Thoracic Lab

Question 1

What are the 4 positive signs to diagnose a rib dysfunction

Answer 1

Height 1/2 inch elevation

Positive spring test

Positive ipsilateral scalene tone

Positive lateral cervical flexion rotation test

Question 2

Which way does the head bend for the rib springing test

Answer 2

Towards the side being tested

Question 3

What is considered a positive cervical flexion rotation test

Answer 3

Less cervical flexion when head is rotated contra-laterally

Question 4

What organs are found in the R UQ

Answer 4

Gall bladder

Duodenum

pancreas

R kidney

Question 5

What organs in the R LQ

Answer 5

Appendix

R ovary and tube

Question 6

What organs found in the L UQ

Answer 6

Stomach

Spleen

L kidney

Pancreas

Question 7

What organs found in the LLQ

Answer 7

sigmoid colon

L ovary and tube

Question 8

What is considered an abnormal and normal aortic pulse width

Answer 8

Abnormal: over 3cm

Normal: 2-3cm

Question 9

If pain is provoked for aortic palpation, what do we do

Answer 9

Refer to physician for possible AAA

Question 10

How to perform the hyperabduction (wright’s) test for TOS

Answer 10

PT palpates radial pulse

pt turns head away and hyperabducts arm behind body

hold 1-2 minutes

positive test = decreased pulse or paresthesias

Question 11

How to perform Roo’s test for TOS?

Answer 11

Raise arms to 90/90 position and open and close hand for 3 minutes straight

PT is palpating radial pulse

positive test is decreased pulse or paresthesias

stop test if any symptoms

Question 12

How to perform the costoclavicular test for TOS?

Answer 12

pt sits with exaggerated military posture then retracts and depresses both shoulders while protruding chest, hold 60 seconds

PT palpates radial pulse

positive test is decreased pusle or parethesias

Question 13

How to perform the adson’s vascular test for TOS?

Answer 13

pt is seated w/ affected arm placed in 15 degrees abduction, pt breathes deeply and holds breath then tilts head backwards and turns chin toward affected side

PT palpates radial pulse

positive test is decreased pulse or parethesias

Question 14

If a patient is having symptoms of TOS, and you use a TOS and feel a decreased pulse, does this mean that you have confirmed TOS?

Answer 14

No these tests do not have good reliability, and you should look to recreate the patients symptoms, not to just feel for a decreased pusle