Waddell defined
Posted By: CAMT on 2005-10-30
In Reply to: ortho help - anon
Subject: Waddell defined
WADDELL TEST: |
The patient is tested for appropriateness of response to tenderness. axial loading, rotation, straight leg raising in the seated position, regional disturbances and overreaction. Inappropriate responses in three of the five areas is very suggestive of functional overlay in patients with back problems. |
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ill-defined
Subject: ill-defined
Probably ill-defined
Subject: Probably ill-defined
An ill-defined density.
poorly-defined margins?
Subject: poorly-defined margins?
dd
Waddell’s
Subject: Waddell’s
Waddell
Subject: Waddell
Waddell
Subject: Waddell
Use of Waddell's Signs
One or two Waddell's signs can often be found even when there is not a strong non-organic component to pain. Three or more are positively correlated with high scores for depression, hysteria and hypochondriasis on the Minnesota Multiphasic Personality Inventory.
Waddell's signs are:
Superficial tenderness – skin discomfort on light palpation.
Nonanatomic tenderness – tenderness crossing multiple anatomic boundaries.
Axial loading – eliciting pain when pressing down on the top of the patient’s head.
Pain on simulated rotation - rotating the shoulders and pelvis together should not be painful as it does not stretch the structures of the back.
Distracted straight leg raise - if a patient complains of pain on straight leg raise, but not if the examiner extends the knee with the patient seated (e.g. when checking the Babinski reflex).
Regional sensory change - Stocking sensory loss, or sensory loss in an entire extremity or side of the body.
Regional weakness - Weakness that is jerky, with intermittent resistance (such as cogwheeling, or catching). Organic weakness can be overpowered smoothly.
Overreaction - Exaggerated painful response to a stimulus, that is not reproduced when the same stimulus is given later.
Glandular manifestations – patients with Sjögren’s syndrome may complain of dry, gritty eyes, a sensation of burning or of a foreign body in their eyes, or a dry mouth. Patients may be unable to eat a cracker without drinking fluids (the ‘dry cracker sign’).
Waddell sign - nm
Subject: Waddell sign - nm
nm
Could it be Waddell sign? See message.
Subject: Could it be Waddell sign? See message.
Not sure if this is it, but closest I could find. Waddell sign: Waddell's signs are a group of physical signs, first described by Waddell et al in 1980,[1] that may indicate non-organic or psychological component to chronic low back pain. Historically they have been used to detect "malingering" patients with back pain.
CXR: Ill defined density seen in the right s/l PROVERBUN apex, which may represent postop change. NM
Subject: CXR: Ill defined density seen in the right s/l PROVERBUN apex, which may represent postop change. NM
Waddell's criteria. See this great link. sm
Subject: Waddell's criteria. See this great link. sm
====http://www.cagworld.com/Resources/Medical.asp?Letter=W===
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