HK 4610 Study Guide - Final Guide: Rectus Capitis Posterior Major Muscle, Ankylosing Spondylitis, Thoracic Outlet Syndrome

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24 Dec 2016
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Lateral plumb line: ear, shoulder, lumbar bodies, midline knee, lateral malleolus. Bunion: hallux valgus, metatarsophalangeal joint, deviated big toe. Leg length inequality: broken bone, infection, bone disease (ollier, neurofibromatosis), arthritis. Comprehensive history: chief complaint, system review, personal history, family history. Red flags: 65+ years old, unresponsive to treatment or worse at rest, night pain/fever/chills/unexplained weight loss, trauma, neurological deficit. Yellow flags: psychological factors, job demand, visiting many doctors, claims compensation. Physical exam: observation, palpation, functional tests (rom, manual muscle test, joint play), neurological exam, special test (mri, xray, ct scan) Inflammation: vascular stage (vasodilation, inc permeability of caps, histamine by mast cells, fluid exudate), cellular stage (movement of leukocytes chemotaxis, phagocytosis), rubor, calor, tumor, dolor, loss of function. Healing inflammation: acute (3-4 days rice, passive therapy), fibroblastic (10-21 days, active therapy), remodeling (21+ days, collagen realignment, dynamic functional activities) Ac joint: acromioclavicular ligament, coracoacromial ligament, coracoclavicular ligament. Epi(cid:272)o(cid:374)dylitis: (cid:373)edial (cid:894)golfer(cid:859)s -> ulnar nerve), lateral (tennis)

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