Thoracic spine MRS and Meningeal tests Flashcards
What significant history findings can indicate a thoracic spine issue?
Difficulty breathing
Chest pain
Substernal burning
Chest pressure
Abdominal pain
Knife-like pain in the lower thoracic spine
Dull ache over thorax
Febrile
Knife like pain in the lower thoracic or lumbar spine with a patient favoring flexion indicates what MSK pathology?
Facet syndrome
What is the innervation of serratus anterior?
Long thoracic nerve
What is the innervation to the trapezius and sternocleidomastoid?
CN XI: Accessory
What is an Adam’s test?
Patient with signs of scoliosis is asked to flex forward at the waist
What are positive finding(s) and indication(s) for an Adam’s test?
Structural findings such as rib humping do not recede = Structural scoliosis
Structural fidings such as rib humping recede = Functional scoliosis
How is a rib motion test performed?
The patient is seated and the doctor stands posteriorly, fingertips of each hand are placed in the costovertebral spaces 2-5. Ask patient to fully inhale and exhale
Repeat along the mid-axillary line for ICS 6-9 and posteriorly for 10-12
What is a positive result for a rib motion test?
Asymmetrical rib motion and excursion
The Soto-Hall Test is (Febrile/Afebrile)?
Afebrile
How is the Soto-Hall Test performed?
With the patient supine, the examiner places knife edge contact or rolled towel on the sternum and flexes the cervical spine
What is a positive finding for a Soto-Hall Test?
Report of cervicothoracic spinal pain
What is indicated by a positive finding for a Soto-Hall Test?
General cervciothoracic discomfort that may indicate a disc herniation, sprain, strain, fracture, or subluxation
What three tests can be recorded with a patient supine in neck flexion?
Brudzinski’s Sign
Lindner’s Sign
Soto-Hall Test
What orthopedic test for cervicothoracic pain can be positive for a clay shovelers fracture?
Soto-Hall Test
The Brudzinksi’s Sign is (Febrile/Afebrile)?
Febrile
How is Brudzinksi’s sign performed?
Same as Soto-Hall but WITHOUT stabilization
What sign is the same as Linder’s sign without the leg pain?
Brudzinksi’s sign
The Soto-Hall test has stabilization (TRUE/FALSE)?
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Does the Brudzinski’s Sign involve stabilization?
NO
What is a present finding for Brudzinksi’s sign?
Knee flexion, lumbar extension, increased head and neck pain (Opisthotonos position)
What sign has a present finding of an opisthotonos position?
Brudzinski’s sign
What is indicated by a positive Brudzinski’s sign?
Headache and neck pain or stiffness with a fever indicating meningitis
What orthopedic tests can determine meningitis if present or positive?
Brudzinksi’s sign
Kernig’s test
Kernig’s test is (Febrile/Afebrile)?
Febrile
How is Kernig’s test performed?
Examiner flexes the knee and hip of one leg to 90 degrees then attempts to straighten the flexed leg at the knee
What is a positive finding for Kernig’s test?
Diffuse pain in the cervicothoracic area, Involuntary flexion of the opposite hip and knee, and/or cervical and lumbar extension
What is indicated by a positive finding for Kernig’s test?
Meningeal inflammation
With exception of fever, the chief complaint for meningitis is the same as a dissecting vertebral artery (TRUE/FALSE)?
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