bates physical assessment signs
Murmur grading
1 Very faint, "tuned in", may not be heard in all positions 2 Quiet, heard immediately with stethoscope on chest 3 Moderately loud 4 Loud, thrill 5 Very loud, thrill, heard when stethoscope is partly off chest 6 Very loud, thrill, may be heard with stethoscope off chest Grades 4 through 6 must have accompanying thrill
Rovsing's sign
Pain in RLQ with palpation of LLQ indicative of appendicitis
signs of appendicitis (4)
Psoas, obturator, Mcburney, rovsing
McBurney's point
A point on the right side of the abdomen, about two-thirds of the distance between the umbilicus and the anterior bony prominence of the hip
tendon
Connects muscle to bone achiles tendon - muscle to bone BoTToM- bone to muscle
extra-articular structures (4)
Ligaments tendon cartilage bursae
Percuss liver span
Percuss down on the right mid-clavicular line until sound changes from resonant to dull, mark, then percuss up on the RMCL until sound changes from tympani to dull, mark
Obturator sign
RLQ on internal rotation of right thigh indicative of appendicitis
Psoas sign
RLQ pain with extension of right thigh indicative of appendicitis
Tinel's sign
a way to detect irritated nerves. It is performed by lightly tapping (percussing) over the nerve to elicit a sensation of tingling or "pins and needles" in the distribution of the nerve.
shoulder cross over
abduction, adduction- inflamation or ACL joint arthritis
S2 is best heard where?
base of the heart bc AV Valve closed palpate right after carotid upstroke
Ligament
bone to bone LBB-ligament bone bone like to like BLoB
Phalen's test
carpal tunnel syndrome
cartilage
collagen matrix covering bony surfaces
McMurray Test
compression of the meniscus of the knee combined with internal and external rotation while the patient is face-up to assess the integrity of the meniscus
anterior posterior drawer signs
damage to ACL or PCL allows excessive anteroposterior movement of the tibia relative to the fixed femur on passive testing
Patellar Ballottement Test
effusion
S1 is best heard and felt with
heard at apex bc mitral valve closed felt right before carotid upsteoke
Drop Arm Test
identifies tear and/or full rupture of rotator cuff
Apley's Scratch Test
like trying to scratch the middle of the back- checking for rotator cuff
Neer's impingement sign
maneuver to assess possible rotator cuff tear; press on the scapula to prevent scapular motion with one hand, and raise the patient's arm with the other to compress the greater tuberosity of the humerus against the acromion; pain during this maneuver is a positive test.
patellar balloon sign
milk down, feel both sides
murphys sign
pain with palpation of the RUQ during inspiration, indicative of cholecystitis palpate, take deep breathe abn- winces during inspiration bc inflammed gallbladder is being touched
bursae
pouches of synovial fluid that cushion the movement of tendons and muscles over bone or other joint structures
Straight Leg Raise Test
test often performed to determine whether a patient with low back pain has an underlying herniated disk