OSCE 3- tests Flashcards Preview

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Flashcards in OSCE 3- tests Deck (57)
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1

apley scratch

patient puts hands over thier head and touches the opposite scapula. Then put hand below-behind her back

2

significance of apley scratch

if there is a difference in how far they can reach then it could be degenerative tendonitis (supraspinatus)

3

apprehension

doctor abducts and externally rotates shoulder

4

significance of apprehension

anterior shoulder dislocation

5

codman's

patient's arm is passively abducted. remove support above 90 degrees, makes deltoid contract suddenly

6

significance of codman's

rotator cuff/supraspinatus injury

7

dawbarn's

arm at side, deep palpation of shoulder, lift arm all the way up

8

significance of dawbarn's

evaluates subacromial bursitis

9

dugas

place affected hand on opposite shoulder and attempt to touch elbow with chest

10

significance of dugas

cannot touch elbow to chest (anterior shoulder dislocation)

11

impingement

arm is slightly abducted and moved fully through flexion by doctor

12

impingement significance

pain could mean DJD, supraspinatus/bicipital irritation

13

speed's

resistance to flexion of the shoulder

14

speed's significance

pain in bicipital groove (bicipital tendinitis

15

supraspinatus press

shoulder abducted to 90 degrees, doctor provides resistance, shoulder then rotated and angled 30 degrees, patient's thumb to the floor, resistance

16

supraspinatus press significance

weakness/pain means a supraspinatus tear

17

yergason's

patient flexes elbow, doctor attempts to supinate hand, patient resists

18

yergason's significance

pain or pop means transverse humeral ligament rupture or bicipital tendinitis

19

load and shift

push humeral head forward and backward
grab elbow, press down

20

load and shift significance

loose ligaments of the shoulder

21

lift off test

patient puts hand on back and lifts it off their back

22

lift off test significance

loose ligament of shoulder

23

O'Brein's

patient flexes arm 90 degrees, elbow in extension
adduct arm 10-30 degrees with thumb up
downward pressure resisted
abduct arm 10-30 degrees with thumb down
downward pressure resisted

24

O'Brein's

pain means labral tear

25

elbow flexion

hold elbow in flexion for 5 minutes

26

elbow flexion significance

cubital tunnel syndrome (ulnar)

27

tinel's at elbow

tap above and below olecranon process on lateral (radial) and medial (ulnar) side

28

tinel's at elbow significance

neuritis at ulnar or radial nerve

29

cozen's

clench fist, dorsiflex and maintain pronated position
doctor applies flexion force

30

cozen's significance

pain is usually at lateral epicondyle (lateral epicondylitis), tennis elbow