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Flashcards

Skills Check #1 Palpations

Jordan Waugh Inglês 5,0Avaliação média 5,0 de 5 (1 avaliação) 102 flashcards

Flashcards do conjunto (102)

  1. 1InionPosition: Standing behind a seated patient.
    Location: Most prominent aspect of the external occidental protuberance.
  2. 2Mastoid ProcessPosition: Standing behind a seated patient.
    Location: Directly posterior and inferior to ear lobe.
    Caution: Avoid heavy pressure.
  3. 3Temporomandibular JointPosition: 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.
  4. 4Zygomatic ArchPosition: Standing in front of a seated patient.
    Location: Equidistant between the external auditor meatus and proximal nostril.
    Caution: Avoid palpating close to mouth.
  5. 5Sinus CavitiesPosition: 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.
  6. 6Angle of MandiblePosition: Standing in front of a seated patient.
    Location: Inferior and posterior most aspect of the jaw.
  7. 7Mandible ProtuberancePosition: Standing in front of a seated patient.
    Location: Anterior most aspect of medial jaw.
  8. 8Transverse Process of C 1Position: 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.
  9. 9HyoidPosition: 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.
  10. 10Cricoid CartilagePosition: Standing in front of a seated patient.
    Location: Directly inferior to Hyoid.
    Note: Feels crunchy to patient and therapist.
  11. 11ThyroidPosition: 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.
  12. 12Sternoclavicular JointPosition: 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.
  13. 13Trunk of the Brachial PlexusPosition: 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
  14. 14Parotid GlandPosition: 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.
  15. 15Submaxillary GlandPosition: 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.
  16. 16Submandibular GlandPosition: Standing in front of a seated patient.
    Location: Inferior to the protuberance of the mandible, at the mid-line of the upper neck.
  17. 17Lymph Node ChainsPosition: 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.
  18. 18Carotid PulsePosition: 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.
  19. 19C 2 Spinous ProcessPosition: Standing behind a seated patient
    Location: First palpable spinous process directly inferior to Inion.
    Movements: More prominent with neck flexion.
  20. 20C 7 Spinous ProcessPosition: 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.
  21. 21Cervical Articular PillarsPosition: Standing behind a seated patient.
    Location: Facet joints directly lateral to spinous process.
    Caution: Avoid heavy pressure
    Note: includes hills (facets) and valleys (body)
  22. 22Cervical Transverse ProcessesPosition: 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.
  23. 23Superior Angle of ScapulaPosition: Standing behind a seated patient.
    Location: Inferior to Upper Trap, lateral to transverse processes, approximately at the level of T2.
  24. 24Spine of ScapulaPosition: Standing behind a seated patient.
    Location: Inferior to Superior Angle of Scapula, from medial border to Acromion, at approximately T3.
  25. 25Inferior Angle of ScapulaPosition: Standing behind a seated patient.
    Location: Inferior most aspect of Scapular vertebral border, approximately at the level of T7.
  26. 26Posterior, Lateral, and Anterior Aspects of the AcromionPosition: Standing behind a seated patient.
    Location: Lateral most end of the Spine of the Scapula.
  27. 27Coracoid ProcessPosition: Standing in front of a seated patient.
    Location: Medial to Humerus and shoulder joint line, inferior to Clavicle and Acromion.
  28. 28Acromioclavicular JointPosition: Standing in front of a seated patient.
    Location: Small divot medial to Humeral Head, and lateral to Acromion.
  29. 29Tubercle of 1st RibPosition: 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.
  30. 30Jugular NotchPosition: Standing in front of a seated patient.
    Location: inferior to Adam's Apple, medial to Clavicle, Inferior to Sternum.
  31. 31Proximal ClaviclePosition: Standing in front of a seated patient.
    Location: Lateral to Jugular Notch and Sternoclavicular Joint.
  32. 321st Rib and Manubrium JointPosition: 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.
  33. 332nd Rib InsertionPosition: 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.
  34. 34Xiphoid ProcessPosition: 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.
  35. 35Midaxillary, Anterior Axillary, and Posterior Axillary LinePosition: 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.
  36. 36Humeral Lesser TuberosityPosition: Standing in front of a seated patient.
    Location: Directly lateral to the anterior shoulder joint line.
    Movement: More prominent with external rotation.
  37. 37Bicipital GroovePosition: 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.
  38. 38Greater Tuberosity of the HumerusPosition: 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.
  39. 39Supraspinatus TendonPosition: Standing in front of a seated patient.
    Location: Anterior to medial Deltoid, inferior to Acromion, lateral to Supraspinatus Fossa.
    Note: Rub transversely.
  40. 40Infraspinatus TendonPosition: 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
  41. 41Deltoid TuberosityPosition: 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.
  42. 42Brachial PulsePosition: 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.
  43. 43Medial Epicondyle of ElbowPosition: 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.
  44. 44Lateral Epicondyle of ElbowPosition: 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.
  45. 45Olecranon ProcessPosition: 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.
  46. 46Radial HeadPosition: 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.
  47. 47Ulnar GroovePosition: 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"
  48. 48Radial StyloidPosition: Standing in front of a seated patient.
    Location: Proximal and Anterior to the Snuff Box.
  49. 49Ulnar StyloidPosition: Standing in front of a seated patient.
    Location: Medial, posterior, and most prominent bump of the distal Ulna.
  50. 50Lister's TuberclePosition: Standing in front of a seated patient.
    Location: Radial, dorsal bump, just proximal to the divot in the wrist that starts the carpals.
  51. 51Snuff BoxPosition: 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.
  52. 52LunatePosition: Standing in front of a seated patient with wrist flexed.
    Location: Just distal to Lister's Tubercle.
  53. 53CapitatePosition: Standing in front of a seated patient with wrist flexed.
    Location: Directly distal to Lunate.
    Note: Presents as a divot.
  54. 54PisiformPosition: 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.
  55. 55Hook of HamatePosition: 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.
  56. 56ScaphiodPosition: 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.
  57. 57TrapeziumPosition: Standing in front of a seated patient.
    Location: Directly distal to Scaphoid, proximal to 1st Metacarpal.
  58. 58TriquetrumPosition: Standing in front of a seated patient.
    Location: Directly posterior to the Pisiform.
  59. 59TrapezoidPosition: Standing in front of seated patient.
    Location: Directly Ulnar to the Trapezium.
  60. 60Radial PulsePosition: Seated in front of seated patient.
    Location: Radial to the Palmaris Longus Tendon.
    Note: Do not push hard enough to occlude blood flow.
  61. 61Volar PlatePosition: Standing in front of a seated patient.
    Location: Palmar side of Interphalangeal Joints.
    Note: PIP Volar plates are more prevalent, Volar plates prevent hyperextension.
  62. 62Metacarpal Phalangeal JointPosition: Standing in front of a seated patient.
    Location: Largest Joint distal to the Metacarpals.
  63. 63Iliac CrestPosition: 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.
  64. 64Posterior Inferior Iliac SpinePosition: 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.
  65. 65Sacral SulcusPosition: Squatted behind a standing patient.
    Location: Small divot, medial to the PSIS.
    Note: Also called Fortin's Point or back dimples.
  66. 66Anterior Superior Iliac SpinePosition: 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.
  67. 67Ischial TuberosityPosition: 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
  68. 68Pubic TuberclePosition: 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.
  69. 69Inguinal LigamentPosition: 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.
  70. 70Femoral PulsePosition: 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.
  71. 71Greater Trochanter of FemurPosition: 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.
  72. 72Greater Trochanteric BurseaPosition: 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.
  73. 73Fibular HeadPosition: 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.
  74. 74Gerdy's TuberclePosition: Standing to the side of a supine hookline patient.
    Location: On the Tibia, anterior to the Fibular Head.
    Note: IT Band inserts here.
  75. 75Lateral Femoral CondylePosition: Standing to the side of a supine hookline patient.
    Location: Lateral to Patella, Proximal to knee joint.
  76. 76Lateral Collateral LigamentPosition: Standing to the side of a supine hookline patient.
    Location: Lateral side of knee, connecting Femoral Lateral Epicondyle to Fibular Head.
  77. 77Tibial TuberosityPosition: Standing to the side of a supine hookline patient.
    Location: Anterior prominence on proximal Tibia.
    Note: Patellar Tendon inserts here.
  78. 78PatellaPosition: 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.
  79. 79Patellar TendonPosition: Standing to the side of a supine hookline patient.
    Location: Dense fiber distal to the Patella, inserting on Tibial Tuberosity.
  80. 80Quadriceps TendonPosition: Standing next to a supine hookline patient.
    Location: Dense Fiber proximal to the Patella.
  81. 81Knee Joint LinePosition: 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.
  82. 82Popliteal PulsePosition: 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.
  83. 83Lateral MalleolusPosition: Standing to the side of a supine patient.
    Location: Lateral Prominence on distal Fibula.
  84. 84Anterior Tibiofibular LigamentPosition: Standing to the side of a supine patient.
    Position: Anterior and superior to lateral malleolus.
  85. 85Calcaneofibular LigamentPosition: Standing to the side of a supine patient.
    Location: Directly distal to lateral malleolus.
    Movements: More prominent at inversion.
  86. 86Anterior Talofibular LigamentPosition: Standing to the side of supine patient.
    Location: Anterior to lateral malleolus.
    Movement: More prominent with dorsiflexion and plantarflexion.
  87. 87Tibial PulsePosition: Standing to the side of a supine patient.
    Location: Posterior to Medial Malleolus, anterior to Achilles Tendon.
    Movement: Prominent with slight eversion.
  88. 88Medial MalleolusPosition: Standing to the side of a supine patient.
    Location: Most medial prominence on the distal Tibia.
  89. 89Medial and Lateral Head of TalusPosition: 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.
  90. 90Sinus TarsiPosition: 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.
  91. 91Navicular TuberosityPosition: Standing to the side of a supine patient.
    Location: Largest bump on the medial side of the foot, proximal to 1st metacarpal.
  92. 92Base of the 5th MetatarsalPosition: 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.
  93. 93Dorsal Pedis PulsePosition: 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.
  94. 94Spinous Process of C1-T5Position: 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.
  95. 95Spinal LaminaPosition: Standing to the side of a prone patient.
    Location: Deep and lateral to the spinous process.
  96. 96Interspinous LigamentsPosition: Standing to the side of a prone patient.
    Location: Between Spinous processes.
    Note: Connects one spinous process to the other.
  97. 97Transverse ProcessesPosition: Standing to the side of prone patient.
    Location: Lateral to Lamina
  98. 98Costotransverse JointsPosition: Standing to the side of a prone patient.
    Location: Lateral to transverse processes.
  99. 99Angle of RibsPosition: 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.
  100. 100LiverPosition: 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.
  101. 101SpleenPosition: 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.
  102. 102AortaPosition: 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.

Informações

Descrição
Assess: Temperature, swelling, pulses, provocation of pain, location of anatomical tissue, and abnormal structures. Wash your hands No shoes on the table Drape the patient appropriately Visually scan the region first Use landmarks to get oriented Ask if it is okay to touch the patient Have patient start in neutral posture Be firm to avoid tickling Sense with the fingertips instead of poking Be sensitive in irritable areas Ask patient to communicate with you what they are feeling.
Criado por
Jordan Waugh · jun 2018
Atualizado
11 jun 2018
Visualizações
280
Avaliação
Avaliação média 5,0 de 5 (1 avaliação)

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