Advanced PE Flashcards
(49 cards)
McBurney’s Point
1/3 of the way from the ASIS to the umbilicus
McBurney’s sign
deep tenderness suggests appendicitis
Rebound tenderness
push in slowly and rapidly release. pain on rebound indicates an inflamed peritoneum
Rovsing’s sign
palpate LLQ. Pain in the RLQ suggests appendicitis
Obturator sign
hold R hip and knee at 90 degrees. internally and externally rotate hip. Pain indicates peritoneal infection, inflammation, or appendicitis
Psoas Sign
- RLQ pain when patient flexes hip
2. RLQ pain when patient extends hip (when laying on side)
Markle’s sign
the heel jar test. Jump off the table or hit heels to move the peritoneal cavity. RUQ pain is a positive sign
Murphy’s Sign
palpate the gallbladder/liver. Sudden pause during deep inspiration indicates gallbladder disease
Bronchophony
increased loudness or clarity in an area (while patient speaks) indicates consolidation
Whispered Pectoriloquy
increased loudness or clarity in an area (while patient whispers) indicates consolidation
Egophony
when patients say “eeeeee” if it is heard as “aaaaaa” suggests consolidation
Straight Leg Raise test
raise a straight leg to 30 degrees. pain in the leg suggests nerve root irritation or L4/L5 herniation
Tinel’s sign
tap median nerve - tingling indicates Carpal tunnel syndrome
Phalen’s Sign
hold flexed wrists together for 1 min - tingling indicates Carpal tunnel syndrome
Snuff Box tenderness
scaphoid fracture id tenderness
McMurray test
Flex knee and hip to 90 degrees, apply lateral forces and straighten feeling for clicks or pain to evaluate menisci
Foot rotates externally + valgus(medial) force - Medial M
Foot rotates internally + varis(lateral) force - Lateral M
Drawer test
Anterior mvmt of the tibia - ACL damage
Posterior mvmt of the tibia- PCL damage
Lachman Test
push thigh, pull tibia and feel for laxity for ACL damage
Varus and valgus stress tests
to evaluate the collateral ligaments
Varus(Lateral force) laxity - Medial Collateral
Varis(Medial force) laxity - Lateral Collateral
Floppy muscles
hypotonic/Flacid
Variable increased resistance
spacticity
High resistance then sudden relaxation of muscle
clasped knife spactisity
Persistent resistance
lead pipe spasticity
Racket-like jerkiness
cogwheel rigidity
