Red Flags Skill Check Flashcards
UMN tests include
Babinksi’s
Hoffman’s
Reverse Supinator
Clonus
what is a positive Babinksi’s
toe extension / fanning of toes
procedure of Babinksi’s
Stroke lateral side of palmar surface of foot starting at heel and working towards 1st pad
positive Hoffman’s
flexion of thumb / index finger
procedure of Hoffman’s test
“Flick” terminal phalanx of the slightly extended middle finger from dorsal to palmar side
positive reverse supinator
flexion of fingers or elbow extension
procedure of reverse supinator sign
test the brachioradialis reflex (C6)
positive response to clonus
> 3 beats
procedure of clonus testing
Perform a quick stretch to the ankle into dorsiflexion and sustained the stretch
Lhermitte’s sign positioning
long sitting
passively flex patients hip and head with a straight leg
positive lhermitte’s
sharp, electric pain down spine into limbs
what does a positive lhermitte’s indicate
dural/meningeal irritation in spine
possible myelopathy
which lobe of the lung cannot be posteriorly auscultated
middle lobe
placement for carotid artery auscultation
angle of jaw
mid cervical - on top of pulse
base of the neck - on top of pulse
explain carotid artery auscultation
patient in sitting
allow patient to take a breath and slowly exhale
using bell of stethoscope
– listen of a bruit
procedure of an abdominal exam
R UQ –> palpate each other quadrant
explain rebound tenderness
pain upon removal of pressure over a given area in the abdomen
what is rebound tenderness also known as? what does it indicate
Blumberg’s sign
peritonitis via appendicitis or UC
what is the allen test? what does it assess?
test of the radial and ulnar artery
- circulation of blood into the palmar aspect of hand
explain the ulnar artery’s extension into the hand
contributes to superficial palmar arch just deep to palmar aponeurosis
explain the radial artery’s extension into the hand
contributes to deep palmar arch just deep to long flexor tendons
locations for Ottawa Knee Rules test palpation
patella
head of fibula
location of inguinal canal
between ASIS / pubic symphysis
location of superficial inguinal ring
above pubic tubercle
location of deep inguinal ring
halfway point between ASIS and pubic tubercle
direct vs indirect hernia
direct = medial of inf. epigastric a&v
indirect - lateral of inf. epigastric a&v
