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PT Examination > UQ LQ Scanning > Flashcards

UQ LQ Scanning Flashcards

1
Q

6 Steps of Patient/Client Management model

A 
Examination
Evaluation
Diagnosis
Prognosis
Intervention
Outcomes
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2
Q

HOAC Model steps?

A 
Exam
Eval
DX
Prog
Problem List and goals (Interventions and Outcomes)
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3
Q

What is involved in the listening component?

A

History and Review of Systems

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4
Q

What is involved in the data gathering?

A

Hands on component. Systems Review.

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5
Q

What factors are involved in the History part of the examination process?

A 
Clients Health Condition
Referral info
Chart info
Family History
PIPs patient identified problems

Review of Systems***

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6
Q

What section is the UQ or LQ scan under?

A

Data gatherings/hands on component of the examination process

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7
Q

What are 4 purposes of the scanning examination?

A
  • Identify areas of involvement if patient cannot delineate.
  • Eliminate confusing or conflicting information provided by patient/client
  • Assist in delineating the source of the problem or complaint to a single area or region.
  • Rule out referred pain or symptoms from another body system or region
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8
Q

How many minutes for an initial visit?

A

45 minutes

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9
Q

How many minutes for History/Review of Systems?

A

10 minutes.

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10
Q

How many minutes to examine and evaluate the patient?

A

20 minutes total

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11
Q

In the 20 minutes to examine and evaluate patient, how many minutes for system review of UQ or LQ scan?

A

7-8 minutes

12 minutes for other tests, measures and findings.

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12
Q

What are the 3 components of a scanning examination?

A

1)OBSERVATION:Posture Assessment
Skin Integrity
Functional movement assessment

2) Spine and Extremity Mobility
3) Strength and Nerve Root Level Assessment

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13
Q

What is the purpose of the functional movement assessment?

A

Can find regional interdependence

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14
Q

What is checked for in a skin integrity exam?

A

Edema
Bruising
Areas of Redness
Temperature changes

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15
Q

In the UQ scan, what movements are performed in the functional movement assessment?

A

Hands behind back
Hands behind neck
Comb hair with both hands (supination)
Bring cup to mouth (pronation)

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16
Q

What is assessed in cervical spine UQ scanning?

A

flexion, extension, lateral flexion, rotation

BOTH SIDES FOR SPINE

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17
Q

What is assessed in shoulder UQ scanning?

A

Flexion, abduction, hyperextension, rotation (internal/external), Extension

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18
Q

What is assessed in elbow UQ scanning?

A

Flexion, Extension

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19
Q

What is assessed in wrist UQ scanning?

A

Extension, Flexion, Radial Deviation, Ulnar Deviation

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20
Q

If patient has FULL ROM and is pain/symptom free what is performed?

A

OVERPRESSURE

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21
Q

Cervical Spine flexion

A

One hand on chest, one on back of head.

Check for pain.

Apply over pressure.

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22
Q

Cervical Spine Extension

A

Bring head back, one hand on forehead. Other hand on upper back

Check for pain

Add overpressure

23
Q

Cervical Spine Lateral Flexion

A

One hand on shoulder, other above temple.

Check for pain, add overpressure.

BOTH DIRECTIONS

24
Q

Cervical spine rotation

A

Overpressure: Elbow on shoulder, hand behind head. Other hand pushes into direction above ear.

Both directions

25
Q

Shoulder flexion

A

Keep your arm straight and bring it forward to the ceiling. Any discomfort? Apply overpressure with one hand on scapula, other below elbow.

26
Q

Shoulder abduction

A

Keep your arm straight and bring it out to the side, towards the ceiling for me. Any discomfort? Apply overpressure behind patient with one hand on scapula, other below elbow pushing in.

27
Q

Extension for shoulder?

A

No point. Extension is the return of flexion.

28
Q

Hyperextension for shoulder?

A

Keep your arm straight and go back as far as you can for me. Any discomfort? apply pressure @ elbow and @ scapula from the front.

29
Q

Internal rotation for shoulder ROM

A

Keep arm in L position with palm of hand faced behind you. Any discomfort? One hand above wrist, other behind elbow.

30
Q

External rotation for shoulder ROM

A

Keep arm in 90 degree angle in a L position with knuckles toward the ceiling. Bring back of the hand as far back behind you. Any discomfort? apply pressure @ elbow and below wrist

31
Q

Elbow flexion ROM

A

Bend arm and bring hand up to your shoulder. As far as you can go? Any discomfort? Apply overpressure below wrist and behind shoulder

32
Q

Elbow extension ROM

A

Return from flexion, keep arm straight for me. Any pain? Apply overpressure with one hand below wrist and one hand above elbow.

33
Q

Forearm ROM for Pronation

A

Rotate hand so palm is faced towards the ground. Any pain or discomfort? Apply overpressure. Hold the elbow and grab hand in direction of pronation.

34
Q

Forearm ROM for Supination

A

Bend arm and rotate palm towards the ceiling as far as you can go. Any pain? Apply overpressure @ elbow and wrist in direction of supination.

35
Q

Forearm ROM Flexion/Extension

A

Bring hand back towards you. Any pain? Overpressure

Bring hand down towards ground, any pain? Overpressure

36
Q

Radial Deviation ROM

A

Keep elbow bent, bring hand in towards yourself. Any pain? Overpressure

37
Q

Ulnar Deviation ROM

A

Keep elbow bent, bring hand away from you. Any pain? Overpressure.

38
Q

Nerve root level neck flexion?

A

c1-c2

39
Q

Nerve root level lateral flexion?

A

c3

40
Q

Nerve root level Shoulder shrug

A

c4

41
Q

Nerve root level Shoulder abduction

A

c5

42
Q

Nerve root level elbow flexion and wrist extension?

A

c6

43
Q

Nerve root level for elbow extension/ wrist flexion

A

c7

44
Q

Thumb abduction nerve root level

A

c8

45
Q

Finger abduction nerve root level

A

T1

46
Q

Testing myotome bilaterally or unilaterally?

A

Bilaterally for comparison

47
Q

Neck flexion nerve root assessment

A

Bring chin down to chest, hold against my resistance. 3 count of hold. Hand on shoulder and press up against forehead.

48
Q

Neck lateral flexion nerve root assessment

A

Bring right ear down to right shoulder. Resist against my pressure. 3 count, one hand on shoulder one hand on side of head pressing opposite direction

49
Q

Shoulder shrug nerve root assessment

A

Bring shoulders and traps up towards the ceiling for me. Hold against my resistance, 3 count. hands on upper traps.

BEST IN CHAIR

50
Q

Shoulder abduction nerve root assessment

A

Keep arm straight and bring it out to your side and have it level with your shoulder. Resist against my pressure. one hand on opposite shoulder. Other hand proximal to elbow. 3 count of hold.

51
Q

Elbow flexion nerve root assessment

A

Bring arm towards shoulder. Have arm in fully flexed position and pull wrist towards self. 3 count

52
Q

Elbow extension nerve root assessment

A

Keep arm in fully flexed bicep position. press against the resistance coming towards you. “Push against me”

53
Q

Wrist extension nerve root assessment

A

Bring hand towards you. Pull hand back in opposite direction

54
Q

Wrist flexion nerve root assessment

A

Bring wrist down towards ground for me. Keep arm supine with palm towards ceiling. Pull towards.

PT Examination (8 decks)

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