Observation & Palpitation Lab Flashcards
What is TART?
- Tissue texture changes
- Asymmetry
- Restriction of motion
- Tenderness
Define somatic dysfunction (SD)
The impaired or altered function of related components of the somatic system including the skeletal, arthrodial, and myofascial structures, and their related vascular, lymphatic, and neural
Ways to describe skin
- temperature
- drag
- texture
- edema
- bogginess
- elasticity
- dryness
- color (red, blue, pale)
- doughy
- scars
Ways to describe muscle
- contracted
- flaccid
- spasm
- boggy
- ropey
- stringy
Proximal interphalangeal joint (PIP joint)
hinge joint of fingers at the middle knuckle on the fingers (the knuckle with the more folded wrinkly skin, on the middle of a finger)
Thumb joint (carpometacarpal joint)
saddle joint, somewhat rotational. That joint right at the base of the thumb where the thumb meets the rest of the bones in the hand and radius.
Radial head
Felt just below the elbow joint. The head of the radial bone. You can feel it as you twist your arm outward, it should bulge towards the hand you are palpating with.
Normal spine has what four curvatures?
•Cervical curvature (Lordosis), slightly curved in towards to front of the body
•Thoracic curvature (kyphosis), slightly curved out
•Lumbar curvature (Lordosis), curve inward
•Sacral curvature (Kyphosis), curve ever so slightly outward
Lordosis = concave
Kyphosis = convex
SOAP notes
- Subjective
- Objective (observations and palpitations)
- Assessment
- Plan
What is the Subjective part in SOAP refer to?
- CC (chief complaint)
- HPI (history of present illness)
- OLDCAAARTS
- Review of systems
- family history
- social history
- medical history
- surgical history
- drugs/medications
- recreational drug use
- tobacco/caffeine/alcohol
What is the Objective part in SOAP refer to?
- vital signs
- measurements (age, height, weight, BMI ect.)
- PE (physical examination)
- lab results and diagnostic testings
What is the Assessment part of SOAP?
•The Physician’s medical diagnoses for the medical visit on the given date of a note written.
What is the Plan part of SOAP?
•This describes what the health care provider will do to treat the patient – ordering labs, referrals, procedures performed, medications prescribed, etc.
What constitutes Acute Somatic Dysfunction?
Immediate or short-term impairment or altered function of related components of the somatic (body framework) system. Characterized by: • Vasodilation • Edema • Tenderness • Pain • Tissue contraction
What constitutes Chronic Somatic Dysfunction
Impairment or altered function of related components of the somatic (body framework) system. Characterized by: • Tenderness • Itching • Fibrosis • Paresthesias • Tissue contraction
What are some types of tissue texture abnormalities (TTA)
- Bogginess
- Thickening
- Stringiness
- Ropiness
- Firmness (hardening)
- Temperature change
- Moisture change
Define Tone
Normal feel of muscle in the relaxed state
Hypertonicity
at the extreme = spastic paralysis
Hypotonicity
flaccid paralysis when no tone at all
contraction
Abnormal shortening of a muscle due to fibrosis.
Most often in the tissue itself, often result of chronic condition. Muscle is no longer able to reach its full normal length.
Spasm
Abnormal contraction maintained beyond physiologic need. Most often sudden and involuntary muscular contraction that
results in abnormal motion and is usually accompanied by pain and
restriction of normal function.
Ropiness
Hard, firm, rope-like or cord-like muscle tone. Usually indicates a chronic condition.
Asymmetry
Absence of symmetry of position or motion • Dissimilarity in corresponding parts or organs on opposite sides of the body that are normally alike • Determined by vision or palpation
