Exam (elaborations)
[Irene Gold] Part 4 Clinical Orthopedics Exam Questions and Answers
- Course
- Institution
[Irene Gold] Part 4 Clinical Orthopedics Exam Questions and Answers
[Show more]
Content preview
[Irene Gold] Part 4 Clinical OrthopedicsExam Questions and Answers
Foraminal Compression Test - -The seated patient actively rotates head from
side to side. The doctor exerts a downward pressure from the neutral
position. The head is then rotated to each side with pressure.
Radicular Pain = *Nerve Root Compression*.
Localized Pain = *Facet Syndrome*.
-Jackson's Compression Test - -The patient is seated, the doctor laterally
flexes the patients head the right and applies downward pressure. The
doctor then performs the same on the other side.
Radicular Pain = *Nerve Root Compression*.
Localized Pain = *Facet Syndrome*.
-Distraction Test - -With the patient seated, the doctor exerts upward
pressure on the patient's head moving the weight of the patients head from
the neck.
Positive: Decreased Pain.
Indicates: *Nerve Root Compression*.
Positive: Increased Pain.
Indicates: *Sprain/Strain*.
-O'Donohue's Test - -Can be performed on any joint.
Patient actively moves against resistance and then the Doctor passively
moves the part thru a full ROM.
Positive: pain.
Indicates: *sprain if pain during passive ROM/ strain if pain during active
ROM*
-Valsalva's Maneuver - -The doctor. asks the patient to take a deep breath
& hold it while bearing down.
Positive: Radicular Pain.
Indicates: *Space Occupying Lesion*.
-Maximal Cervical Compression Test - -Patient seated & actively rotates,
laterally flexes & hyperextend the neck to the right. If no pain, the patient is
asked to maximally laterally flex the neck. Repeat on the other side. No
compression applied.
Radicular Pain = *Nerve Root Compression*.
Localized Pain = *Facet Syndrome*.
, -Shoulder Depression Test - -With the patient seated, the doctor depresses
the patient's shoulder while laterally flexing the cervical spine away from the
shoulder. Repeat on the other side.
Positive: Pain.
Indicates: *Nerve Root Adhesion*.
-Soto Hall Sign - -With the patient supine, doctor places one hand on the
sternum while passively flexing the patient's head toward the chest.
Positive: Localized Pain.
Indicates: *Fracture* (*anterior* pain), *Ligament Damage* (*posterior*
pain).
-Bakody's Test
[aka Shoulder Abduction Test] - -While seated the patient actively places
affected arm's palm on top of head. The elbow should be at the level of the
head.
Positive: Relief of pain.
Indicates: *IVF Encroachment.*
-Allen's Test - -Patient sits & pumps their hand while elbow flexed &
supinated. Keep hand closed while doctor occludes radial & ulnar arteries
until hand is blanched. Record time it takes for each artery to refill.
Positive: >10 seconds for blood to return.
Indicates: *Occlusion of the corresponding artery.*
-Costoclavicular Maneuver
[aka Eden's Test] - -Doctor palpates radial pulse while drawing patient's
shoulder back & down. Patient flexes chin to chest.
Positive: Alteration in the amplitude of the radial pulse.
Indicates: *Compression between first rib & clavicle*.
-Adson's Test
[aka Scalenus Anticus Test] - -Patient seated, Dr. abducts, extends &
externally rotates the arm while taking the radial pulse. Patient rotates head
to tested side & extends head.
Positive: Alteration of amplitude of radial pulse.
Indicates: *Cervical Rib*.
-Modified Adson's Test
[aka Scalenus Medius Test] - -If Adson's is negative, patient rotates head to
the opposite side, extends head & deep breath.
Positive: Alteration in the amplitude of radial pulse.
Indicates: *Subclavian artery, Scalenus medius syndrome*.
-Wright's Test
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Nursephil2023. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $12.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
62890 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now