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abduction? adduction? apprehension? Google signs + shoulder testing. nm

Posted By: NM on 2006-03-31
In Reply to: shoulder exam: A mildly positive s/l apitkon's sign - Anyone know?

Subject: abduction? adduction? apprehension? Google signs + shoulder testing. nm

s


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abduction vs adduction
Subject: abduction vs adduction

I will try to make this question make sense -

When a doctor dictates A-B-duction or A-D-duction, is he supposed to say 3 letters on one or the other? i.e. ABD-duction or ADD-duction? I'm just wondering if there is a rule that they go by that will help me to better know which one they are trying to say when they are not too clear.
some docs say ABduction and ADduction
Subject: some docs say ABduction and ADduction

In my dictation, they will dictate A B -duction and A D -duction to separate the words because abduction and adduction sounds so much alike.  Just been my experience.  I have never posted a reply, but thought I could offer some advice on this one.  Hope it helps. 
Dictator is just clarifying the word...abduction with a "b" and adduction with a "d". nm
Subject: Dictator is just clarifying the word...abduction with a "b" and adduction with a "d". nm


No, just the 2 letters to give you some direction. ABduction or ADduction.
Subject: No, just the 2 letters to give you some direction. ABduction or ADduction.

s
Link for shoulder exam/signs. sm
Subject: Link for shoulder exam/signs. sm

http://www.shoulderdoc.co.uk/education/article.asp?article=497
ABduction or abduction of the vocal cords?
Subject: ABduction or abduction of the vocal cords?

.


Per google it is some form of testing
Subject: Per google it is some form of testing

for neuropathy and nerve function. Google "ANSAR" test.
s/l hemiarthroprosthesis of the shoulder. I'm not finding many hits on google
Subject: s/l hemiarthroprosthesis of the shoulder. I'm not finding many hits on google


apprehension and O'Brien's test? sm
Subject: apprehension and O'Brien's test? sm

Great shoulder sign site.


http://www.shoulderdoc.co.uk/education/article.asp?article=497


posterior drawer testing nor with valgus or varus stress testing
Subject: posterior drawer testing nor with valgus or varus stress testing


Faber testing or Fabere testing?
Subject: Faber testing or Fabere testing?

Is the correct way Faber testing or Fabere testing?  I'm finding it both ways.  *sigh* 


?abduction" nm
Subject: ?abduction" nm


abduction
Subject: abduction

The dictator is just giving you help that it's "abduction" rather than"adduction." They just give you the first two letters to help differentiate.
as in flexor abduction?
Subject: as in flexor abduction?

I know that's the opposite but if the finger is messed up...
Word help (abduction)
Subject: Word help (abduction)

To the best of my knowledge it would be "abduction" but there are so many client specifics these days that I hesitate to give advice.


While I'm about it, I hesitate to give word help on this board because my rules are: 


1)  Never ever guess.  If in doubt leave a blank.  More preferable would be that there is soemone you can call who can listen to the actual dictation.  If I could hear the actual dictation I could likely tell you what the words are but I won't guess and guessing is what most of the word help requests would be, even though I could usually "guess" at the answer.  That is not appropriate for anyone to do.


2)  Lacking anyone to call, my best advice would be to leave a blank and send to whatever editor department your company has.  Ask them for feedback but don't be surprised if you don't get it.


3)  Make a note of the word request as you post here and when your day's work is done, do some research.  A good rule of thumb, if you don't find the word in 5 minutes, you aren't likely to find it.  Maybe your own physician or his nurse would be willing to help you.  Use your dictionary and all your hard word books, research the internet and then learn what the term/word/sentence actually means and you won't soon forget that way.  I always maintained a "help" relationship with a pharmacist that I could call for new meds.  Always had one willing to take the time to look in his "book" and find the med.  Pharmacists have THE latest medication names, uses and dosages...they have to.


Don't despair, one day you will know the terms just by being able to get a sound because you will know what the word is because you will understand how it fits or doesn't fit in the dictated sentence.  In the meantime never ever guess and don't let anyone guess for you.  I promise you'll always guess wrong.


I've always told my students that they should expect to take 5 years before MT-ing finally clicks.  Count on it, about the 5 year mark it will suddenly all click and you'll take off like a kite.  That is provided you continue to learn and learning is really a self-study thing.


quad/string testing in reference to the quad/hamstring torque ratio testing?
Subject: quad/string testing in reference to the quad/hamstring torque ratio testing?

I'm just guessing.
limited IN opposition and abduction nm
Subject: limited IN opposition and abduction nm

x
Sounds good to me. Thumbs-down abduction it is
Subject: Sounds good to me. Thumbs-down abduction it is


you are right, it does read better that way...but either way no comma needed after abduction nm
Subject: you are right, it does read better that way...but either way no comma needed after abduction nm


s/l ill-fill hip abduction brace? more info inside
Subject: s/l ill-fill hip abduction brace? more info inside

Toddler with bilateral acetabular dysplasia.  Doc prescribes s/l ill-fill (L-field?) hip abduction brace.  TYIA! 
FABER (flexion, abduction, external rotation)? NM
Subject: FABER (flexion, abduction, external rotation)? NM

x
FABER stands for Flexion, Abduction, and External Rotation of the hip.
Subject: FABER stands for Flexion, Abduction, and External Rotation of the hip.


FABERE (Flexion, ABduction, External Rotation, and Extension)
Subject: FABERE (Flexion, ABduction, External Rotation, and Extension)


Probably adduction contracture (MDs tend to say AD duction contracture)
Subject: Probably adduction contracture (MDs tend to say AD duction contracture)


I-signs
Subject: I-signs

"heart rate is 72 and regular. There were no I-signs."


Is it I-signs, eye signs, ISIGNS, ISINS or what?


F signs
Subject: F signs

Faget sign, fan sign, fatpad sign, Fischer sign, fissure sign, flag sign, Forchheimer sign, Fothergill sign, Friedreich sign or Froment sign.


Hope this helps!


I too love Google but be V_E_R_Y careful w/google
Subject: I too love Google but be V_E_R_Y careful w/google

Google is great for retrieving anything faster than the speed of light *lol* - but if the info comes from a nonverifiable medical website, be very wary.  There are a few I trust only...the NIH for one (Nat'l Institute of Health) and the CDC (Center for Disease Control) and a few others out of the government actually.


As for prescription places, I trusted rx.com for far too long, there are many more reliable drug websites out there... medilexicon.com is a great site and to confirm a proper name of a disease or things like that, there is whonamedit.com which, if you write to the site owner, can be added to (I have done some communication with the site owner so this is 100% true). 


When I first started using google in MT work about 8 years ago as google is not that old, (got online 12 years ago, been an MT since 1980), I had looked up Spironolactone, and Google gave the spelling to me incorrectly and (who knew it was wrong?!?!??) I used their spelling and I was wrong. 


So, only advice is be VERY CAREFUL what YOU CHOOSE to use as far as websites go regarding MT/ME work because in the end you're the one responsible....not google. 



gotta be careful w/Google....I love Google
Subject: gotta be careful w/Google....I love Google


orthopedics signs
Subject: orthopedics signs

There is a "Scotty dog sign" and an "Earle sign."


Scotty dog sign refers to a view of the lumbar spine in which an outline of a dog can be seen.


Earle sign refers to a bony prominence or large hematoma on rectal exam.


Maybe these are what you are looking for.


Does anyone have a site for ear signs?
Subject: Does anyone have a site for ear signs?

ESL is saying what sounds like trachal sign or trocal sign is negative. Thank you!
vital signs
Subject: vital signs

He said something like apicar rate is 85, rhythm regular.  Any suggestions?
help with vital signs - s/m
Subject: help with vital signs - s/m

Dictated:  heart rate in the "1 teens to 120s" How do I write 1 teens?  If I write 110s is that correct since the teens don't start till 13?  Why can't they just keep it stupid simple?


Vital Signs
Subject: Vital Signs

Is there such a thing as "rest rate" temperature or "respirator" temperature?? 
Spurling's signs
Subject: Spurling's signs

n/m
Neurovegetative signs?
Subject: Neurovegetative signs?

Hi, I was wondering if there is such a thing as neurovegetative signs? I thought that it sounded like nerovigitated, but google directed me to neurovegetative. Can someone please tell me if this is a vaild word? Thank you!!!
Genitoperitoneal signs
Subject: Genitoperitoneal signs

Abdominal exam shows no genitoperitoneal signs?
RE: Genitoperitoneal signs
Subject: RE: Genitoperitoneal signs

Back pain
RE: Genitoperitoneal signs
Subject: RE: Genitoperitoneal signs

Thank you!
lateralizing signs
Subject: lateralizing signs


vital signs
Subject: vital signs

When a doctor dictates the vital signs with only the values and no headings, does anyone fill in headings or do you just give them what they dictated.  For example, they say VITAL SIGNS:  110/80, 72, 20, 97.9. 
watch for signs of incarceration??

Abdominal pain secondary to a small femoral hernia, easily reducible. She will watch for any signs of incarceration.


 


 


ortho signs for reference sm
Subject: ortho signs for reference sm

 
















    








New

Welcome










Special Tests for Orthopedic Examination, Second Edition



Jeff G. Konin PhD, ATC, PT; Denise Wiksten PhD, ATC; Jerome A. Isear, Jr. MS, PT, ATC-L; Holly Brader MPH, ATC, CHES









$37.95
ISBN 1-55642-591-0
352 pp Soft Cover
Pub. Date: 2002
Order# 45910


View


Privacy


Special Tests for Orthopedic Examination is now available in a completely updated and refined new edition. This concise manual is a valuable reference for identifying and performing special tests used during an orthopedic examination. Now available in a spiral-bound format-perfect for the reader to lay-flat and refer to as they are practicing the tests. Students, clinicians, and rehabilitation professionals will enhance their ability to interpret and evaluate their findings.


This new edition takes a simplistic approach to visualizing and explaining over 150 commonly used orthopedic special tests. Readers benefit from the user-friendly, spiral-bound format, as clear and concise text is coupled with excellent photographs to illustrate the subject and clinician positioning. The tests are organized by regions of the body so the reader can easily reference a particular test. Comments found at the end of most of the tests provide valuable clinical insight and detailed implications.


* Listed as one of the Common References used in the development of NATABOC Examinations!



Features



  • Over 150 special tests for sports-related and non-athletic orthopedic injuries.
  • Detailed description of each special test component: test positioning, action, and positive findings.
  • Photographs illustrating the proper subject and clinician positioning.
  • New spiral bound cover makes this second edition more user-friendly and practical.


Table of Contents


Dedication
Acknowledgments, First Edition
Acknowledgments, Second Edition
Foreword, Second Edition
Foreword, First Edition
Preface, Second Edition
Preface, First Edition


Section I: Temporomandibular
Chvostek's Sign
Loading Test
Palpation Test


Section II: Cervical Spine
Vertebral Artery Test
Foraminal Compression Test (Spurling)
Foraminal Distraction Test
Valsalva's Maneuver
Swallowing Test
Tinel's Sign


Section III: Shoulder
Empty Can (Supraspinatus) Test
Yergason Test
Speed's Test
Ludington's Sign
Drop Arm Test
Apley's Scratch Test
Cross-Over Impingement Test
Neer Impingement Test
Hawkins-Kennedy Impingement Test
Sternoclavicular (SC) Joint Stress Test
Acromioclavicular (AC) Joint Distraction Test
Acromioclavicular (AC) Joint Compression Test (Shear)
Piano Key Sign
Apprehension Test (Anterior)
Apprehension Test (Posterior)
Sulcus Sign
Anterior Drawer Test
Posterior Drawer Test
Jobe Relocation Test
Feagin Test
Load and Shift Test
Grind Test
Clunk Test
O'Brien Test
Brachial Plexus Stretch Test
Shoulder Abduction Test
Adson's Maneuver
Allen's Test
Roos Test
Military Brace Position
Pectoralis Major Contracture Test


Section IV: Elbow
Resistive Tennis Elbow Test (Cozen's Test)
Resistive Tennis Elbow Test
Passive Tennis Elbow Test
Golfer's Elbow Test
Hyperextension Test
Elbow Flexion Test
Varus Stress Test
Valgus Stress Test
Tinel's Sign
Pinch Grip Test


Section V: Wrist and Hand
Tap or Percussion Test
Compression Test
Long Finger Flexion Test
Finkelstein Test
Phalen Test
Tinel's Sign
Froment's Sign
Wrinkle Test (Shrivel Test)
Digital Allen's Test
Bunnel Littler Test
Murphy's Sign
Watson Test
Valgus Stress Test
Varus Stress Test
Section VI: Thoracic Spine
Kernig/Brudzinski Signs
Lateral Rib Compression Test
Anterior/Posterior Rib Compression Test
Inspiration/Expiration Breathing Test


Section VI: Thoracic Spine
Kernig/Brudzinski Signs
Lateral Rib Compression Test
Anterior/Posterior Rib Compression Test
Inspiration/Expiration Breathing Test


Section VII: Lumbar Spine
Valsalva's Maneuver
Stoop Test
Hoover Test
Kernig/Brudzinski Signs
90-90 Straight Leg Raise Test
Bowstring Test (Cram Test)
Sitting Root Test
Unilateral Straight Leg Raise Test (Lasegue Test)
Bilateral Straight Leg Raise Test
Well Straight Leg Raise Test
Slump Test
Thomas Test
Spring Test
Trendelenburg's Test
Stork Standing Test


Section VIII: Sacral Spine
Sacroiliac (SI) Joint Fixation Test
Gillet Test
Sacroiliac (SI) Joint Stress Test
Squish Test
Yeoman's Test
Gaenslen's Test
Patrick or FABER Test
Long-Sitting Test


Section IX: Hip
Hip Scouring or Quadrant Test
Nélaton's Line
Craig's Test
90-90 Straight Leg Raise Test
Patrick or FABER Test
Trendelenburg's Test
Ober's Test
Piriformis Test
Thomas Test
True Leg-Length Discrepancy Test
Apparent Leg-Length Discrepency Test
Ely's Test
Tripod Test
Femoral Nerve Traction Test


Section X: Knee
Patella Tendon/Patella Ligament Length Test
Patellar Apprehension Test
Ballotable Patella or Patella Tap Test
Sweep Test
Quadriceps or Q-Angle Test
Medial-Lateral Grind Test
Bounce Home Test
Patellar Grind Test (Clarke's Sign)
Renne Test
Noble Test
Hughston's Plica Test
Godfrey 90/90 Test
Posterior Sag Test (Gravity Drawer Test)
Reverse Pivot Shift (Jakob Test)
Anterior Lachman's Test
Anterior Drawer Test
Slocum Test With Internal Tibial Rotation
Slocum Test With External Tibial Rotation
Pivot Shift Test
Jerk Test
Posterior Drawer Test
Hughston Posteromedial Drawer Test
Hughston Posterolateral Drawer Test
Posterior Lachman's Test 27
External Rotation Recurvatum Test
Valgus Stress Test
Varus Stress Test
McMurray Test
Apley Compression Test
Steinman's Tenderness Displacement Test
Rectus Femoris Contracture Test


Section XI: Ankle and Foot
Homans' Sign
Anterior Drawer Test
Talar Tilt Test (Inversion)
Talar Tilt Test (Eversion)
Thompson Test
Tap or Percussion Test
Feiss Line 30
Interdigital Neuroma Test
Compression Test
Long Bone Compression Test
Swing Test
Kleiger's Test
Tinel's Sign



"Overall, the text can help the reader strengthen clinical skills through the didactic instruction of clinical techniques used in performing special tests."


- Chris Hughes, PT, PhD, OCS, CSCS, Journal of Orthopedic Sports Physical Therapy

“The authors… have successfully achieved their intent and have provided a ready-reference for the proper performance and interpretation of special tests commonly performed as part of an orthopaedic examination."


-- Thomas P. Nolan, Jr., PT, MS, OCS, Orthopaedic Practice

“The strength of this book is in its visual simplicity and ease of use. Students…as well as established clinicians, will find this pocket guide useful for quick reference in the clinic.”


-- Maggie Fillmore, MA, PT, OCS, Advance for Physical Therapists and PT Assistants

“This book is an excellent, straight-forward, well-illustrated manual of special orthopedic tests.”


-- Roslyn Sofer, PT, OCS, Physical Therapy




Customers interested in this book may also be interested in:








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here are some ortho knee signs
Subject: here are some ortho knee signs

Section X: Knee
Patella Tendon/Patella Ligament Length Test
Patellar Apprehension Test
Ballotable Patella or Patella Tap Test
Sweep Test
Quadriceps or Q-Angle Test
Medial-Lateral Grind Test
Bounce Home Test
Patellar Grind Test (Clarke's Sign)
Renne Test
Noble Test
Hughston's Plica Test
Godfrey 90/90 Test
Posterior Sag Test (Gravity Drawer Test)
Reverse Pivot Shift (Jakob Test)
Anterior Lachman's Test
Anterior Drawer Test
Slocum Test With Internal Tibial Rotation
Slocum Test With External Tibial Rotation
Pivot Shift Test
Jerk Test
Posterior Drawer Test
Hughston Posteromedial Drawer Test
Hughston Posterolateral Drawer Test
Posterior Lachman's Test 27
External Rotation Recurvatum Test
Valgus Stress Test
Varus Stress Test
McMurray Test
Apley Compression Test
Steinman's Tenderness Displacement Test
Rectus Femoris Contracture Test


Could it be "no signs of hepatosplenomegaly?" or sm
Subject: Could it be "no signs of hepatosplenomegaly?" or sm

no tenderness (or maybe even rebound) or hepatosplenomegaly?
that is true-but I do what who signs paychecks SM
Subject: that is true-but I do what who signs paychecks SM

You are right but I do what the signers of the paychecks want me to do......
tract/track signs
Subject: tract/track signs

long tract sign(s)
Medical signs, anyone know a good
Subject: Medical signs, anyone know a good

website to locate names of medical signs?  TIA. 
hand - no signs of s/l thelan? sm
Subject: hand - no signs of s/l thelan? sm

appear to be a significant paronychia and I am concerned about progression to s/l felen.


anatomy of hand??


s/l tennel and phallen signs
Subject: s/l tennel and phallen signs

Extremities:  positive (s/l tennel and phallen) signs bilaterally.


Thank you.


Chvostek’s and Trousseau’s Signs
Subject: Chvostek’s and Trousseau’s Signs

x
2 separate vital signs nm
Subject: 2 separate vital signs nm

nm