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NMS 2 Exam One > Thoracic Orthopedics > Flashcards

Flashcards in Thoracic Orthopedics Deck (21)
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procedure for Adam's position

patient bends forward at the waist and Dr observes for scoliosis


purpose of Adam's position

to determine if patient has structural or functional scoliosis


findings of Adam's position

if scoliosis disappears when bending forward then functional scoliosis
if scoliosis remains when bending forward then structural scoliosis


procedure of Amoss sign

Dr observes patient as they get up from a side lying position


purpose of Amoss sign

Dr is looking for pain, weakness, or to see if patient has to use upper body strength to get off table


findings of Amoss sign

positive sign is if there is pain or if patient needs to use upper body strength to get up


procedure for Beevor's sign

Dr observes umbilicus while patient does an abdominal crunch first and then a leg lift second


purpose of Beevor's sign

Dr is looking to see if umbilicus deviates


findings of Beevor's sign

the umbilicus will deviate to the opposite direction if there's abdominal weakness
ex: deviation superior and left means weakness inferior and right


procedure for chest expansion test

Dr uses a tape measurer wrapped around the rib cage to measure movement during inspiration and expiration


purpose of chest expansion test

Dr is looking for normal chest expansion which is 1.5-3 inches


findings of chest expansion test

if there is expansion less than 1.25 inches then patient may have rib fracture, sprain/strain, AS


procedure for Forestier bowstring sign

Dr observes ROM as patient stands up and laterally bends from side to side


purpose of Forestier bowstring sign

Dr is looking for unequal ROM from side to side


findings of Forestier bowstring sign

AS* (especially if they have bilateral SI joint pain), muscle spasm, stacking


procedure of Rib motion test

Dr places hands below "breasts" while patient inhales and exhales, then Dr places hands above "breasts" while patient inhales and exhales


purpose of Rib motion test

assessing motion of the ribs


findings of Rib motion test

if a rib doesn't move during expiration there is an elevated rib
if a rib doesn't move during inspiration then there is a depressed rib
ribs not moving may indicate rib subluxation, muscle strain, fracture


procedure for Schepelmann's sign

patient is seated and raises both arms overhead then laterally bends to the left and right


purpose of Schepelmann's sign

positive sign is intercostal pain


findings of Schepelmann's sign

if there is pain on the concave side then there is neuralgia (compression of intercostal nerve)
if there is pain on the convex side then there is myalgia (stretching of a muscle or fascia)