q

Dendrites (neuron)

A

receive messages from other cells

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13
Q

Axon (neuron)

A

passes messages away from the cell body to other neurons, muscles, or glands

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14
Q

Neural impulse (neuron)

A

electrical signal traveling down the axon

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15
Q

Myelin sheath (neuron)

A

covers the axon of some neurons and helps speed up neural impulses

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16
Q

Terminal branches of axon (neuron)

A

form junctions with other cells

17
Q

Spinal cord segments

A

31 spinal cord segments:

8 cervical
12 thoracic
5 lumbar
5 sacral
1 coccygeal
18
Q

Spinal nerves arise from rootlets into

A

Anterior (ventral) nerve root – efferent fibers

Posterior (dorsal) nerve root – afferent fibers

19
Q

Mixed nerves

A

“Sensory nerve” mostly sensory afferents some motor fibers

sweat and smooth muscle vessels

“motor nerve’ mostly motor some sensory: pain and proprioception info

20
Q

Dermatomes

A

provide surface sensory innervation

Segmental cutaneous (skin) innervations (afferent)

21
Q

Myotomes

A

provide muscle innervation

Segmental innervation of muscles (efferent)

22
Q

Axons from spinal nerves combine to ultimately form ___ ___

A

peripheral nerves

23
Q

Symptoms of nervous system impairment

A

Paresthesia

Diminished/lost sensation

Weakness (decreased innervation to muscle)

Pain

Movement dysfunction

24
Q

Paresthesia

A

sensation of tickling, tingling, burning, pricking, or numbness of a person’s skin

25
Causes of nervous system impairment
Too much pressure Ischemia (blood loss) Metabolic/chemical changes (EX: diabetic neuropathy) Disease Trauma
26
Pattern recognition - Sensory
Spinal nerve distribution - dermatome Peripheral nerve distribution - myotome Spinal cord distribution (later) Brachial plexus (trunk, cord) distribution (later) Brain distribution (later)
27
3 types of sensory testing
Superficial Deep Combined cortical
28
Superficial Sensory Testing (exteroceptors)
Pain, temperature, light touch, pressure
29
Deep Sensory Testing (proprioceptors)
Position sense, kinesthesia, vibration
30
Combined Cortical Sensory Testing
Stereognosis, 2-pt. discrimination, graphesthesia, texture, barognosis