Palpating Practical 2 Flashcards

1
Q

Anterior superior iliac spine (ASIS)

A

partner standing. Place hands on side of abdomens below umbilicus work down iliac spine until you feel the edge

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2
Q

Anterior inferior iliac spine (AIIS)

A

have partner lay supine. flex the hip (lift leg straight up_

find ASIS, slide inferiorly and medially about an inch. It’s deep to some small tendons

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3
Q

Iliac crest

A

find ASIS and follow it up and back until PSIS

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4
Q

Iliac fossa (will only be able to palpate the edges of this)

A

Partner lying supine (upright). Flex the hip by bolstering the knee. curl fingertips over the lip of iliac crest of anterior side

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5
Q

Posterior superior iliac spine

A

dimples in back

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6
Q

Sacrum

A

kind of in-between back dimples. Where your belt would be and down from there

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7
Q

Greater trochanter of femur

A

Have Gannon side lying. It’s right below hip and between thigh move knee medially laying down and it pops out

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8
Q

Pubic crest and tubercles (do not need to palpate)

A

just above private areas

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9
Q

Ischial tuberosity

A

your sits bones

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10
Q

Inguinal ligament

A

located on a line between ASIS and pubic tubercles

find pulse of femoral artery and move superiorly

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11
Q

Femoral triangle

A

state that it is bound superiorly by inguinal ligament, laterally by sartorius, and medially by adductor longus

inside NAVEL (inguinal ligament)

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12
Q

Rectus femoris

A

partner supine with bolster under knee and it’s straight up from your patella. Have Gannon lift leg off table (flex hip)

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13
Q

Vastus medialis

A

Have Gannon lie supine with a bolster under knee. Tell him to fully extend his knee. tear drop shape medial and superior to patella.

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14
Q

Vastus lateralis

A

Have gannon side lying. Place hand on lateral side of thigh while Gannon extends and relaxes his knee.

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15
Q

Biceps femoris/ semitendinous / semimembranous

A

Have Gannon lay prone. Have Gannon flex his knee and you’ll feel the whole hamstring compartment. It’s more lateral than semi membranous and semitendinous

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16
Q

know the vicinity of adductor longs, gracilis and pectinius

A

pectinous is a small muscle up at the top most lateral and it goes about to the middle of femur (its upper inner leg )
adductor longis is the next most medial above knee on medial side move up on inner leg
gracilis is the most medial… it connects to pubic symphisis

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17
Q

Tensor fasciae latae and iliotibial tract

A

Have Gannon side lie. Go posterior and distal to ASIS and have Gannon medially rotate lip and relax. Thats tensor fascia latae right under the hip.
For iliotibial tract have him lift the top leg and feel above the lateral knee the superficial and stringy fibers

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18
Q

Sartorius

A

Have landon lie on his back. Bend his knees up, and then cross one over the other. Have him resist me pulling his bent leg towards his hip. starts at ASIS and inserts into tibia

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19
Q

Iliopsoas

A

Side lying between ASIS and navel. It’s deep and goes more at a diagnal opposite of your V

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20
Q

Tibial tuberosity

A

directly underneath under patella. Its where patella ligament inserts -its that boney prominance. If you move left or right there’s caves

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21
Q

Shaft of the tibia

A

continue down from the tibial tuberosity and its the big bone

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22
Q

Head of the fibula

A

lateral epicondyle of knee, slide down three inches.

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23
Q

“Hills on Both Sides” explain condyles of knee from epicondyles of knee

A

condyles are the curved region, epicondyle are far medial or lateral side

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24
Q

Medial femoral condyle

A

Its on the knee itself on the medial side. Move medially from medial epicondyle- sometimes flexion can help you feel this rounded area

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25
Q

Lateral femoral condyle

A

its on the knee itself its on the lateral side

“move medially from lateral epicondyle. Sometimes flexing knee can help you feel this rounded area”

26
Q

Medial femoral epicondyle

A

the boney ridge on the medial side of knee (not on the knee itself)

27
Q

lateral femoral epicondyle

A

the boney ridge on the lateral side of knee (not the knee itself)

28
Q

lateral rotators

A

have Gannon prone - these are on the top middle of one buttcheek and have him lateral rotate

29
Q

Medial tibial plateau

A

go to patellar ligament and feel the edges (inferior to knee)- bend the knee and straighten the knee and you should feel the joint space

30
Q

Lateral tibial plateau

A

go to patellar ligament and feel the edges go to the lateral dip bend the knee and straighten the knee and you should feel the edges

31
Q

Pes anserinus

A

goto tibial tuberosity and theres a flat area there- medial side and feel for tenderness

32
Q

meniscus

A

goto tibial plateau and medially rotate the knee. Bend knee and medially rotate

33
Q

Sustentaculum tali

A

the bump directly under the medial malleolus . Its on your calcaneous

34
Q

Peroneal trochlea

A

the bump under the lateral malleolus

its on your calcaneous

35
Q

Tuberosity of calcaneus

A

very tip of the back of your heel

base of the heel, large flat bump

36
Q

Malleolar grooves

A

wrote down they are jus the grooves on the back of each malleolus

37
Q

Adductor tubercle

A

on femur, above pes anserinus, on medial side, strum to feel tendon

38
Q

head of talus

A

two inches towards toes from medial malleolus. So its kinda at a diagonal angle down and forwards on inner foot and is a bump

39
Q

Trochlea of the talus

A

(between both maleolli on top, more lateral)- goto the head of the tulus, and them move a little bit laterally

40
Q

Tuberosity of the 5th metatarsal

A

lateral bump at base of pinky toe metatarsal

41
Q

How to find medial, middle and lateral cuneiform

A
medial = base of 1st metatarsal
middle = base of 2nd metatarsal
lateral = base of 3rd metatarsal
42
Q

Navicular

A

proximal to medial cunieform

43
Q

cuboid

A

base of metatarsal of pinky toe. Have Gannon plantar flex

44
Q

Gastronemius

A

have landon lie prone (face down), go into plantar flexion and lift his ankle up a little. Push it down at the ankle and tell him to resist. Then you can feel it .

45
Q

Soleus

A

Have landon lay on his stomach, with knee bents all the way to a 90 degree angle and feel deep to gastrin

46
Q

Peroneus longus and brevis

A

Side laying. Between head of fibula and lateral malleolus. Evert foot (turn towards pinky toe) and feel about half way up on lateral side of fibula

47
Q

tibialis anterior

A

invert foot and dorsiflex the ankle- find the tiba and its just barely lateral

48
Q

Extensor digitorum longus

A

asiest to find by extending toes with socks off

primary extender of 2nd-5th toes

49
Q

Extensor hallucis longus

A

find big toe and work backwards

50
Q

FLEXORS OF THE ANKLE AND TOES

A

partner supine with leg bolstered. Feel in the space between medial malleolus and the achilles tendon and have partner invert

51
Q

Extensor digitorum brevis

A

goto lateral malleolus and move forward an inch feel extended toes 2-4

52
Q

Flexor digitorum brevis

A

palpate arch of foot with toes flexed

53
Q

Abductor hallucis

A

medial side of foot and abduct

aspect of the first metatarsophalangeal joint.

54
Q

Abductor digiti minimi

A

lateral side of foot and abduct

aspect of 5th Metatarsophalangeal joint

55
Q

Medial meniscus

A

partner seated with knee flexed, place thumb above medial tibial plataue, have person medially rotate knee

56
Q

Medial meniscus

A

partner seated with knee flexed, place thumb above medial tibial plataue, have person medially rotate knee

57
Q

head of the talus

A

medial malleolus move towards toes an inch

58
Q

medial tuberosity of the talus

A

45 degree angle behind the medial malleolus

59
Q

trochlea of talus

A

on top in between medial and lateral malleolus, but more towards the lateral side

60
Q

Malleolar grooves

A

between calcaneal tendon and EITHER medial OR lateral malleolus