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normal/abnormal findings spleen -ANSWERS-normal=tympanic, dullness could be
enlargement not normally felt on exam
Blumberg Sign: Rebound Test -ANSWERS-peritoneal inflammation, hurts more when
release from palpation
shifting dullness -ANSWERS-a sign of free peritoneal fluid wherein the dullness of
percussion shifts, generally from one side to the other, as the patient is turned from side
to side.
Psoas sign -ANSWERS-RLQ pain with extension of right thigh indicative of appendicitis
Obturator sign -ANSWERS-RLQ on internal rotation of right thigh indicative of
appendicitis
assessment of hernia -ANSWERS-pt may report a lump. observe pt while lying and
standing, hernia may disappear while lying. ask pt to strain or perform Valsalva
maneuver and observe for bulging. absent bowel sounds may indicate strangulation.
cardinal signs of Musculoskeletal disease -ANSWERS-pain, erythema, swelling,
increased warmth, deformity, loss of function
Scoliosis -ANSWERS-abnormal lateral curvature of the spine
,kyphosis -ANSWERS-excessive outward curvature of the spine, causing hunching of
the back.
Knock-knee (genu valgum) -ANSWERS-Legs curved inward so knees come together as
person walks
bow-legged -ANSWERS-knees too far apart
anatomic snuffbox -ANSWERS-landmark depression on the radial aspect of the dorsal
wrist; overlays the scaphoid bone
Impingement Sign -ANSWERS-POSITIVE: pain in the shoulder
INDICATES: overuse injury to the supraspinatus and possibly biceps tendon
Drop Arm Test -ANSWERS-identifies tear and/or full rupture of rotator cuff
Allen test -ANSWERS-determining the patency of the radial and ulnar arteries by
compressing one artery site and observing return of skin color as evidence of patency of
the other artery
Phalen's sign -ANSWERS-Tingling, numbness, or pain in the fingers within 60 seconds
of performing Phalen's maneuver, a diagnostic test for carpal tunnel syndrome
Tinel's sign -ANSWERS-A distal tingling sensation on percussion of median nerve of the
inner wrist; characteristic of carpal tunnel syndrome
Drawer Test - knee -ANSWERS-Patient supine, examiner flexes the hip and the knee of
the patient's affected leg until the foot is flat on the table. Examiner sits on the foot of
thepatient's afectedleg. Examinergrasps behindthe patient'sflexed knee and exerts a
pushing and pulling pressure into the affected knee.
+(1) Gapping > 6mm (tibia moves posterior) when the leg is pushed.
, +(2) same when the leg is pulled.
INDIC:(1) Torn posterior cruciate ligament.
(2) Torn anterior cruciate ligament.
Confirmation Test: Lachman'sTest
Lachman's Test -ANSWERS-pivot shift test (ACL tear)
Ballottment sign -ANSWERS-medical sign which indicates increased fluid over the
patella at the knee joint
Straight Leg Raise Test -ANSWERS-test often performed to determine whether a
patient with low back pain has an underlying herniated disk or sciatica
Comprehensive Health History -ANSWERS-chief complaint, reason for visit, ROS, past
medical and surgical history, social history and family history
Pediatric Body measurements -ANSWERS-length, height, weight, head circumference
fro birth to 36 months
Normal/Hypertension cut off -ANSWERS-<130 normal 140+ hypertension
Fontanel Closure -ANSWERS-posterior 1-2 months, anterior 9mo-2years
otoscope -ANSWERS-adult-up and back, peds- down and back, using largest speculum
that will fit comforably
tympanic membrane -ANSWERS-Cone of light R-5 l-7
EOM testing -ANSWERS-CN III, IV, VI