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CPA 1 OS2 > OSCE treatment notes > Flashcards

OSCE treatment notes Flashcards

1
Q

Rib 1 (inhalation)

A
  1. Pt: supine
  2. Dr: @head
  3. @side of dys on anteromedial part put closest hand
  4. Flex, ST, RA from dys
  5. push down in exhale, resist inhale
  6. repeat 3-5 times
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2
Q

Rib 2-6 (inhalation)

A
  1. pt supine with flexed to rib dys
  2. Dr. @ head
  3. flex, ST
  4. Dr. hand web above dys rib
  5. push down exhale, resist inhale
  6. repeat 3-5x
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3
Q

Rib 7-10 (inhalation)

A
  1. Pt supine with same side shoulder adducted
  2. Dr on side of dys
  3. Dr hand web above rib
  4. ST
  5. push down exhale, resist inhale
  6. repeat 3-5x
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4
Q

Rib 11-12 (inhalation)

A
  1. pt prone with legs ST dys
  2. Dr. on opposite side
  3. head hand - inferior angle of rib, feet hand - ASIS on side of dys
  4. pull up on ASIS all the time
  5. push up exhale, resist inhale
  6. repeat 3-5x
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5
Q

Rib 1-2 (exhalation)

A
  1. pt supine with head RA from dys with pt wrist on forehead
  2. Dr. on opposite side
  3. head hand - highfive pt hand, foot hand - reach under body to hold angle of dys rib
  4. Dr. pull down and out when pt flexes head for 3-5sec
  5. relax pt
  6. pull down and out more, repeat MET
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6
Q

Ribs 3-5 (exhalation)

A
  1. pt supine with same side arm flexed above head
  2. Dr. opposite side
  3. Dr. hold under pt at rib angle dys with foot-hand
  4. pt push arm up and dr resist while pulling rib down and out
  5. hold for 3-5sec and relax
  6. find new barrier and repeat MET
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7
Q

Rib 6-8 (exhalation)

A
  1. pt supine with same side shoulder dabbing
  2. Dr. @ on same side
  3. head hand - hold rib at angle on back
  4. foot hand - resist pt pushing elbow towards sky
  5. hold for 3-5sec and relax
  6. find new barrier and repeat MET
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8
Q

Rib 9-10 (exhalation)

A
  1. pt supine with same side arm out to side
  2. Dr. @ on same side
  3. head hand - hold outstretched arm and stabilize elbow
  4. foot hand - hold rib on back
  5. pt push arm down to side, dr resist, hold for 3-5sec and relax
  6. find new barrier and repeat MET
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9
Q

Rib 11-12 (exhalation)

A
  1. pt prone with legs SA dys
  2. Dr. @ on opposite side
  3. head hand - hold rib with karate chop part
  4. foot hand - iliac crest on side of dys
  5. push hip down while pt hike hip up and press up on rib, hold for 3-5sec and relax
  6. find new barrier and repeat MET
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10
Q

Anterior Innominate Rot MET/ART (supine)

A
  1. pt supine
  2. Dr. on same side and passive flex hip/knee to barrier
  3. pt push against dr, dr resist 3-5sec
  4. find new barrier and repeat MET
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11
Q

Posterior Innominate Rot MET/ART

A
  1. pt supine with dys side close to edge
  2. Dr. on same side
  3. head hand - hold opposite ASIS
  4. foot hand - extend pt leg/hip off table to find barrier
  5. pt pushes up, physician pushes down
  6. find new barrier and repeat MET
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12
Q

Inferior Innominate Shear MET/ART

A
  1. pt supine with feet off table
  2. Dr. @ foot of table
  3. hold above ankle on side of dys
  4. IR, ABducts leg and put on dr thigh
  5. push into hip and pt push into dr hold for 3-5sec
  6. find new barrier and repeat MET
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13
Q

Superior Innominate Shear MET/ART

A
  1. pt supine with feet off table
  2. Dr. @ foot of table
  3. hold above ankle on side of dys
  4. IR, ABducts leg
  5. pull hip and pt hike up hip for 3-5sec
  6. find new barrier and repeat MET
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14
Q

Inflare Innominate MET/ART

A
  1. pt supine with feet off table
  2. Dr. on opposite side
  3. pt have dys hip/knee crossed over like newspaper
  4. head hand - pt ASIS, foot hand - knee
  5. push into knee barrier and pt push into dr hold for 3-5sec
  6. find new barrier and repeat MET
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15
Q

Outflare Innominate MET/ART

A
  1. pt supine
  2. Dr. on opposite side
  3. pt dys hip/knee flexed like leg cross
  4. head hand - PSIS on dys side, foot hand - knee on dys
  5. dr pushes out, pt pushes in 3-5sec
  6. find new barrier and repeat MET
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16
Q

Pubic Dysfunction compression

A

ALTERNATE TXS

  1. pt supine with both knees up in air, feet on ground
  2. dr push out knees
  3. pt push in knees
  4. hold 3-5secs and relax
  5. find new barrier and repeat MET
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17
Q

Pubic Dysfunction gapping

A

ALTERNATE TXS

  1. pt supine with both knees up in air, feet on ground
  2. dr push in knees
  3. pt push out knees
  4. hold 3-5secs and relax
  5. find new barrier and repeat MET
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18
Q

Bilat sacral flexion MET

A
  1. pt prone
  2. dr on a side
  3. hands cup ILA (foot hand lower)
  4. push ILA down and toward head during pt inhale, resist exhale
  5. repeat 3-5 breath cycles
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19
Q

Bilat sacral extension MET

A
  1. pt prone as a sphinx
  2. dr on a side
  3. head hand fingers in both sulci, feet hand on top
  4. resist on pt inhale, push sulci down and down during exhale
  5. repeat 3-5 breath cycles
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20
Q

Unilat sacral flexion MET

A
  1. pt prone
  2. dr on side of dys
  3. head hand cup sacrum with fingers at base
  4. put pt IR and ABducts leg/hip
  5. put other hand on top of sacrum hand push down and up on ILA (heel of hand) during inhale, resist in exhale
  6. repeat 3-5 breath cycles
21
Q

Unilat sacral extension MET

A
  1. pt prone
  2. dr on side of dys
  3. head hand cup sacrum with fingers at base
  4. put pt ER and ABducts leg/hip
  5. put other hand on top of sacrum hand push down and down on sulcus (heel of hand) during exhale, resist in inhale
  6. repeat 3-5 breath cycles
22
Q

Forward Sacral Torsion MET

A

R/R or L/L “better together, face on leather, two feet together”

  1. pt modified sims (face on leather) axis on leather
  2. pt hips and knees flexed to 90
  3. Dr on leg side touching L5/S1 flex until feel motion
  4. bp deep breath 3xs while reaching opposite arm
  5. put pt knees on dr thigh (sit) and lower to floor
  6. pt push up, dr resist for 3-5sec
  7. find new barrier and repeat
23
Q

Backward Sacral Torsion MET

A
  1. pt lateral recumb (face to air), axis on leather
  2. pt hips and knees flexed to 90
  3. Dr on leg side touching L5/S1 flex until feel motion
  4. bp deep breath 3xs reach back arm over bench
  5. push top leg only down
  6. pt push up, dr resist for 3-5sec
  7. find new barrier and repeat
24
Q

Bilat sacral extension BLT

A
  1. pt supine
  2. Dr on a side
  3. cup sacrum under butt
  4. lift apex up
  5. hold breath in best phase
  6. find new barrier and repeat x3
25
Q

Bilat sacral flexion BLT

A
  1. pt supine
  2. Dr on a side
  3. cup sacrum under butt
  4. lift base up
  5. hold breath in best phase
  6. find new barrier and repeat x3
26
Q

Forward sacral torsion BLT (supine)

A
  1. pt supine
  2. Dr on same side as sacral base rotation
  3. cup sacrum under butt
  4. lift base on side of deep sulci up
  5. bridge ASIS’s
  6. hold breath in best phase
  7. find new barrier and repeat
27
Q

Forward sacral torsion BLT (seated)

A
  1. pt seated
  2. Dr behind pt
  3. monitor sulci
  4. extend pt back, RT sacral rot, SA sacral rotation
  5. hold exhale
  6. recheck and repeat
28
Q

Backward sacral torsion BLT (supine)

A
  1. pt supine
  2. Dr on of sacral rotation
  3. cup sacrum under butt
  4. push up on side of deep ILA
  5. bridge ASIS’s
  6. hold breath in best phase
  7. find new barrier and repeat
29
Q

Backward sacral torsion BLT (seated)

A
  1. pt seated
  2. Dr behind pt
  3. monitor sulci
  4. flex pt forward, RT sacral rotation, SA sacral rotation
  5. hold inhale
  6. recheck and repeat
30
Q

Posterior Innominate Rot BLT

A
  1. pt seated
  2. Dr seated in front of pt
  3. push leg of posterior side and pull other leg
  4. pt rotates to side of leg push
  5. hold inhale for 5-10 sec
  6. recheck and repeat
31
Q

Anterior innominate Rot BLT

A
  1. pt seated
  2. Dr seated in front of pt
  3. pull leg of anterior side and push other leg
  4. pt rotates to side of leg push
  5. hold inhale for 5-10 sec
  6. recheck and repeat
32
Q

PC1 inion CS

A
  1. pt supine
  2. dr at head
  3. F St Ra
33
Q

PC1 occiput CS

A
  1. pt supine
  2. dr at head
  3. E Sa Ra
34
Q

PC2 occiput CS

A
  1. pt supine
  2. dr at head
  3. E Sa Ra
35
Q

PC2 CS

A

above SP on C2

  1. pt supine
  2. dr at head
  3. e-E Sa Ra
36
Q

PC3 CS

A

below SP on C2

  1. pt supine
  2. dr at head
  3. f-F Sa Ra
37
Q

PC4-8 CS

A
  1. pt supine
  2. dr at head
  3. e-E Sa Ra
38
Q

PT1-6 SP CS

A
  1. pt prone, with arms draped over side of table
  2. dr at head
  3. e-E
39
Q

PT7-12 SP CS

A
  1. pt prone, with arms draped out in front of table
  2. dr at head
  3. e-E
40
Q

PT1-3 TP CS

A
  1. pt supine
  2. dr at head
  3. E Sa Ra
41
Q

PT4-9 TP CS

A
  1. pt prone
  2. dr standing over, pull same side shoulder up
  3. E Sa Rt
42
Q

PT10-12 TP CS

A
  1. pt prone
  2. dr standing over pt
  3. bend pt legs to side of pain reduction
  4. e-E Sa Ra while pull opposite ASIS up
43
Q

PL1-5 SP CS

A
  1. pt prone
  2. dr opposite TP
  3. pull TP leg up and adduct
  4. e-E adduct RT (pelvis) RA (torso)
44
Q

PL1-3 TP CS

A
  1. pt prone
  2. dr on opposite TP, pull crest up on side of TP
  3. E Sa RT (pelvis) RA (torso)
45
Q

UPL5 CS

A
  1. pt prone
  2. dr standing opposite TP, pull TP leg up and adduct/IR/ER
  3. E Adduct IR/ER
46
Q

LPL5 CS

A
  1. pt prone
  2. dr standing side of TP, drop leg of TP off side of bed
  3. hold knee on leg, press up into leg
  4. F IR adduct
47
Q

HISI CS

A

2-3 cm lateral PSIS

  1. pt prone
  2. dr standing on side of TP, pull TP leg up and out
  3. e-E ABduct ER
48
Q

PL3 Gluteus CS

A

2/3 lateral from PSIS

  1. pt prone
  2. dr standing on side of TP, pull TP leg up and ER
  3. E ABduct ER
49
Q

PL4 Gluteus CS

A

posterior margin tensor fasciae latae

  1. pt prone
  2. dr standing on side of TP, pull TP leg up and ER
  3. E ABduct ER

CPA 1 OS2 (1 decks)

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