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