Approach to Pt w/ joint pain and Shoulder Pain Flashcards

1
Q

What is a normal reflex?

A

+2/4

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2
Q

What does Speed’s Test evaluate?

A

feel bicipital groove while having pt flex elbow against resistance
+ test = pain in bicipital groove
indicates: bicipital tendonitis of longhead biceps

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3
Q

What is a landmark for C4 dermatome?

A

top of shoulder

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4
Q

What vertebrae is at the inferior border of the scapula?

A

T7

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5
Q

What does OLDCAAARTS stand for?

A
onset
location
duration
character
alleviating factors
aggravating factors
associated factors
radiation
timing
severity
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6
Q

What is the specificity of a joint test?

A

portion of pts without the diagnosis who lack the physical sign (true negative)

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7
Q

What is a landmark for T4 dermatome?

A

nipple line

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8
Q

What happens in a dislocation?

A

complete lack of contact btw two articular surfaces

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9
Q

What does migratory mean?

A

moves from one joint to another

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10
Q

What is tenosynovitis?

A

inflammation of the tendon sheath

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11
Q

What does the sulcus sign evaluate?

A

+ test = indentation appears beneath acromion

Indicates: glenohumeral instability

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12
Q

When do muscle strains often happen?

A

when muscle is stretched and contracted simultaneously

“grabbing sensation”

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13
Q

How do you document examination of edema?

A

press for 5 seconds
0 = absent
1+ = barely detectable, 2 mm, disappears rapidly
2+ = slight indentation (4 mm); 10-15 sec
3+ = deeper indentation (6mm); >1 min
4+ very marked indentation (8 mm); 2-5 min

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14
Q

What does the apley scratch test evaluate?

A

Range of motion of shoulder; test both sides
Upper arm: abduction and external rotation
Lower arm: internal rotation and adduction

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15
Q

What does the Empty Can test indicate?

A

Flex shoulder to 90 degrees while horizontally abducting to 45 degrees; internally rotated
press down on forearms while pt resists
+ test = pain or weakness
Indicates: rotator cuff pathology (spec supraspinatus m)

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16
Q

What is a landmark for C5 dermatome?

A

lateral part of upper arm

17
Q

What does arthralgia mean?

A

joint pain

18
Q

What does Neer Impingement evaluate?

A

Stabilize shoulder; w/ forearm pronated, passively flex shoulder to fully flexed pos
+ test = pain
Indicates: subacromial bursa or rotator cuff impingement

19
Q

What does the lift off test evaluate?

A

pt’s arm in internal rotation and extension (arm behind back); pt pushes arm into further internal rotation against physician
+ test = weakness
Indicates: subscapularis weakness

20
Q

What is a sprain?

A

ligament stretching and tearing

bleeding outside of ligament is proportional to how bad the tear is

21
Q

What is a normal pulse?

22
Q

What does the drop-arm test evaluate?

A

Pt abducts to 90 degrees –> slowly drops arm
+ test: arm will drop or gentle tap on wrist will cause arm to drop
indicates: full thickness tear of supraspinatus

23
Q

What vertebrae is at the spine of scapula?

24
Q

What is subluxation?

A

abnormal joint movement, but there is still residual contact btw articular surfaces

25
What is a normal muscle strength?
+5/5
26
What does the painful arc test evaluate?
+ test = pain within 60 and 120 degrees of abduction | indicates: subacromial impingement or rotator cuff injury
27
What is a landmark for C8 dermatome?
5th digit
28
What does the apprehension test evaluate?
put pt into external rotation + test = apprehensive of repeat dislocation indicates: glenohumeral instability
29
What is LR in relation to a joint test?
probability of a disease or diagnosis 0 to infinity higher the number, the more likely the disease
30
What does the cross arm test evaluate?
Passively adduct pt's arm across chest + test = pain in aC joint w/ end range adduction Indicates: AC joint pathology
31
What is a landmark for T10 dermatome?
umbilicus
32
What does Hawkins Test evaluate?
flex shoulder and elbow to 90 degrees; passively rotate into internal rotation + test = pain indicates: rotator cuff or subacromial bursa impingement
33
What does extra-articular refer to?
bones, muscles, tendons, bursa, skin
34
What is the sensitivity of a joint test?
proportion of pts with the diagnosis that also have the physical sign (true positive)
35
What is a landmark for C7 dermatome?
posterior aspect of arm and forearm | middle 3 fingers
36
What is an effusion?
fluid escaped from blood vessels or lymphatics into tissues or cavity
37
What is a landmark for T1 dermatome?
medial aspect of arm and forearm
38
What does Yergason's Test evaluale?
have pt supinate and externally rotate against resistance + test = pain and/or tendon sublaxation out of groove Indicates: unstable long head bicipital tendon
39
What are landmarks for C6 dermatome?
radial aspect of forearm | thumb