Ambulatory: MSK section Flashcards
factors that exacerbate pain in disc herniation
cough and sneeze
forward flexion
patients with spinal stenosis have leg pain on what movement
back extension
pain with external rotation indicates what
infraspinatus defect
test for subscapularis defect
lift off test
neer test
pts arm fully pronated with thumb down and focibly flex above their head
pain = rotator cuff impingement
hawkins test
abduct arm 90 degrees and internal rotation
pain means rotator cuff impingement
cross arm test
flex arm 90 degrees then cross over
pain at AC jiont can mean AC joint dysfunction
mcmurray test
technique
knee passively flexed then externally rotated with varus stress
repeat with internal rotation
injury: patient has feeling of giving way when ifting heavy object and then back pain
musculoligamentous strain
neoplasms that metastasize to spine
breast, lung, prostate, kidney, thyroid
infection of bones, what pts to suspect in
most common organism
IV drug use, dialysis, indwelling catheter
most common organism is S aureus
innervation
hip flexion
knee extension
ankle dorsiflexion
great toe dorsiflexion
ankle plantar flexion
hip flexion: L2
Knee extension: L3
ankle dorsiflexion: L4-L5
great toe dorsiflexion: L5
ankle plantar flexion: S1
when is MRI indicated in back pain
failed conservatie treatment for at least 3 months
or neuro signs and sx
best test to diagnose nerve root compression is what
MRI
cervical myelopathy is what and sx
tx
what not common
neuro dysfunction 2ndary to spinal cord compression
sx: gait disturbance, loss of hand dexterity, bowel and bladder dysfunction later
pain is not common
gradual deterioration
tx: surgery to decompress SC
