UL Exam Flashcards
Hot, swollen, red, painful (especially with passive motion) - r/o:
septic joint
night pain, especially w/ weight loss, r/o:
tumor
deformity and loss of motion, r/o:
dislocation and/or fracture
rapidly progressing neurologic changes in forearm or leg with pallor, weak/absent pulse, pain with passive motions, r/o:
compartment syndrome
significant sudden onset of limb swelling, pain and bluish skin changes, r/o:
DVT
morning stiffness, better with rest, worse with prolonged use:
suspicious for arthritis
pain only with active motion or resistance:
suspicious for muscle or tendon injury
pain with both active and passive motion:
suspicious for articular injury
instability is suspicious for:
ligament injury
On the basic strength grading scale, 5/5 means:
normal
on the basic strength grading scale, 3/5 means:
can only move against gravity
on the basic strength grading scale, 1/5 means
muscle contractions but no motion
on the basic reflex grading scale, 4+ means:
clonus and hyperactive
on the basic reflex grading scale, 3+ means
hyperactive, no clonus
on the basic reflex grading scale, 2+ means
normal
on the basic reflex grading scale, 1+ means:
hypoactive
on the basic vascular grading scale, 4+ means
bounding
on the basic vascular grading scale, 3+ means
normal
on the basic vascular grading scale, 2+ means
diminished
on the basic vascular grading scale, 1+ means
faint, but detectable
a positive full can test indicates pathology in which muscle
supraspinatous
a positive lift-off test indicates pathology in which muscle:
subscapularis
apprehension test simulates:
shoulder dislocation
Regarding the elbow, the valgus stress test will be testing which ligament?
ulnar collateral
describe tinel’s sign
tapping over the median nerve in the carpal tunnel
a positive phalen’s sign is dx for
carpal tunnel
a pt fell directly onto their shoulder, they probably have what injury:
AC sprain
pt presents with pain with overhead motions and shoulder deformity (superior) and a positive cross-body test. dx?
AC sprain
in a pt with an anterior shoulder dislocation, which nerves are you worried about?
axillary and musculocutaneous
is pain positive for the apprehension test? if not, what is?
no, instability in the joint. test is performed when dislocation is reduced
what tx do you consider after initial shoulder dislocation?
immobilization with sling for 3-4 wks for young adult
consider surgery for athletes
what tx for recurrent non-traumatic shoulder dislocations?
PT and early mobilization
Neer’s, Hawkin’s, and empty can all test for what injury?
rotator cuff injury
what tx do you consider for rotator cuff injuries?
small tears/tendinopathies > non-operative
surgical for large tear or in young athletic pts
what is the etiology of medial epicondylitis?
over use of wrist flexors
what is the etiology of lateral epicondylitis?
overuse of wrist extensors
which nerve is irritated in carpal tunnel syndrome?
median n.
Snuffbox contents:
Radial a/n, scaphoid, cephalic v.
