Different Signs / for physical assessment

Lachman Test

ACL stability / injury / performed at 30 degree flexion with anteriorly directed force to the proximal tibia while the opposite hand stabilizes the thigh.

Phalen test

Carpal tunnel syndrome - Flex wrists maximally / hold for 60 second + = numbness / tingling of fingers.

Tinel's sign

Carpal tunnel syndrome - tap over median nerve of wrist + = pain numbness in median nerve

Ortolani Test

Hip dysplasia - infant supine on flat surface. Grasp thigh with middle finger over greater trochanger. Flex thigh 90 degrees, abduct & externally rotate hip + = palpable click

Barlow test

Hip dysplasia / infant supine on flat surface. Flex hips and adduct, internally rotate hips += palpable click in hip (done with Ortolani).

Chvostek's sign

Hypocalcemia- tap facial nerve at jaw +=twitching of facial muscles.

Bulge Sign

Knee Swelling / effusion - Knee extended, apply pressure with left hand above knee milking fluid down. + = fluid wave of bulge on medial side between patella and femur

McMurray Test

Meniscal injury / knee. Patient supine. Flex knee, rotate lower leg internally / external. Push on lateral side for valgus stress. + = click/pop along medial joint or leg extension.

Chandelier's sign

Pelvic inflammation / palpation of cervix += cervical tenderness when cervix moved.

Chadwick's sign

Pregnancy / speculum exam of cervix. Cervix soft, blue

Simmonds Test

Ruptured Achilles tendon / squeeze calf as patient lies prone with feet dangling = + absence of foot movement.

Adam's test

Spinal scoliosis / examiner stands behind patient / slow bend forward / touches toes, and then slow rise to look for unevenness to the scapula / curvature of spine.

Cremasteric reflex

Testicular torsion / light stroke of medial thigh causes contraction of cremaster muscle-pulls up the testis on side stroked. Absent in testicular torsion / L1-L2 injury)