Critical Clinical Observation Flashcards
Mesomorphic Body Type
muscular or sturdy body build (avg)
mid ranges of ROM
relative prominence of structures from embryonic mesoderm
Ectomorphic Body Type
thin body build (long & linear)
tend to have higher ROM
relative prominence of structures from embryonic ectoderm
Endomorphic
heavy body build (obese, increase fatty tissue)
tend to have lower ROM
relative prominence of structures from embryonic endoderm
Color of skin
pale
redness (erythema…could indicate inflammation)
yellow (jaundice…could indicate liver disease)
cyanosis (blue)
Observation of Skin
Lesions
Scars
Tattoos
Piercings
Melanoma screening
Asymmetry Border Color Diameter Evolution
Comparative Analysis
goal of observation to compare R v L in regard to
symmetry
heights
deviation from midline
What factors create asymmetry?
bone deformity joint deformity kyphoscoliosis dress, occupation, habit sacral base unleveling lower extremity defects somatic dysfunction
What would most likely create postural asymmetry in body?
anatomical short leg
Landmarks on Head
eye level
ear level
nose & nares symmetry (eye prominence)
Landmarks on Upper Extremities
Acromion height
angles of clavicles
carriage of arms
finger tip length compared to iliac crests
Landmarks below shoulders
angle of rib cage umbilicus crest of ilium greater trochanter levels upper leg (R to L) lower leg (R to L) patellar alignment medial & lateral malleoli
Landmarks of posterior
carriage of head
shoulder level (scap spine, scap angle, medial scap border)
arm carriage
spinous process alignment (or deviation from midline)
Landmarks of lower posterior
iliac crest heights PSIS greater trochanter gluteal line upper leg symmetry popliteal line & space achilles tendon medial & lateral malleoli
Lateral view landmarks
Plumb line (external auditory canal, acromion process, greater trochanter, anterior medial malleolus)
Spinal curves (cervical & lumbar lordosis, thoracic kyphosis)
