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YEAR 3 > UPPER LIMB ASSESSMENT > Flashcards

UPPER LIMB ASSESSMENT Flashcards

1
Q

Outline the physical assessment

A

Look
Feel
Move
- Active
- Passive
- Resisted

Joint above
Affected area
Joint below

RED FLAGS
Colour
Perfusion
Sensation

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2
Q

SWEADES

A

S - swelling
W - wounds
E - exudate
A - atrophy
D - deformity
E - eretyma
S - scars

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3
Q

Shoulder joint above

A

neck or spine - reffered pain - rule out

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4
Q

Spine - LOOK

A

Posture - scoliosis/ kyphosis
Deformities

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5
Q

Spine - FEEL

A

atrophy/hypertrophy
muscle/bony tenderness
irregular spinous process - tenderness

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6
Q

Spine - MOVE

A

flexion/extension - nodding
lateral flexion - ear to shoulder
rotation (sitting)

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7
Q

4 joints of the shoulder gurdle

A

sternoclavicular
acromioclavicular
glenohumeral
scapulothoracic

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8
Q

Sternoclavicular Joint

A

where the sternum and clavicle join

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9
Q

Acromioclavicular

A

Acromion process joins onto the clavicle

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10
Q

Glenohumeral joint (shoulder joint)

A

Glenoid meets the humerus - ball and socket

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11
Q

which joint is the most shallow and susceptible to dislocation?

A

Glenohumeral

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12
Q

Anterior (front) landmarks

A

Sternoclavicular joint
Clavicle
AC joint
Coracoid process

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13
Q

Posterior (back) landmarks

A

spine and borders of the scapula

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14
Q

Humeral landmarks

A

Head of humerus
tubercule - greater and lesser
Bicipital groove
Deltoid muscle

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15
Q

extension movement

A

0-60 degrees

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16
Q

external rotation

A

0-90 degrees

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17
Q

internal rotation

A

0-70 degrees - body wont allow anymore movement

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18
Q

Regimental badge sign

A

test for axillary nerve damage
- sensation
light stroke of both sides of shoulder

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19
Q

axillary nerve motor deficit sign

A

motor - abduction of the deltoid is limited

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20
Q

shoulder dislocation

A

Anterior - trauma
Posterior - FOOSH

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21
Q

4 stages of subluxation

A

1 - v shaped widening
2 - moderate subluxation
3 - advanced subluxation
4 - dislocation

22
Q

4 muscles of the rotator cuff

A

supraspinatus
subscapularis
infraspinatus
teres minor

23
Q

tendonitis

A

tendon swells (becomes inflamed) after an injury.

24
Q

partial tear

A

when one or more of the muscles and tendons that make up your rotator cuff tears

25
Q

full thickness tear

A

Tear in the muscles or tendons surrounding the shoulder joint.

26
Q

rotator cuff impingement

A

condition where the space between the acromion and rotator cuff narrows

27
Q

other names for rotator cuff impingement

A

Rotator cuff tendinitis
shoulder bursitis
biceps tendinitis

28
Q

patient plan for rotator cuff injury

A

leave at home
self care advice/ worsening advise
gp referral

29
Q

What can a GP do for a shoulder injury

A

start non invasive treatment
- physiotherapy
- corticosteroid injections
- surgery referral

30
Q

with sensation, it is also important to ask about what?

A

Neurovascular compromise

31
Q

Elbow landmarks

A

Radial head
Olecranon
Medial and lateral epicondyles- tennis & golfers elbow

32
Q

Elbow movements

A

flexion - bend up towards face
extension - moving down towards feet
pronation - palms down
supination - palms up

33
Q

what connects the radius to the humerus allowing for pronation and supination?

A

Annular ligament

34
Q

where should movements come from with the elbow?

A

Annular ligament in the elbow not the shoulder

35
Q

Tennis elbow

A

Lateral epicondylitis - repetitive strain injury

36
Q

Golfers elbow

A

Medial epicondylitis - repetitive strain injury

37
Q

Pulled elbow is aka

A

Nursemaids elbow - common in children

38
Q

what is pulled elbow

A

radial head subluxtion due to a slip in the annular ligament causing it to trap

39
Q

Olecranon bursitis is…

A

inflammation of the Olecranon bursae

40
Q

Job of the bursae

A

to reduce bone friction

41
Q

Main signs of a septic joint

A

Signs of infection
reduced ability

42
Q

how many carpals are there?

A

8

43
Q

Pneumonic for Carpal bones

A

Some
Lovers
Try
Positions
That
They
Cant
Handle

44
Q

Bone structure of the hand

A

Carpal bones
Metacarpal bones
Proximal phalanges
Middle phalanges
Distal phalanges

45
Q

movements of the wrist

A

Palmar/dorsa flexion
Radial/ulnar deviation
Pronation/supination

46
Q

Smith’s fracture

A

Flexion fracture of the radius

47
Q

Colles’ fracture

A

Extension fracture of the radius
FOOSH pathology

48
Q

3 radial fractures

A

greenstick
foosh - colles’
smith’s

49
Q

anatomical snuffbox test

A

test for scaphoid fracture
- lightly palpate base of the thumb

50
Q
A

YEAR 3 (23 decks)

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