Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

NMS orthopedics > Orthpedics NMS 1 > Flashcards

Orthpedics NMS 1 Flashcards

1
Q

Rust’s Sign

A
  • Positive: Patient cupping neck with both hands
  • Indicates: Severe upper cervical instability
  • Sprain / fracture / RA
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Libman’s Sign

A
  • Thumb pressure to the mastoid process

- Tests for pain tolerance level

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Bakody’s Sign

A
  • Seated: hand on head with elbow level with ear
  • Positive: decreased pain
  • Decreases tension on inferior brachial plexus
  • efficacy = foraminal compression (but with less pain)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Reverse Bakody Sign

A
  • Seated: hand on head with elbow level with ear
  • Positive: pain increases
  • Thoracic outlet syndrome caused by scalene compression
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Bakody’s sign and Reverse Bakody’s Sign tests for what conditions?

A

Bakody’s Sign = IVF encroachment

Reverse Bakody’s sign = Thoracic outlet syndrome

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Bikele’s Sign

A
  • Abduct shoulder 90 degrees + elbow/arm extension posteriorly
  • Brachial plexus traction/stressing
  • Radicular pain into arm
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Brachial Plexus Tension Test

A
  • Place both hands behind/on head + elbows level w/ears
  • Doctor pulls elbows back
  • Traction/stress on brachial plexus and roots
  • Radicular pain into arm
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Dejerine’s Sign

A
  • Triad: Coughing/sneezing/straining increases symptoms
  • Due to mechanical obstruction (space occupying lesion)
  • Herniated/bluging disc, spinal cord tumor, compression fracture
  • Venous flow reverses into epidural space (no valves)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Valsalva’s Maneuver

A
  • Breath in and bear down

- Tests for space occupying lesion via increase in pressure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Swallowing Test

A
  • While seated patient swallows

- Pain/difficulty = space occupying lesion, ligament sprain, fracture

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Naffziger’s Test

A
  • From behind Dr. occludes ext. jugular veins at clavicle for 10-15 seconds. THEN patient coughs.
  • Increases CSF/venous sinus pressure
  • Sharp increase pain at lesion level (cranial)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Barr’e-Lie’ou Test

A
  • Rotate head as fast as can L/R.
  • If patient has symptoms = positive
  • Vertigo, visual disturbances, nausea, dizziness, nystagmus
  • vascular insufficiency, cervicogenic vertigo, vestibular apparatus abnormality, unconsciousness
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Vertebrobasilar Artery Functional Maneuver

A
  • 1st: Auscultate carotid and subclavian arteries
  • If good: rotate and hyper extend head both sides (20 seconds)
  • Positive = vertigo, dizziness, visual disturbances, nystagmus, unconsciousness
  • Indicates = Ipsilateral vertebrobasilar insufficiency
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

DeKleyn’s Test

A
  • Patient supine rotates and hyper extends head
  • Positive = vertigo, dizziness, visual disturbances, nystagmus, unconsciousness
  • Indicates = Ipsilateral vertebrobasilar insufficiency
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Distraction Test

A
  • Seated: Dr. exerts upward pressure on head for 30-60 seconds
  • General increase in pain = muscle spasm
  • Relief of pain = IVF encroachment/facet capsulitis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Foraminal Compression Test

A
  • Seated: pt. rotates head actively (note pain)
  • Dr. then places pressure on head in neutral then rotates the head
  • IVF closure w/downward pressure and rotation
  • Localized pain = IVF encroachment
  • Radicular pain = pressure on nerve root
17
Q

Jackson Compression Test

A
  • Seated: pt. rotates and laterally flexes head (note pain)
  • Dr. downward pressure in neutral/laterally flexed positions (note pain) 30 -60 seconds
  • IVF encroachment or nerve root involvement
  • contralateral pain = muscle strain
  • Ipsilateral pain = facet or nerve root involvement
18
Q

Maximum Cervical Compression Test

A
  • Seated: rotate, ipsilateral lateral bend, and extension (bilaterally)
  • Pain concave side = nerve root encroach/face capsulitis
  • Pain convex side = muscular strain
  • IVF encroachment or nerve root involvement
19
Q

Spurling’s Test

A
  • Seated: actively rotate and laterally flex head (note pain)
  • No pain = continue
  • Dr. downward pressure on head in neutral
  • Dr laterally bends and extends patient’s neck with downward pressure for 30-60 seconds
  • Strike top of head hand covering to soften blow
  • IVF encroachment and nerve root involvement
20
Q

Lhermitte’s Test

A
  • Seated: drop chin to chest; Dr. then passively flexes head
  • Traction to posterior column of spinal cord
  • Multiple sclerosis sign = shock sensation down neck and spine
21
Q

O’Donogue Maneuver

A
  • Seated: cervical spine is actively moved through active ROM, passive ROM, and then resisted ROM.
  • Resisted ROM pain = STRAIN muscular
  • Passive ROM pain = SPRAIN ligament
22
Q

Kernig Sign

A
  • Supine: Dr. flexes hip and knee to 90 degrees then attempts to extend the leg
  • Positive: pain and increased HA during extension
  • Meningeal irritation or inflammation
23
Q

Brudzinski Sign

A
  • Supine: Dr. flexes the head
  • Positive: Flexion of knees/hips
  • Present with meningitis
24
Q

Shoulder Depression

A
  • Seated: Dr. laterally flexes and stabilizes head while pushing down on ipsilateral shoulder
  • Traction the brachial plexus and nerve roots
  • Radicular symptoms: IVF fibrosis, dural adhesions, osteophytes, edema/compression at IVF
25
Q

Soto-Hall Test

A
  • Supine: Dr. hand on sternum and Dr. passively flexes the head to the chest
  • Dull/sharp pain cervical to thoracic: sprain/strain, avulsion fx, facet involvement
26
Q

Allen’s Test

A
  • Seated: pump fist 5 times, occlude both Radial and Ulnar arteries, while patient clenches hand.
  • Open hand then release one artery to observe filling of the hand
27
Q

Adson’s Test

A
  • Seated: (Radial pulse noted) Dr. abducts and externally rotates arm.
  • Patient rotates head toward tested arm, extends head, and holds breath for 10 seconds
  • Positive: decreased amplitude or paresthesia
  • Indicates: hypertrophy of scalene anticus or cervical rib compressing the neurovascular bundle
28
Q

Modified Adson’s Test

A
  • Same as Adson’s except patient rotates away

- Tests for scalenus medius hypertrophy or cervical rib compressing the neurovascular bundle

29
Q

Halstead’s Test

A

-Seated: Radial pulse noted

NMS orthopedics (2 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions