spine-LE nml Flashcards
superficial inguinal nodes are subdivided into what two groups?
- horizontal group
- vertical group
lower extremitiy arterial supply
- femoral artery
- popliteal artery
- anterior tibial artery
- dorsalis pedis
- posterior tibial artery
- fibular artery (peroneal artery)
- anterior tibial artery
- popliteal artery
venous system lower extremity
- Popliteal vein drains into femoral vein
- small saphenous vein drains into popliteal vein
- great saphenous vein drains into femoral vein
the ankle is what two hinge joints?
- tibiotalar joint
- subtalar joint (talocalcaneal)
examination of the inguinal region: what are you inspecting?
- nodes
- pulses
- hernias
what are the anterior landmarks of the hip
- iliac crest
- anterior superior iliac spine
- pubic symphysis
posterior-lateral landmarks of the hip
- greater trochanter
- ischial tuberosity
What are you palpating for in the popliteal fossa
- masses: cyst or aneurysm
-
politeal pulse
- knee should be flexed
- may need to press deeply
what landmarks are you palpating for in the knee
- patella
- patellar tendon
- medial and lateral epicondyles (of femur)
- medial and lateral condyles (of tibia)
- tibial tuberosity
when palpating the calf, palpating a firm “cord” is suggestive of what?
thrombosed vein
what are you palpating for in the calf
- tenderness
- swelling
- achilles tendon
what are the palpation landmarks of the ankle and foot?
- medial and lateral malleoli
- heel
- calcaneus
- plantar fascia
- metatarsophalangeal joints
- heads of five metatarsals
where are places to check for edema?
- dorsum of foot
- behind medial malleolus
- shins
edema is graded how?
grade 0 to 4+
where is the dorsalis pedis pulse located
- dorsum of foot
- approximately over the 1st and 2nd metatarsals
where is the posterior tibial pulse located
behing and slightly below medial malleolus
a diminished, weaker than expected pulse is given what grade?
1+
a brisk, normal pulse is given what grade?
2+
an increased pulse is given what grade?
3+
a bounding pulse is given what grade?
4+
how do you test internal rotation of the hip
- patient supine
- flex leg to 90 deg at hip and knee
- hold knee with one hand
- grasp ankle with other
- swing leg laterally
how do you test for external rotation of hip?
figure four with leg
inversion of ankles
turn soles of feet together
*keep knees together
which hip ROM are you doing strength testing for?
- abduction and adduction (supine)
- flexion (sitting)
which knee ROM are you doing strength testing for?
- flexion
- extension
which ankle ROM are you doing strength testing for?
dorsiflexion and plantar flexion
numbered distribution of vertebrae
- cervical: 7
- thoracic: 12
- lumber: 5
- sacrum: 5
- coccyx: 5
how do you inspect the spine
- expose entire back
- inspect from back
- inspect from side
- evaulate spinal curvature
- evaluate cervical and lumbar concavity and thoracic convexity
inferior angle of scapula falls at what spinous level?
spine of T7
iliac crest falls at what spinous level?
spine of L4
what are the ROM testing for spine
- flexion
- extension
- rotation
- lateral bending
what do you need to remember to do when checking spine ROM
stabilize the patient
