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Chiro Essentials General Diagnosis > Clinical > Flashcards

Flashcards in Clinical Deck (136)
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1

What is the Blumberg test, what is the positive, and what does it signify?

Sudden release of deep ab pressure causing abdominal pain --> Generalized peritonitis

2

What is the closed eyes sign, what is the positive, and what does it signify?

Close eyes prior to abdominal area being palpated small chance of serious intra-abdominal pathology

3

What is the Kehr's sign, what is the positive, and what does it signify?

Left shoulder and abdominal pain --> splenic rupture

4

What is the Murphy's sign, what is the positive, and what does it signify?

Abrupt cessation of inspiration with thumb under tip of 9th rib in RUQ --> cholecystitis

5

What is the Murphy's punch, what is the positive, and what does it signify?

Tenderness on percussion of the costovertebral angle = pyelonephritis

6

What is the Obturator internus test, what is the positive, and what does it signify?

Right iliac fossa pain on internal rotation of the hip = appendicitis

7

What is the Prehn's sign, what is the positive, and what does it signify?

Elevation of scrotum, reduces scrotal pain = epididymo-orchitis

8

What is the Psoas sign, what is the positive, and what does it signify?

Right iliac fossa pain on hyperextension of right hip = appendicitis

9

What is the Puddle sign, what is the positive, and what does it signify?

Pt on hands and knees, listen with stethoscope near umbilicus and flick abdomen on side,move stethoscope and continue to flick, sound louder then fluid is present = ascites

10

What is the Rogoff's sign, what is the positive, and what does it signify?

Pain on deep palpation over 12th rib = adrenal inflammation

11

What is the Rovsing's sign, what is the positive, and what does it signify?

Right iliac fossa pain on pressure in left iliac fossa = appendicitis

12

Alcohol + epigastric pain which is better bending forward =

acute pancreatitis

13

Recurrent abdominal cramps + diarrhea + flushing + wheezing =

Carcinoid syndrome

14

Recurrent diarrhea + steatorrhea =

Celiac disease

15

Recurrent mucous diarrhea, right iliac fossa tenderness =

Crohn's disease

16

Left iliac fossa pain, older person, blood in stool =

Diverticulitis

17

Dysmenorrhea + infertility + no vaginal discharge =

Endometriosis

18

Dyspepsia with food and worse two hours after eating =

duodenal ulcer

19

Pain relieved by defecation + recurrent diarrhea =

Irritable bowel syndrome

20

Old patient + abdominal pain + shock =

Mesenteric vascular occlusion

21

Recurrent bloody diarrhea, LLQ tenderness =

Ulcerative colitis

22

What is the Beevor test, what is the positive, and what does it signify?

Ask supine pt to lift head off table if umbilicus deviates there is damage to spinal cord btw T7-T10

23

What is the Forestier bowstring test, what is the positive, and what does it signify?

Ask standing pt to laterally bend to one side, ipsilateral paraspinals tighten = ankylosing spondylitis

24

What is the Heel drop test, what is the positive, and what does it signify?

Ask pt to stand on toes and drop weight on heels
If midline thoracic pain =thoracic vertebral fracture
If lateral thoracic pain = facet syndrome

25

What is the Levine's sign, what is the positive, and what does it signify?

Clenched fist over pericordium when asked to describe chest pin is indicative of angina pectoris or MI

26

What is the Schepelmann test, what is the positive, and what does it signify?

Ask pt to laterally bend with hands held over head
Pain on convex side = strain/sprain, myofaciitis, pleurisy
Concave side pain = Intercostal neuritis

27

Recurrent cough + retrosternal pain =

Bronchitis

28

Chronic cough, hemoptysis, weight loss =

Bronchogenic carcinoma

29

Tearing chest pain + sweating + feeling of impending doom =

Dissecting thoracic aorta

30

Atypical chest pain w/midsystolic click in mitral area =

Mitral valve prolapse