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Cam's Cards > MSK Rubric > Flashcards

MSK Rubric Flashcards

1
Q

Intro

A

Name, PA-S, obtain consent, wash hands

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2
Q

Inspection

A

All muscle groups for tone, symmetry, and atrophy

Joints for swelling, deformity, and erythema

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3
Q

Palpate - Shoulder

A

I’m palpating for tenderness and deformity.
I’ll start with the scapula, clavicle to the AC joint, coracoid process, greater/less tubercle, bicipetal tendon grove.
Move down to the humerus, bicep, and tricep.

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4
Q

Palpate - elbow

A

At the elbow, the medial and lateral epicondyle, the olceranon.
Tricep/bicep insertion and the flexor and extensor origins.

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5
Q

Palpate- forearm

A

Radius, Ulna, flexors, and extensors

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6
Q

Palpate - wrist

A

Palpate carpals, distal radius and ulna

Check radial pulses

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7
Q

Palpate - hand

A

Metacarpals, interosseous muscles

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8
Q

Palpate - fingers

A

MCP joints, phalanges, PIP joints, DIP joints, tendons and ligaments

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9
Q

Palpate - Spine

A

Spinous processes, paravertebral musculature, for tenderness or spasms. Bilateral SIJ for tenderness
At this point I will also check the dermatomes of the BUE

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10
Q

ROM - Shoulder

A

Flexion, extension, abduction, adduction, internal rotation, external rotation

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11
Q

ROM - Elbow

A

Flexion, extension, pronation, supination

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12
Q

ROM - Wrist

A

Flexion, extension, radial deviation, ulnar deviation

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13
Q

ROM - Fingers

A

Flexion, extension, adduction, abduction, thumb opposition

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14
Q

ROM - C Spine

A

Flexion, extension, R and L rotation, R and L lateral bend

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15
Q

ROM- T spine/L spine

A

Flexion, extension, lateral bend, rotation

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16
Q

Strength - Shoulder

A

Flexion, extension, abduction, adduction, internal rotation, external rotation

17
Q

Strength - Elbow

A

Flexion, extension, pronation, supination

Resisted pronation also tests for lateral epicondylitis

18
Q

Strength - Wrist

A

Flexion, extension, radial deviation, ulnar deviation

19
Q

Strength - Fingers

A

Flexion, extension, adduction, abduction, thumb opposition

20
Q

Strength - C spine

A

Flexion, extension, R and L rotation

21
Q

Special Tests - Shoulder

A 
Speeds - Bicipital tendonitis
Empty Can - rotator cuff weakness
Neers - impingement
Drop arm - rotator cuff tear
Hawkins - impingement
22
Q

Special Tests - wrist

A

Tinels - tap for median nerve irritation
Phalens - wrist flexion for medial nerve entrapment
Finkelstein - 1st dorsal extensor compartment tendonitis

23
Q

Palpation - Pelvis

A

Again, palpating for tenderness or deformity.

Anterior sacroiliac spine, posterior sacroiliac spine, sacrum, and greater trochanter

24
Q

Palpation - Thigh

A

Femur, quadriceps, bicep femoris

25
Q

Palpation - Knee

A

Patella, femoral condyles, tibial plateau, tibial tuberosity, fibular head, and medial/lateral joint lines

26
Q

Palpation - leg

A

Tibia, fibula, gastrocnemius

27
Q

Palpation - ankle

A

Medial and lateral malleolus, tibial/talar joint, ATF ligament, deltoid ligament, achilles
I will also check the PT and DP pulses while I’m here

28
Q

Palpation - foot

A

Calcaneus, tarsals, metatarsals, digits, flexor and extensor tendons.
Now I will do a BLE dermatomal check

29
Q

ROM - Hip

A

Flexion, extension, abduction, adduction, internal rotation, external rotation

30
Q

ROM - Knee

A

Flexion, extension

31
Q

ROM - Ankle

A

Flexion, extension, inversion, eversion

32
Q

Strength - Hip

A

Flexion, extension, abduction, adduction

33
Q

Strength - Knee

A

Flexion, extension

34
Q

Strength - Ankle

A

Flexion, extension, inversion, eversion

35
Q

Special tests - Hip/pelvis

A

Thomas - tightness of the psoas

36
Q

Special tests - Knee

A 
Bulge - Knee effusion
Anterior/posterior drawer - for ACL laxity
Lachmans - ACL laxity
Varus/Valgus stress - MCL/LCL laxity
McMurray - for meniscal cartilage tear
37
Q

Special tests - ankle

A

Anterior drawer - ligamentous stability
Talar tilt - ankle stability
Thompson - achilles tendon

38
Q

Special tests - Spine

A

Supine straight leg raise - pain at 60 degrees or below positive for L4 L5 S1 nerve root irritation
Have patient sit up and do Hoffmans test for cervical stenosis
Have patient stand and do Trendelenburg for hip abductor weakness
Scoliosis check

Cam's Cards (103 decks)

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