Waddell sign - nm
Posted By: former SPi on 2008-02-04
In Reply to: Wadell's sign? - ld
Subject: Waddell sign - nm
nm
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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.
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 defined
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. |
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===
abdominal exam: obturator sign, and positiv s/l Zoe-is sign
Subject: abdominal exam: obturator sign, and positiv s/l Zoe-is sign
grind test or Galeazzi sign, Gower sign
Subject: grind test or Galeazzi sign, Gower sign
Cullen sign, Grey Turner sign. No s. nm
Subject: Cullen sign, Grey Turner sign. No s. nm
Lloyd's sign. Look in medical dictionary under sign. NM
Subject: Lloyd's sign. Look in medical dictionary under sign. NM
:
She has a positive Tinel's sign, positive Phalen's sign, and positive s/l Durkin's sign.
Subject: She has a positive Tinel's sign, positive Phalen's sign, and positive s/l Durkin's sign.
:-)
J sign or Jay sign?? Ortho - knee. TIA, nm.
Subject: J sign or Jay sign?? Ortho - knee. TIA, nm.
s/l watiers sign or goiters sign? nm
Subject: s/l watiers sign or goiters sign? nm
nm
Myerson's sign or Meyerson's sign
In the physical exam, neurology doc is spelling Meyerson's sign. In two books I find Myerson under signs and cannot verify Meyerson's anywhere. Any thoughts? Thank you in advance for your help!
Patient has a negative wrist extension sign on the right and a negative s/l 3rd finger sign on the R
Subject: Patient has a negative wrist extension sign on the right and a negative s/l 3rd finger sign on the R
wale sign or sometimes "red wale sign" i think nm
Subject: wale sign or sometimes "red wale sign" i think nm
sign
Subject: sign
You are very welcome Lee. 
ok sign or okay sign
Subject: ok sign or okay sign
....DIP joint of the index finger and of the thumb. She still is not able make the okay sign yet.
okay sign. nm
Subject: okay sign. nm
car sign?
Subject: car sign?
Patient banged her knee and doctor says "She complains of a s/l CAR sign????"
SIGN
Subject: SIGN
psoas sign
sag sign
Subject: sag sign
I put the #sign in but I like to also put in
Subject: I put the #sign in but I like to also put in
parentheses or rephrase it to make it more clear, like
Augmentin 875 mg (#21) po bid for 10 days or
Augmentin 875 mg po bid for 10 days (#21).
I don't know, it just sounds awkward to me, almost like it is saying 21 pills twice a day, know what I mean? But that is JMO.
sign
Subject: sign
VATER - acronym for vertebral defects, anal atresia, tracheoesophageal fistula with esophageal atresia, an radial and renal anomalies, VATER complex. or is he in the neck? maybe it is goiter sign.
J sign
Subject: J sign
That is correct J sign in Stedman's ortho book.
Is it still okay to use the & sign (I&D, D&C), or
nm,
Stare sign
Yes thats right, stare sign
peneantregas sign
Patient has positive peneantregas sign on the right ear only.
Does this make sense?
Lloyd's sign
Subject: Lloyd's sign
Lloyd's sign (kidney punch). As per Dorland's, symptom of renal calculus, consisting of pain in the loin on deep percussion over the kidneys, even when pressure causes no pain.
Dorland's 27th edition.
Fail or Fao sign?
Subject: Fail or Fao sign?
Hi,
The sentence is:
X-ray examination on the lateral view shows a _______ sign consistent with a small effusion in the elbow joint and probably a tiny radial head fracture if visible.
Thanks for your time!!
Sail sign
Subject: Sail sign
Sail Sign
Sail Sign: Single lateral radiographs of the elbow which reveals the classic sail sign. This is an invaluable soft tissue finding in cases of ...
www.gentili.net/signs/66.htm - 7k - Cached - Similar pages |
Appendicitis sign
Subject: Appendicitis sign
Okay, I know I know this but I'm drawing a complete blank. The patient has a positive obturator sign and a positive ?Rostitch? sign. Help!
I mean s/l ?Hrosings? sign
Subject: I mean s/l ?Hrosings? sign
No message
Appendicitis sign
Subject: Appendicitis sign
I believe you are looking for Rovsing's sign.
Rovsing's sign
Subject: Rovsing's sign
Should be Rovsing's sign. Pain in right lower quadrant.
degree sign
Subject: degree sign
According to the new AAMT guidelines, it states that the degree symbol should not be used as it can easily be not seen or mistaken as a dot on the paper. 90-degrees.
Brown's sign
Subject: Brown's sign
Left ear exam: Although she does have a lot of myringosclerosis on the drum, there is 1 area that does show, sort of what appears to be, a pulsatile mass behind the drum. It is difficult to see whether a s/l "Brown" sign was positive or not.
it's a sign of emphysema
Subject: it's a sign of emphysema
Chvostek's sign, though I believe (not sure) sm
Subject: Chvostek's sign, though I believe (not sure) sm
it's positive in hypocalcemia.
or ? Meltzer sign.
Subject: or ? Meltzer sign.
x
s/l trofostex sign
Subject: s/l trofostex sign
s/l trofostex sign (in HEENT exam)??
"Moses" sign
Subject: "Moses" sign
"bowling sign"
Subject: "bowling sign"
For knee pain, ballottment sign, bulge sign, and (sounds like) "bowling" sign? any ideas?
bowstring sign??? sm..
Subject: bowstring sign??? sm..
does it sound anything like bowstring sign?
bowling sign
Subject: bowling sign
No listened again and it could be "bullin", "bolin" or something like that
Bowing sign
Subject: Bowing sign
Neri's Bowing Sign.
Lhermitte's sign (nm)
Subject: Lhermitte's sign (nm)
x
Lhermitte sign
Subject: Lhermitte sign
L'hermitte sign...............sm
Subject: L'hermitte sign...............sm
L'Hermitte's sign describes electrical buzzing sensations in the limbs and body brought on by movement of the neck.
Stack sign?
Subject: Stack sign?
Does stack sign sound right for pancreas divisum?
s/l "robsing" sign
Subject: s/l "robsing" sign
Patient had a vaginal sling procedure for uterine prolapse. Abdominal section - says negative s/l "Robsing" sign.
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