Thoracic spine Flashcards
(26 cards)
determines hypomobility of first rib
pt seated
examiner passively and maximally rotates away from the side being tested, then flex cervical spine
cervical rotation lateral flexion test
positive cervical rotation lateral flexion test
if flexion is restricted compared to the opposite side (hypomobile first rib)
may report symptoms that peripheralize with side bending opposite the side of symptoms
Roos test
Thoracic outlet syndrome
abducts ot 90 degrees, laterally rotates shoulder, flexes elbow to 90, opens and closes hands for 3 min
roos test
positive roos
if pts symptoms of heaviness, weakness, pain, numbness or tingling in hand are reproduced
may also be positive if pt is unable to maintain test position
highly sensitive
occur most often in the thoracic spine because of its length, proximity to the mediastinum, and direct extension from the lymph nodes
tumors
an uneven excursion of any area of the lungs could indicate
consolodation
deviation of the trachea
space-occupying lesion
patient in forward lean think
pancreatitis, pericarditis
patient with knees flexed think
peritonitis
patient with R hip flexed think
appendicitis
patient with left hip flexed think
diverticulitis
patient with hip abducted and externally rotated think
hip fracture
lymph nodes that are swollen and painless my indicate
neoplasm
lymph nodes that are swollen and painful may indicate
infection
systemic origin for midthoracic spine
myocardial infarct
systemic origin for right upper back
basilar pneumonia
systemic origin for scapula
emphysema
pleurisy
systemic origin for ipsilateral scapula
pneumothorax
systemic origin for costovertebral angle (posteriorly)
acute pyelonephritis
systemic origin for midback between scapulae
esophagitis
systemic origin for 6-10 thoracic vertebrae
peptic ulcer: stomach/duodenal
systemic origin for midback between scapulae; right upper scap
gallbladder disease
systemic origin for right upper back; midback
biliary colic
