14118019
Description
Flashcards by Jordan Waugh, updated more than 1 year ago
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Created by Jordan Waugh
over 6 years ago
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| Question | Answer |
| Inion | Position: Standing behind a seated patient. Location: Most prominent aspect of the external occidental protuberance. |
| Mastoid Process | Position: Standing behind a seated patient. Location: Directly posterior and inferior to ear lobe. Caution: Avoid heavy pressure. |
| Temporomandibular Joint | Position: Standing behind a seated patient. Location: Pads of fifth digit facing anteriorly directly inside the external auditory meatus. or in the divot directly anterior to the tragus of the ear. Movements: Left/right deviation, protrusion/retraction, open/close with tongue on the roof of the mouth. Note: should not feel crunchy. Glove up. |
| Zygomatic Arch | Position: Standing in front of a seated patient. Location: Equidistant between the external auditor meatus and proximal nostril. Caution: Avoid palpating close to mouth. |
| Sinus Cavities | Position: Standing in front of a seated patient. Locations: Supraorbital Foramen, Infraorbital Foramen, lateral surface of Nasal bone, directly inferior to eyebrows. Movements: Apply steady and tapping pressure to see if headache symptoms change. Note: If headache symptoms change it is likely due to sinus issues. |
| Angle of Mandible | Position: Standing in front of a seated patient. Location: Inferior and posterior most aspect of the jaw. |
| Mandible Protuberance | Position: Standing in front of a seated patient. Location: Anterior most aspect of medial jaw. |
| Transverse Process of C 1 | Position: Standing behind a seated or supine patient. Location: Equidistant between mastoid process and angle of mandible. Caution: Use light pressure, this area is sensitive and can result in nausea. |
| Hyoid | Position: Standing in front of a seated patient. Location: Anterior surface of neck at approximately C3, below the angle of the mandible and above the Adam's Apple. Movements: Move the Hyoid side to side. Note: Feels soft because it is embedded in soft tissue. |
| Cricoid Cartilage | Position: Standing in front of a seated patient. Location: Directly inferior to Hyoid. Note: Feels crunchy to patient and therapist. |
| Thyroid | Position: Standing in front of a seated patient. Location: Directly inferior and lateral to Cricoid Cartilage. Movements: Swallowing should cause upward and lateral deviation. Note: Should note feel swollen. |
| Sternoclavicular Joint | Position: Standing in front of a seated patient. Location: Lateral to the Jugular Notch. Note: Often confused with the 1st Rib which lies inferior to Clavicle. Check to be sure the Clavicle is connected to Acromion. |
| Trunk of the Brachial Plexus | Position: Standing in front of a seated patient in same side neck lateral flexion. Location: Posterior to SCM, anterior to Upper Trap. Caution: Avoid heavy pressure |
| Parotid Gland | Position: Standing in front of a seated patient. Location: Anterior and inferior to external auditory meatus. Between TMJ and angle of Mandible. Note: Feels like muscle if note swollen. |
| Submaxillary Gland | Position: Standing in front of a seated patient. Location: Inside of mouth, directly superior to the angle of mandible. Note: Requires pressure from both the inside and outside of mouth. Glove up. |
| Submandibular Gland | Position: Standing in front of a seated patient. Location: Inferior to the protuberance of the mandible, at the mid-line of the upper neck. |
| Lymph Node Chains | Position: Standing in front of a seated patient. Location: preperiauricular, postperiauricular, anterior cervical, posterior cervical, tonsilar, submandibular, submental, supraclavicular, occipital. Note: Should note feel anything unless swollen. |
| Carotid Pulse | Position: Standing in front of a seated patient. Location: Slightly inferior and anterior to the angle of the mandible. Caution: Avoid heavy pressure, could occlude blood flow and cause BP problems. |
| C 2 Spinous Process | Position: Standing behind a seated patient Location: First palpable spinous process directly inferior to Inion. Movements: More prominent with neck flexion. |
| C 7 Spinous Process | Position: Standing behind a seated patient. Location: Most prominent vertebra inferior to C2 on the mid-line of back. Movement: C 6 goes away with extension, C 7 stays with extension. |
| Cervical Articular Pillars | Position: Standing behind a seated patient. Location: Facet joints directly lateral to spinous process. Caution: Avoid heavy pressure Note: includes hills (facets) and valleys (body) |
| Cervical Transverse Processes | Position: Standing in front of a seated patient. Location: Lateral to Articular Pillars. Caution: Avoid heavy pressure. Note: C2-C7 are not as wide as C1. |
| Superior Angle of Scapula | Position: Standing behind a seated patient. Location: Inferior to Upper Trap, lateral to transverse processes, approximately at the level of T2. |
| Spine of Scapula | Position: Standing behind a seated patient. Location: Inferior to Superior Angle of Scapula, from medial border to Acromion, at approximately T3. |
| Inferior Angle of Scapula | Position: Standing behind a seated patient. Location: Inferior most aspect of Scapular vertebral border, approximately at the level of T7. |
| Posterior, Lateral, and Anterior Aspects of the Acromion | Position: Standing behind a seated patient. Location: Lateral most end of the Spine of the Scapula. |
| Coracoid Process | Position: Standing in front of a seated patient. Location: Medial to Humerus and shoulder joint line, inferior to Clavicle and Acromion. |
| Acromioclavicular Joint | Position: Standing in front of a seated patient. Location: Small divot medial to Humeral Head, and lateral to Acromion. |
| Tubercle of 1st Rib | Position: Standing in front of a seated patient. Location: Inferior most aspect of the anterior upper trap, half way between shoulder and neck. Movements: Will elevate and depress with respiration. Note: Traps will need to be squeezed, pressure will be firm, if one side stays elevated with expiration scalene spasm is likely. |
| Jugular Notch | Position: Standing in front of a seated patient. Location: inferior to Adam's Apple, medial to Clavicle, Inferior to Sternum. |
| Proximal Clavicle | Position: Standing in front of a seated patient. Location: Lateral to Jugular Notch and Sternoclavicular Joint. |
| 1st Rib and Manubrium Joint | Position: Standing in front of a seated or supine patient. Location: Directly Inferior to Sternoclavicular Joint, on the superior and lateral sternum Note: Superior border is indistinguishable with the clavicle, female patients cover breasts. |
| 2nd Rib Insertion | Position: Standing in front of a seated or supine patient. Location: Inferior to 1st Rib insertion, at the level of the angle of Louis (Sternal Angle). Note: Female patients cover breasts. |
| Xiphoid Process | Position: Standing in front of seated or supine patient. Location: Inferior most aspect of the Sternum. Caution: If you push hard enough to break this it could puncture the lung. Note: Female patients cover breasts. |
| Midaxillary, Anterior Axillary, and Posterior Axillary Line | Position: In-line few of axillary region Location: Imaginary mid-line, anterior line, and posterior line of the armpit region. Note: Don't palpate this, just identify it. |
| Humeral Lesser Tuberosity | Position: Standing in front of a seated patient. Location: Directly lateral to the anterior shoulder joint line. Movement: More prominent with external rotation. |
| Bicipital Groove | Position: Standing in front of a seated patient. Location: Lateral to the lesser Tuberosity of the Humerus on anterior arm. Note: Usually palpated after the Lesser Tuberosity. |
| Greater Tuberosity of the Humerus | Position: Standing in front of a seated patient. Location: Lateral to the Bicipital Groove, on the Lateral aspect of the Humerus. Note: Usually palpated after the lesser tuberosity and bicipital groove. |
| Supraspinatus Tendon | Position: Standing in front of a seated patient. Location: Anterior to medial Deltoid, inferior to Acromion, lateral to Supraspinatus Fossa. Note: Rub transversely. |
| Infraspinatus Tendon | Position: Standing in front of prone patient on adducted elbows and abducted Hands. or Standing in front of seated patient with shoulders held in adduction. Location: Inferior to posterior and lateral aspect of the Acromion. Note: Rub transversely |
| Deltoid Tuberosity | Position: Standing in front of a seated patient. Location: Most distal aspect of the Deltoid insertion on the lateral Humerus. Note: Contracting Deltoid makes it more prominent. |
| Brachial Pulse | Position: Standing in front of a seated patient. Location: Intramuscular septum on the medial arm between bicep and triceps Note: Do not press hard enough to occlude blood flow. |
| Medial Epicondyle of Elbow | Position: Standing in front of seated patient. Location: Just medial to the Olecranon fossa of the Humerus on the Ulnar side of the arm. Note: the Medial epicondyle is larger than the lateral. |
| Lateral Epicondyle of Elbow | Position: Standing in front of a seated patient. Location: Lateral to the Olecranon fossa of the Humerus, on the Radial side of the arm. Note: Smaller than the medial Epicondyle. |
| Olecranon Process | Position: Standing in front of a seated patient. Location: Largest protrusion on the posterior side of the Ulna. Note: If you push this, the elbow will straighten. |
| Radial Head | Position: Standing in front of a seated patient. Location: Directly distal to the lateral epicondyle of the Humerus on the Posterior side. Movements: More prominent with pronation and supination. |
| Ulnar Groove | Position: Standing in front of a seated patient. Location: Between the Medial Epicondyle and Olecranon Fossa of the Humerus. Caution: Use light pressure, this is the "funny bone" |
| Radial Styloid | Position: Standing in front of a seated patient. Location: Proximal and Anterior to the Snuff Box. |
| Ulnar Styloid | Position: Standing in front of a seated patient. Location: Medial, posterior, and most prominent bump of the distal Ulna. |
| Lister's Tubercle | Position: Standing in front of a seated patient. Location: Radial, dorsal bump, just proximal to the divot in the wrist that starts the carpals. |
| Snuff Box | Position: Standing in front of a seated patient. Location: Radial side of distal forearm. Radial Border: Add Pollicis Long, Ext Pollicis Brev. Lateral Border: Ext Pollicis Longus. Note: Deep to this is the Scaphoid, pain could signify a Scaphoid fx. |
| Lunate | Position: Standing in front of a seated patient with wrist flexed. Location: Just distal to Lister's Tubercle. |
| Capitate | Position: Standing in front of a seated patient with wrist flexed. Location: Directly distal to Lunate. Note: Presents as a divot. |
| Pisiform | Position: Standing in front of a seated patient. Location: Most prominent bump on palmar, ulnar side of hand, distal to the crease of the anterior wrist. |
| Hook of Hamate | Position: Standing in front of a seated patient. Location: Just distal and radial to Pisiform, ulnar to the middle crease of hand. Caution: Avoid heavy pressure. |
| Scaphiod | Position: Standing in front of a seated patient. Location: Deep to the Snuff Box Note: A fall on an outstretched arm may cause a fracture here. |
| Trapezium | Position: Standing in front of a seated patient. Location: Directly distal to Scaphoid, proximal to 1st Metacarpal. |
| Triquetrum | Position: Standing in front of a seated patient. Location: Directly posterior to the Pisiform. |
| Trapezoid | Position: Standing in front of seated patient. Location: Directly Ulnar to the Trapezium. |
| Radial Pulse | Position: Seated in front of seated patient. Location: Radial to the Palmaris Longus Tendon. Note: Do not push hard enough to occlude blood flow. |
| Volar Plate | Position: Standing in front of a seated patient. Location: Palmar side of Interphalangeal Joints. Note: PIP Volar plates are more prevalent, Volar plates prevent hyperextension. |
| Metacarpal Phalangeal Joint | Position: Standing in front of a seated patient. Location: Largest Joint distal to the Metacarpals. |
| Iliac Crest | Position: Squatted behind a standing patient who has just marched. Location: Widest portion of hips at the level of L4 - L5. Note: Start with hands on the lower edge of the Ilium and roll hands upward with palms facing down, check to see if one side is higher. |
| Posterior Inferior Iliac Spine | Position: Squatted behind a standing patient who has just marched. Location: Prominent bump on posterior Ilium, lateral to the Sacral Sulcus. Note: Usually where the thumbs are located when palpating for Iliac crest. |
| Sacral Sulcus | Position: Squatted behind a standing patient. Location: Small divot, medial to the PSIS. Note: Also called Fortin's Point or back dimples. |
| Anterior Superior Iliac Spine | Position: Squatted in front of a standing patient. Location: Anterior protrusion on the anterior side of the Iliac Crest. Note: Feel just inferior to these, one may be larger than another. |
| Ischial Tuberosity | Position: Standing to the side of a prone patient. Location: Mid-line of the posterior thigh, inferior to buttock and crease of buttock. Note: Origin of Hamstrings |
| Pubic Tubercle | Position: Standing to the side of a supine patient with lowered pants and draped with towel. Location: Directly inferior to the waist, superior to the genitalia. Note: Start with palm of the hand on the Umbilicus, heel of the hand facing inferiorly, working the way down the mid-line. |
| Inguinal Ligament | Position: Standing to the side of a supine patient with lowered pants and draped with a towel. Location: Between the ASIS and Pubic Tubercle. Note: Above this is the Iliac Artery, be firm but not too firm patients are ticklish and sensitive here. |
| Femoral Pulse | Position: Standing to the side of a supine patient with lowered pants and draped with towel. Location: Half way between ASIS and Pubic Tubercle, approximately an inch inferior to the inguinal ligament. Note: Pulse should be strong here. |
| Greater Trochanter of Femur | Position: Standing next to a supine, prone, or side-lying (hookline) patient. Location: Most lateral aspect of Femur, inferior to the pelvis. Movements: More prominent with internal and external rotation. Note: Be able to feel posterior, anterior, superior, and inferior aspect. |
| Greater Trochanteric Bursea | Position: Standing next to a supine, prone, or side-lying (hookline) patient. Location: Posterior rim of greater Trochanter of Femur. Note: Should not be tender or swollen. |
| Fibular Head | Position: Standing to the side of a supine hookline patient. Location: Lateral aspect of lower leg, distal to Tibial Lateral Condyle, directly distal to Tibiofibular Joint. Caution: Peroneal Tendon is posterior to this so use light pressure. |
| Gerdy's Tubercle | Position: Standing to the side of a supine hookline patient. Location: On the Tibia, anterior to the Fibular Head. Note: IT Band inserts here. |
| Lateral Femoral Condyle | Position: Standing to the side of a supine hookline patient. Location: Lateral to Patella, Proximal to knee joint. |
| Lateral Collateral Ligament | Position: Standing to the side of a supine hookline patient. Location: Lateral side of knee, connecting Femoral Lateral Epicondyle to Fibular Head. |
| Tibial Tuberosity | Position: Standing to the side of a supine hookline patient. Location: Anterior prominence on proximal Tibia. Note: Patellar Tendon inserts here. |
| Patella | Position: Standing to the side of a supine hookline patient. Location: Superficial to distal Femur, embedded in Tendon. Note: Be able to palpate medial, lateral, superior, and inferior aspects. |
| Patellar Tendon | Position: Standing to the side of a supine hookline patient. Location: Dense fiber distal to the Patella, inserting on Tibial Tuberosity. |
| Quadriceps Tendon | Position: Standing next to a supine hookline patient. Location: Dense Fiber proximal to the Patella. |
| Knee Joint Line | Position: Standing to the side of a supine hookline patient. Location: Lateral and medial to Patellar tendon. Note: Palpable around the circumference of knee except for under the LCL and MCL. |
| Popliteal Pulse | Position: Standing to the side of a supine patient with knees slightly bent. Location: Mid-line of posterior knee, between deep gastroc heads. Note: Deep pressure will be needed to palpate deep to the gastroc heads. |
| Lateral Malleolus | Position: Standing to the side of a supine patient. Location: Lateral Prominence on distal Fibula. |
| Anterior Tibiofibular Ligament | Position: Standing to the side of a supine patient. Position: Anterior and superior to lateral malleolus. |
| Calcaneofibular Ligament | Position: Standing to the side of a supine patient. Location: Directly distal to lateral malleolus. Movements: More prominent at inversion. |
| Anterior Talofibular Ligament | Position: Standing to the side of supine patient. Location: Anterior to lateral malleolus. Movement: More prominent with dorsiflexion and plantarflexion. |
| Tibial Pulse | Position: Standing to the side of a supine patient. Location: Posterior to Medial Malleolus, anterior to Achilles Tendon. Movement: Prominent with slight eversion. |
| Medial Malleolus | Position: Standing to the side of a supine patient. Location: Most medial prominence on the distal Tibia. |
| Medial and Lateral Head of Talus | Position: Standing to the side of a supine patient. Location: Anterior and inferior to malleoli. Movements: More Prominent with inversion and eversion. Notes: There could be two visible divots here. |
| Sinus Tarsi | Position: Standing to the side of a supine patient. Location: Lateral and distal to lateral Tarsal head. Note: Will be tender if patient has Sinus Tarsi Syndrome. |
| Navicular Tuberosity | Position: Standing to the side of a supine patient. Location: Largest bump on the medial side of the foot, proximal to 1st metacarpal. |
| Base of the 5th Metatarsal | Position: Standing to the side of a supine patient. Location: Largest bump on the lateral side of the foot. Note: Tenderness could suggest a Avulsion fracture proximally, Stress fracture distally, and Jones fracture in between. |
| Dorsal Pedis Pulse | Position: Standing to the side of a supine patient. Location: Between the 1st and 2nd metatarsal, proximal to the PIP of the big toe. Caution: Use very light pressure. |
| Spinous Process of C1-T5 | Position: Standing to the side of a prone patient. Location: Mid-line of the back. Note: Thoracic spinous processes are on the same level as the vertebra body inferior to it. |
| Spinal Lamina | Position: Standing to the side of a prone patient. Location: Deep and lateral to the spinous process. |
| Interspinous Ligaments | Position: Standing to the side of a prone patient. Location: Between Spinous processes. Note: Connects one spinous process to the other. |
| Transverse Processes | Position: Standing to the side of prone patient. Location: Lateral to Lamina |
| Costotransverse Joints | Position: Standing to the side of a prone patient. Location: Lateral to transverse processes. |
| Angle of Ribs | Position: Standing to the side of a prone patient. Location: Lateral to transverse processes, where the ribs change direction. Note: Ask patient to Protract scapula to find angle of superior ribs. |
| Liver | Position: Standing to the side of a supine patient with inclined head and pillow under knees. Drape breasts and waist. Location: Upper right quadrant of abdomen, above umbilicus. |
| Spleen | Position: Standing to the side of a supine patient with head inclined and pillow under the knees. Drape breasts and waist. Location: Upper left quadrant of abdomen, at the level of the Umbilicus. Note: Place one hand under the back and one hand over the Spleen. |
| Aorta | Position: Stand to the side of a supine patient with inclined head and a pillow under the knees. Drape breasts and waist. Location: Just left of the abdominal mid-line. Caution: Do not apply heavy pressure. |
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