Etc. Flashcards
Soft Tissue Palpation of the Knee
quads: rectus femoris v. intermedius (deep to r. fem) v. medialis v. lateralis
prepatellar bursa
infrapatellar tendon
superficial infrapatellar bursa
mcl
lcl
medial meniscus
lateral meniscus
pes anserine (A-P: SGT)
sartorius
gracilis
semitendinosus
gastrocnemius
popliteal fossa
Bony Palpation of the Knee
patella
tibial tubercle
medial femoral condyle (ext rot.)
medial tibial plateau
lateral femoral condyle (int rot.)
lateral tibial plateau
fibular head
Muscle Test
Tibialis Anterior
dorsiflexion and inversion
tibialis anterior, deep peroneal nerve
Brachioradialis Reflex
slight forearm flexion
A/E: radial nerve
IC: C6 spinal cord
mild stretch, strike, test bilaterally
Biceps Reflex
elbow flexion
A/E: musculocutaneous nerve
IC: C5 spinal cord
mild stretch, strike, test bilaterally
Triceps Reflex
elbow extension
A/E: radial nerve
IC: C7 spinal cord
mild stretch, strike, test bilaterally
Patellar
knee extension
A/E: femoral nerve
IC: L2,3,4 spinal cord
mild stretch, strike, test bilaterally
Achilles
foot plantarflexion
A/E: tibial nerve
IC: S 1,2 spinal cord
mild stretch, strike, test bilaterally
C5 Muscle Test
Deltoid: shoulder abduction (axillary)
Biceps: forearm flexion (musculocutaneous)
Lymph Nodes of Head and Neck
“checking for size, consistency, mobility and condition”
occipital
preauricular
postauricular
tonsilar
submandibular
submental
facial
anterior chain
posterior chain
supraclavicular
Aortic Maneuver
seated
aortic/erb’s
deep breath, exhale while leaning forward
diaphragm - high pitched murmurs
Mitral Maneuver
supine
mitral area (apical impulse)
bell - low pitched murmurs
left lateral recumbent
deep breath and hold
Cardinal Fields
observing for parallel mvmt, noting any nystagmus
Trochlear = down and in (4)
Abducens = lateral (6)
Oculomotor all others (3)
Tactile Fremitus
decrease = air
(COPD, emphysema)
increase = fluid/mass
(consolidation, tumor)
Valsalva
( + ) radiating pain from the site of lesion (usually reproducing cervical or lumbar complaint)
( i ) SOL, possible disc pathology
Swallowing Test
( + ) difficulty swallowing
( i ) SOL at anterior portion of cx spine, possible esophageal/pharyngeal injury, anterior disc defect, mm spasm or osteophpytes
L’Hermitte Sign
supine/seated, passive neck flexion
( + ) electric shock-like sensations down the spine and/or through extremities
( i ) dural irritation, severe spinal cord injury or degeneration
Auscultate Major Abdominal Arteries
Aorta, Renals, Common Iliacs
bell
bruits
turbulent bloodflow
Uvular/palateal
glossopharyngeal
medulla
vagus
Abdominal Reflex
umbilicus deviation to stroked side
absence only normal if bilateral
upper T7-10 spinal nerves
lower T11-12 spinal nerves
spinal cord T7-T12
upper T7-10 spinal nerves
lower T11-12 spinal nerves
Interscapular
T2-7 spinal nerves
T2-7 spinal cord
dorsal scapular nerve
Plantar Reflex
curling of toes
tibial nerve
spinal cord S1-2
tibial nerve
Gaenslen
KNEE TO CHEST
( + ) pain on affected SI jt stressed into extension
( i ) Generalized SIjt lesion
Anterior SI ligament sprain
Inflammation of SI jt
Palpate spleen
stand on left
inferior hand under costovertebral angle,
PA pull
deep breath and hold
feel edge of spleen as it pushes downwards towards your fingers
Lower Extremity auscultate arteries
femoral (inferior and medial to inguinal lig)
popliteal (pop fossa)
dorsalis pedis ( medial dorsum of foot)
posterior tibialis (post to med. malleolus)
Weber
Place the handle of the vibrating tuning fork on the midline of the skull and ask
the patient to compare the intensity of the sound in the two ears.
Normal: sound is equal in both ears.
(+) Conductive deafness: sound lateralizes to the bad ear.
(+) Sensorineural deafness: sound lateralizes to the good ear.
