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Positive in acute cholecystitis |
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“PQRST” - Pulmonary hypertension, pulmonary embolism, pulmonary stenosis, pericarditis, pericardial effusion; Quantity of fluid ie overload; Right heart failure; SCV obstruction; Tamponade, tricuspid regurgitation |
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Right heart failure, causing limited right ventricular filling |
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Abdominojugular reflux test (hepatojugular reflux) |
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Left ventricular failure Reduced right ventricular compliance |
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Used to assess the adequacy of the arterial supply to the leg |
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Elicits renal tenderness in renal infection |
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Keith-Wegerer hypertensive changes |
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Internal rotation of shoulder |
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External rotation of shoulder |
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Rotator cuff impingement Impinges supraspinatus muscle, Teres Minor muscle, and Infraspinatus muscle |
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Apprehension test - shoulder |
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This test checks for a possible torn labrum or anterior instability problem |
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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 |
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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 |
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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. |
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Apparent leg vs true leg length |
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Pelvic tilt or rotation Hip joint abnormality Sacroiliac joint abnormality |
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Excessive laxity/giving way suggests ACL disruption (positive anterior drawer test) |
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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 |
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Internal rotation – lateral meniscus External rotation – medial meniscus If pain is felt or a ‘click’ is heard a positive test |
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Positive if painful Patellofemoral Syndrome Lateral patellofemoral instability Patellar Subluxation (recent acute Knee Injury) |
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Suggests decreased Lumbar spine range of motion May suggest ankylosing spondylitis |
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Sciatic nerve If dorsiflexion produces pain in 0-35 degree (of SLR), suspect extradural sciatic nerve irritation |
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Sciatic nerve If dorsiflexion produces pain in 35-70 degree (of SLR), suspect intradural sciatic nerve irritation (disc pathology) |
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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 |
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Rapidly alternating movements |
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Dysdiadocholinesia = movement slow and clumsy - in cerebellar disease |
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Ulnar nerve palsy which specifically tests the action of adductor pollicis |
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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) |
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Tests thoracic inlet obstruction due to retrosternal goitre or any retrosternal mass |
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Dalrymple’s sign (eyelid retraction) |
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Thyrotoxicosis (as seen in Grave’s disease, exopthalmic goitre and other hyperthyroid conditions |
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Von Graefe’s sign (lid lag) |
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Hypocalcaemia (i.e. from hypoparathyroidism, pseudohypoparathyroidism, hypovitaminosis D) |
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Hypocalcaemia (i.e. from hypoparathyroidism, pseudohypoparathyroidism, hypovitaminosis D) |
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