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CLET > Hand Tingling Wk 6 > Flashcards

Hand Tingling Wk 6 Flashcards

1
Q

Roos Test aka?

A

aka Elevated arm stress test
seated. bring arms and elbows to 90. open and close fists rapidly up to 3 min

-ischemic pain, heaviness of arms, or numbness and tingling of hand indicates thoracic outlet syndrome on side involved

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2
Q

Adsons Test aka?

A

aka scalene maneuver and scalenus anticus test
seated. establish radial pulse. then bring arm straight and back past body. tell patient to look up(brings scalenes over neurovascular bundle) then rotate to currently tested shoulder. then take breath and hold. then turn and look to other side.

-pain and/or parathesia, decreased or absent radial pulse, pallor indicates compression of neurovascular bundle by scalenus anticus or cervical rib

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3
Q

Halstead Maneuver

A

seated. find radial pulse. traction arm downward. have patient look up. turn and look away from me
- pain and/or parasthesia, decreased or absent pulse, pallor indicates compression of the neurovascular bundle by scalenus anterior or cervical rib

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4
Q

Eden aka?

A

aka Costoclavicular manuever
seated. establish radial pulse. tell patient to sit up, shoulders back, chest out, touch chin to chest and hold breath

-pain and/or parathesia, decreased or absent pulse, pallor indicates compression of the neurovascular bundle between the clavicle and first rib

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5
Q

Hyperabduction maneuver aka?

A

aka Wright Test
establish radial pulse and slowly hyperabduct the arm

-pain and/or parathesia, decreased or absent pulse, pallor indicates compression of the axillary artery by pectoralis minor or coracoid process, thoracic outlet syndrome

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6
Q

Soft Tissue Palpation Shoulder

A
  • rotator cuff muscles as group
    - supraspinatus
    - infraspinatus
    - teres minor
    - subscapularis
  • subacromial bursa
  • subdeltoid bursa
  • axillary borders
    - pec major
    - serratus anterior
    - axillary lymph nodes
    - latissimus dorsi
    - bicipital tendon
  • SCM
  • biceps
  • deltoid (ant, middle, post)
  • traps
  • Rhomboid major and minor
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7
Q

Bony Palpation of Shoulder

A
  • sternoclavicular articulation
  • clavicle
  • coracoid process (birds peak)
  • acromioclavicular articulation
  • acromion
  • greater tuberosity of humerus
  • bicipital groove
  • lesser tuberosity of humerus
  • spine of scapula
  • body of scapula
  • scapulothoracic articulation
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8
Q

ROM shoulder

A 
flexion 180
extension 60
abduction 180
adduction 50
external rotation 90
internal rotation 70
scapular protraction, retraction, elevation
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9
Q

Dugas Test

A

ask pt to grab opposite shoulder and compress elbow to chest

-inability to touch the opposite shoulder and/or inability of the elbow to touch the chest indicates acute dislocation of the glenohumeral joint

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10
Q

Anterior Apprehension Test

A

stabilize back of shoulder, bring arm to 90 at shoulder and elbow, hold just below wrist, forearms together, bring into external rotation and WATCH FACE

-pt will have noticeable look of apprehension or alarm on their face with possible pain indicates chronic anterior dislocation of glenohumeral joint

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11
Q

Posterior Apprehension Test

A

pt supine, bring to 90 at elbow and shoulder, have humerous straight up. press A to P and internal rotation (towards you)

-pt will have look of pain or apprehension on face with possible pain indicating chronic posterior dislocation of glenohumeral joint

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12
Q

Drop Arm Test aka

A

-aka Codman test

abduct the arm slightly higher than 90 and have them hold, then slowly lower arm

-pt has an inability to hold their own arm and/or arm drops suddenly indicates rotator cuff tear, usually supraspinatus

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13
Q

Dawbarn Test

A

palpate subacromial bursa, then abdcut arm to greater than 90

-decrease in pain and/or tenderness indicates subacromial bursitis

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14
Q

Yergason Test

A
  • have pt with elbow at 90 and in thumbs up position. have them show you the arc motion (supination) pull down on arm then have them do arc motion with active resistance
  • localized pain/tenderness at the bicipital groove indicates bicipital tendonitis OR audible click or biceps tendon subluxes or dislocates indicates instability of biceps tendon possibly associated with torn transverse humeral ligament
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15
Q

Abbott-Saunders Test

A

find groove for biceps groove (rotate forearm to find) then bring arm into full abduction (180), external rotation(palm facing midline), then slowly lower arm

-palpable or audible click indicates subluxation or dislocation of the biceps tendon, rupture of transverse humeral ligament or tendon subluxation beneath subscapularis muscle belly

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16
Q

Speed Test

A

have pt elbow flexed palm facing up, raise up. palpate groove for biceps tendon, have them do raising motion with resistance

-pain and/or tenderness in the bicipital groove indicates bicipital tendonitis

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17
Q

Apley Test

A

ask pt to scratch opposite shoulder behind head, then ask pt to touch bottom of opposite shoulder behind back

-exacerbation of pain indicates degenerative tendonitis of rotator cuff tendons usually supraspinatus

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18
Q

Impingement Sign

A

start with arm straight and slightly abducted, take into full glenohumeral flexion, stabilze posterior aspect of shoulder

-pain in the shoulder indicates overuse injury to the supraspinatus and possibly biceps tendon

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19
Q

Crude touch

A

ask pt to identify when they’re being touched with dull end of neurotip in 5 dermatomes

-inability spinothalamic involvement

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20
Q

Pain (pinprick)

A

ask pt to say when they feel touch with the pin of neurotip

-inability is spinothalamic involvement

21
Q

Vibration/ Pallesthesia

A

place handle of vibrating 128 fork on bony parts of extremities. tell them to say when they feel and when it stops

-inability is dorsal column involvement

22
Q

Light Touch

A

say when you feel the touch of cotton swab

-inability is dorsal column involvement

23
Q

Joint position sense

A

stabilze lateral surface of fingers or toes and them them what is up and what is down. then ask them to close eyes and tell you if they’re up or down. DIP PIP MCP

-inability is dorsal column

24
Q

Romberg Test

A

ask pt to stand with feet shoulder width and eyes closed

-swaying or falling is dorsal column involvement

25
Q

Topognosis

A

aka point location

ask pt to identify multiple points the dr touches them with dull end of neurotip

26
Q

sharp vs dull

A

ask pt to identify whether its the sharp or dull end of tip

27
Q

Stereognosis

A

ask pt to identify familiar objects with eyes closed

28
Q

graphesthesia

A

ask pt to identify letters and numbers traced on skin

29
Q

barognosis

A

ask pt to identify difference between to objects

30
Q

two point discrimination

A

touch pt with paperclip opened wide enough that two separate stimuli are felt, then bring them closer together until one is felt, repeat 3 locations

31
Q

double simultaneous stimulation

A

touch patient on each side individually then same points at same time bilaterally

  • extinction=only 1 side felt
  • displacement=one side is felt normal and the other displaced toward midline
  • synesthesia= one side is felt normal and the other is vague burning
32
Q

Adam Sign

A

pt standing,inspect for scoliosis, then bends forward at waist with fingers extended, hands together

-a C or S shape is observed to straighten indicates a negative and is evidence of a functional scoliosis, trauma or subluxation. a C or S shape that does not straighten indicates a positive for evidence of a pathologic or structure scoliosis

33
Q

Schepelmann Sign

A

pt seated, arms fully abducted and raised overhead, instruct pt to laterally flex to left then the right

-pain on the concave side indicates intercostal neuritis while pain on the convex side indicates fibrous inflammation of the pleura or possible intercostal myofascitis

34
Q

Beevor Sign

A

supine, instruct pt to cross arms across chest and perform partial situp

-superior movt of umbilicus indicates of spinal cord lesion at T10 or lower ab weakness. inferior movt of umbilicus is indicative of nerve root involvement T7-T10

35
Q

Diadochokinesia akas/types

A

aka patting test
rapid alternating movement as fast as possible

aka supination/pronation test
pronate and supinate as fast as possible

36
Q

Dysmetria aka/types?

A

index finger test-
touch nose, then drs finger in all quadrants, note for tremors or lack of coordination

heel-shin test–
run heel down shin

37
Q

Tandem giat

A

have pt walk heel to toe like DUI test

38
Q

Forced gait

A

ask pt to walk on heels 6 steps and toes 6 steps

39
Q

Orientation

A

ask name date location

40
Q

level of alertness, attention, cooperation

A

ask spell a word forward and backward
ask them to reapeat integers forward and backward
ask them to name months forward and backward

41
Q

recent memory

A

ask them to recall items after 5 min

42
Q

remote memory

A

ask them where they went to high school

43
Q

object naming

A

ask pt to name 3 shapes

44
Q

repetition

A

ask pt to repeat words of a sentance

45
Q

reading

A

ask pt to read sentance

46
Q

calculations

A

ask simple 3 step calculation

what is 2 times 3 plus 4

47
Q

apraxia

A

ask pt to pretend to comb hair

48
Q

sequencing taks

A

ask pt to tap table with rock paper scissors in that order

49
Q

abstraction

A

ask pt to interpret early bird gets the worm

CLET (9 decks)

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