NMS II OSCE I- problems if positive Flashcards Preview

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Flashcards in NMS II OSCE I- problems if positive Deck (29)
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1

adam's test

structural scoliosis- scoliosis will go away
functional scoliosis- scoliosis will remain

2

amoss sign

have to use upper body to get up, pain is elicited

3

beevor's sign

opposite abdominal weakness

4

chest expansion test

spinal ankylosis, rib fracture, sprain/strain, etc

5

forestier bowstring sign

muscle spasm, AS, pain inhibiting motion, stacking

6

rib motion test

rib subluxation, muscle strain, pleuritis, fracture, arthridities

7

schepelmann's sign

concave side- neuralgia
convex side- myalgia/myofascitis

8

antalgia

lean away- posterolateral herniated disc
lean toward- posteromedial herniated disc
lean forward- posterocentral (rhizal) herniated disc

9

straight leg raiser

sciatica from lumbosacral lesion
potential SOL

10

bragards sign

reproduction or increase in leg pain

11

sicard's sign

irritation of L5 NR MC, L4 or S1 can also be irritated

12

bechterew's test

if SLR is positive, then this should be positive as well
if not, maybe suspect exageration of symptoms

13

slump test

disc bulge or herniation

14

crossed straight leg raiser

symptoms at same level of SLR- posteromedial IVD bulge or herniation
symptoms at increased angle- posteromedial IVD bulge or herniation first, maybe posterolateral bulge or herniation

15

fajersztajn's test

pain at same angle as braggard's, potential posteromedial IVD bulge or herniation
pain at greater angle than braggard's- potential posterolateral bulge or herniation

16

cox sign

SOL, IVF encroachment, radiculopathy, nerve root, tension, sciatica

17

ely's test

radiating pain- femoral nerve or upper lumbar spinal NR compession
localized pain- quadriceps muscle contracture

18

femoral nerve traction test

radiating pain to groin may indicate L1 NR radiculopathy
radiating pain to anterior mid-thigh may indicate L3 NR radiculopathy

19

heel/toe walking test

can't walk on heels- L5 problem, L4 IVD
can't walk on toes- S1 problem, L5 IVD (MC)

20

kemps test

NR irritation or IVD herniation
radiculopathy
local pain with slight rotation or on convex side- capsulitis
local pain on extension or concave side- facet problem
general pain at waist- lumbar spine sprain/strain
radiating leg pain with flexion- IVD lesion

21

kernig

meningitis

22

brudzinski

meningitis

23

lasegue

hip pain: hip pathology
thigh or leg pain: radiculopathy
bilateral: tight hamstrings

24

lindner's

seated: cervical myelopathy, meningitis
supine: meningitis

25

milgram's

low back: herniation or lumbar sprain/strain
no pain: weak core muscles

26

minor's sign

SI joint lesion
L5 strain/sprain
lumbo-pelvic fracture
IVD syndrome
muscular dystrophy
sciatica

27

nachalas

radiating: femoral nerve or lumbar NR compression
localized: quad contracture

28

quick test

pain/locking/creptus in low back, hips, knees or ankles

29

bilateral leg lowering test

lumbosacral sprain/strain
facet syndrome
IVD lesion