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Special Tests
Clin skills special tests
48
Medical
Undergraduate 2
10/26/2014

Additional Medical Flashcards

 


 

Cards

Term
Murphy’s sign
Definition
Positive in acute cholecystitis
Term
Rosving’s Sign
Definition
Appendicitis
Term
Quincke’s sign
Definition
Aortic regurgitation
Term
Raised JVP
Definition
“PQRST” - Pulmonary hypertension, pulmonary embolism, pulmonary stenosis, pericarditis, pericardial effusion; Quantity of fluid ie overload; Right heart failure; SCV obstruction; Tamponade, tricuspid regurgitation
Term
Kussmaul’s sign
Definition
Right heart failure, causing limited right ventricular filling
Term
Abdominojugular reflux test (hepatojugular reflux)
Definition
Left ventricular failure
Reduced right ventricular compliance
Term
Corrigan’s sign/pulse
Definition
Aortic regurgitation
Term
De Musset’s sign
Definition
Aortic regurgitation
Term
Buerger’s test
Definition
Used to assess the adequacy of the arterial supply to the leg
Term
Homans’ sign
Definition
DVT
Term
Murphy’s kidney punch
Definition
Elicits renal tenderness in renal infection
Term
Keith-Wegerer hypertensive changes
Definition
Diabetic changes
Term
Pemberton’s Sign
Definition
SVC obstruction
Term
Hoover’s sign
Definition
COPD
Term
Empty can test
Definition
Supraspinatus
Term
Internal rotation of shoulder
Definition
Subscapularis
Term
External rotation of shoulder
Definition
Infraspinatus
Term
Hawkin’s Test
Definition
Rotator cuff impingement
Impinges supraspinatus muscle, Teres Minor muscle, and Infraspinatus muscle
Term
Neer sign
Definition
Rotator cuff impingement
Term
Apprehension test - shoulder
Definition
This test checks for a possible torn labrum or anterior instability problem
Term
Mills test
Definition
Lateral epicondylitis
Term
Phalen’s test
Definition
Carpel tunnel
Term
Tinel’s test
Definition
The test is positive when there is pressure neuropathy of the nerve, like in the foot or ankle, or in the hand.
On the opposite when the nerve is trapt the patient will feel tingling’s in the distal area
Term
Trendelenburg test
Definition
Positive in: Any condition that brings the origin and insertion of gluteus medius together:
subluxation or dislocation of the hip - coxa vara, greater trochanter fractures, slipped upper femoral epiphysis
Abductor paralysis or weakness e.g. polio, root lesion, post-operative nerve damage, muscle-wasting disease
Any painful hip disorder which results in gluteal inhibition
Term
Thomas test
Definition
In general it is used to check for hip flexion contractures
More specifically it tests for anterior or lateral capsular restrictions or hip flexor tightness.
Term
Apparent leg vs true leg length
Definition
Pelvic tilt or rotation
Hip joint abnormality
Sacroiliac joint abnormality
Term
Drawer test
Definition
Excessive laxity/giving way suggests ACL disruption (positive anterior drawer test)
Term
Lachman test
Definition
If it comes to a sudden stop = firm endpoint à normal
If it doesn’t come to a sudden stop = soft endpoint; associated with a tear of the ACL
Term
McMurray’s test
Definition
Internal rotation – lateral meniscus
External rotation – medial meniscus
If pain is felt or a ‘click’ is heard a positive test
Term
Patella apprehension
Definition
Positive if painful
Patellofemoral Syndrome
Lateral patellofemoral instability
Patellar Subluxation (recent acute Knee Injury)
Term
Thompson’s test
Definition
Achille’s tendon rupture
Term
Schober’s test
Definition
Suggests decreased Lumbar spine range of motion
May suggest ankylosing spondylitis
Term
Braggard’s test
Definition
Sciatic nerve
If dorsiflexion produces pain in 0-35 degree (of SLR), suspect extradural sciatic nerve irritation
Term
Lasegue’s test
Definition
Sciatic nerve
If dorsiflexion produces pain in 35-70 degree (of SLR), suspect intradural sciatic nerve irritation (disc pathology)
Term
Finger nose test
Definition
Intension tremor - cerebellar disease, increases as target is approached
Worsened with eyes closed - Proprioceptive dysfunction contribution to lack of coordination
Dysmetria = used to be known as past pointing
Dyssynergia = decomposition of movement
Term
Ballistic tracking
Definition
Cerebellar disease
Term
Rapidly alternating movements
Definition
Dysdiadocholinesia = movement slow and clumsy - in cerebellar disease
Term
Wrist drop
Definition
Radial nerve palsy
Term
Claw hand
Definition
Ulnar nerve problem
Term
Froment’s sign
Definition
Ulnar nerve palsy which specifically tests the action of adductor pollicis
Term
Oschner’s clasping test
Definition
Median nerve
Term
Rhomberg’s test
Definition
Loss of proprioception
Ataxia that is sensory in nature; conditions affecting the dorsal column of the spinal cord; Vit B12 deficiency (B12 involved in nervous system)
Term
Pemberton’s Sign
Definition
Tests thoracic inlet obstruction due to retrosternal goitre or any retrosternal mass
Term
Dalrymple’s sign (eyelid retraction)
Definition
Thyrotoxicosis (as seen in Grave’s disease, exopthalmic goitre and other hyperthyroid conditions
Term
Von Graefe’s sign (lid lag)
Definition
Grave’s disease
Term
Trousseau’s sign
Definition
Hypocalcaemia
(i.e. from hypoparathyroidism, pseudohypoparathyroidism, hypovitaminosis D)
Term
Chvostek’s sign
Definition
Hypocalcaemia
(i.e. from hypoparathyroidism, pseudohypoparathyroidism, hypovitaminosis D)
Term
‘Hung-up’ reflex
Definition
Hypothyroidism
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