Symptoms kurs juni 2017

Question 1

Diaphragma

Answer 1

• Chest pain
• Dyspnea
• Inability to get full breath
• Anxiety. “Fright of dying”
• Stitch in the side during exercise
• Painful coughing

Question 2

Iliopsoas

Answer 2

• Low back pain
• Difficulty getting up from seated positions
• Antalgic gait
• Difficulty walking stairs
• Unable to ‘situp’ from supine position
• Severe cases, crawling on hands and knees

Question 3

Pectineus

Answer 3

• Deep seated groin pain, especially during abduction activity

Question 4

Adductor brevis and longus

Answer 4

• Pain mostly during vigorous activity or muscular overload rather than rest
• Weightbearing and twist increases pain
• Limited abduction and lateral rotation

Question 5

Adductor Magnus and minimus

Answer 5

• Intrapelvic pain
• Pain in vagina or rectum, or ‘somewhere deep inside’
• Some cases, only pain during sexual intercourse
• Difficulty positioning the leg comfortably during night, sleeping with pillow between knees

Question 6

Popliteus

Answer 6

• Pain in the back of the knee while crouching, running or walking, especially going downhill or stairs
• Weakness of medial rotation of knee

Question 7

Tibialis posterior

Answer 7

• Pain while walking or running

* Problems with walking running on uneven surfaces

Question 8

Flexor hallucis longus and digitorum longus

Answer 8

• Feet hurt when walking

Question 9

Sternocleidomastoideus

Answer 9

• Soreness in the neck
• ‘False’ lymphadenopathy
• “Tension headache”
• Ipsilateral sweating of forehead
• Reddening of the conjunctiva and tearing of the eye
• Rhinitis
• drooping or falling of the upper eyelid
• Blurred vision
• Double vision
• Visual disturbance when viewing parallel lines
• Postural dizziness
• Imbalance or disturbed weight perception
• Seasickness or carsickness
• “sick stomach” leading to nausea and anorexia
• Problems driving car

Question 10

Rectus abdominis

Answer 10

• Abdominal discomfort or distress

* Long standing contraction may cause lax, distended abdomen with excessive flatus

Question 11

Vastus medialis

Answer 11

o Buckling knee

o Toothache pain deep in knee joint which interrupts sleep

Question 12

Vastus lateralis

Answer 12

o Locked patella
o Pain in walking
o Hurts to lie on side, pain interrupts sleep
o Knee instability

Question 13

Rectus femoris

Answer 13

o Buckling hip syndrome
o Problems walking down stairs
o Night pain in knee (patient awakens)

Question 14

Vastus intermedius

Answer 14

o Problems walking up stairs

o Problems fully straightening the knee

Question 15

Tibialis anterior

Answer 15

• Dragging foot, weakness in lifting foot

* Tripping

Question 16

extensor digitorum + hallucis longus

Answer 16

• Feet pain, typically used to the pain
• Weakness of foot when walking
• Causes entrapment of deep peroneal nerve
• Foot-drop
• Night cramps
• “Growing pains”

Question 17

Splenius capitis + cervicis

Answer 17

o Stiff neck, limited active rotation of neck

o Blurring of vision

Question 18

External and internal intercostals

Answer 18

o Unable to lie on active side
o Pain increased by deep inhalation
o Exercise, coughing or sneezing may be extremely painful
o Cardiac arrhythmia

Question 19

Lateral oblique

Answer 19

• Abdominal discomfort or distress

* Long standing contraction may cause lax, distended abdomen with excessive flatus

Question 20

Gluteus maximus

Answer 20

o Pain walking uphill
o Pain in swimming
o Problems sitting ‘still’ due to pain

Question 21

Tensor fascia latae

Answer 21

o Problems sitting with hips flexed for long periods
o Unable to lie comfortably on active side
o Lying on opposite side often needs pillow between legs to avoid adduction and stretch (may also lie on back due to pain)

Question 22

Gluteus medius

Answer 22

 Pain in walking
 Problems sleeping on affected side
 Sleeping on other side often needs pillow to avoid painful stretch
 Problems sitting slumped because of pressure on painful muscle

Question 23

Gluteus minimus

Answer 23

 Limp in walking
 Pain in lying on affected side, may wake during night
 Constant and excruciating pain
 Hard to find relief of pain

Question 24

Peroneal muscles

Answer 24

o Weak ankles
o Frequent ankle sprains
o Unstable anklesProne to ankle fractures

Question 25

Rectus capitis Superior minor + major

Answer 25

• Headache when head presses against pillow at night

* Head rotation severely reduced

Question 26

Thoracolumbar paraspinalis thorocal and lumbar

Answer 26

• Difficulty rising from a chair

* Problems walking stairs

Question 27

Erector spina cervical

Answer 27

• Headache
• Tenderness of the back of head and neck
• Pressure on head from pillow may be intolerable
• Entrapment greater occipital nerve
o Numbness, tingling and burning pain in the scalp in occipital region in addition to headache

Question 28

Hamstrings

Answer 28

• Pain in walking
• Limping gait
• Pain when getting up from chair, tend to push themselves off
• Pain may wake patients during night, problems sleeping

Question 29

Gastrocnemius and soleus

Answer 29

• Calf cramps

* Nocturnal calf cramps