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Differentials and Tests
Condition Condition
Lateral Spinothalamic Tract Anterior STT
-Test pain, superficial, with pointer -Crude touch
Cervical Facet Irritation Cervical Sprain
-Pain on Extension -O'Donogue
-Cervical Compression -Pain on active ROM
Cholelithesis pyelonephritis
-Right epigastric pain that may radiate to right -Lower UTI
shoulder or back (collins sign) -increase urinary frequency, hesitation, fever, malaise, pain
-nausea, vomitting, pain after fatty meal -abdominal discomfort
5th Metatarsal Sprain 5th Metatarsal Fracture
-Negative Vibration, negative percussion -Positive Vibration
SubDural Hematoma Subarachnoid Hemorrhage
Psoas Lesion Hip Lesion
Resisted Hip Flexion Patricks Test
Osteochondritis Dessicans (presence of joint mice) Patellofemoral Arthralgia
Wilson's test Clarkes sign (for chondromalacia patella)
Cervical Spine Radiculopathy Ulnar Nerve at Wrist
Conpression/Doorbell Froments Test
Upper Motor Neuron Lesion Lower Motor Neuron Lesion
Babinski (Toes should curl down) Hyporeflexia, muscle flaciddity through resisted muscle testing
DTR's (Look for hyperrreflexia)
Sciatica Blood Clot Lower Leg
SLR Homans (intermittent claudication, thrombophlebitis)
Buerger's test
Median Nerve Entrapment Carpal Tunnel Syndrome
Phalens's Test/Tinels
Hypoglossal Vagus
Stick out tongue, tongue will deviate to Say ahhhh, look for uvula deviation
lesion side
Lumbar Disc Lumbar facet
SLR, pain on flexion Kemps/pain on extension
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Olfactory Optic Nerve Lesion
Smell Peripherals/Confrontation/Snellen eye chart
Lateral Disc Herniation Medial Disc Herniation
lean away lean towards
Corticospinal Tract Lesion Lateral spinothalamic
motor strength temp/pain
Arterial insuffeciency Venous Insuffeciency
Extremities cold, weak pulse extremities warm, edema, skin [Link])
Scaphoid Fracture Mechanical Collateral Ligament
positive vibration anatomical snuffbox Varus/Valgus stress 1st MCP joint
Heat Stroke Heat Exhaustion
red/dry/feverish, inability to stand, talking funny clammy/sweaty exessively, dizzy
Sensorineural Conductive hearing loss
Weber Rinne
Bicipital Tendonitis Subacromial Bursitis
Yergasons. Speeds test Palpation, dawbarns
IT band syndrome OA of hip
Nobel Compression test Patricks Test
Piriformis Strain Lumbar facet
Resisted external rotation of hip Kemps, pain on extension
(pt side laying side posture set up, press
down on knee, positive is pain)
Cerebellar Lesion Sensory Cortex Lesion
Any coordinated movement (finger to finger/nose) Stereognosis (place familiar item in hand to identify)
graphesthesia (draw number or letter in hand)
Long Thoracic Nerve Lesion Biceps Rupture
Scapular Winging Luddingtons
Anterior Compartment Syndrome (anterior tibial syn)Bakers Cyst
Press thumb into both shins Palpate popliteal fossa
Superior Gluteal L5 Lesion Inferior Gluteal Nerve Lesion
Glut med and minimus=internal hip rotation Glut max=hip extension
L5 Lesion S1 Lesion
Heel Walk Toe Walk
Trochlear Nerve Abducens Nerve
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Superior Oblique (Intortion and depression) Lateral Rectus (Lateral Eye)
Supraspinatus Strain Deltoid Strain
Test 10 Degrees Abduction Test 90 Degrees Abduction
Pec Major Strain Lattisimus Strain
-push palms together -Extension with adduction
Infraspinatus Teres Minor
Lateral Rotation lateral rotation with adduction
Trapezius SCM
Resisted shoulder shrug -Resisted neck rotation
Space Occupying Lesion CS nerve root lesion
Valsavas Doorbell/compression
MS Disc
Lhermitte's SLR
Achilles Strain anterior talofibular sprain
resisted plantar flexion passive ankle inversion
OA RA
Heberden's Node Swollen, haygarth and bouchards nodes
Erbs Palsy Klumpke's Palsy
Biceps and Brachioradialis reflex Resisted motor C7, C8, T1
claw hand
flexors of the wrist and fingers
Psoas Lesion Rectus Femoris Contracture
Thomas test Elys Test (Pelvis will lift on same side)
MCL LCL
Supraspinatus Strain Infraspinatus Strain
Resisted Abduction close to midline Resisted Lateral Rotation
Cubital Tunnel Syndrome Guyons Tunel Syndrome
Compression of ulnar nerve at medial epi
-Flexion compression test
SI Lumbar Facets
Static Palpation Kemps
Neurogenic Claudacation Vascular Claudation
Reflexes relieved with flexion -Pulses
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Functional Scoliosis Structural Scoliosis
Goes away with lateral bending rib humping
T10 Fracture Facet Irritation
Tuning fork Kemps
Trigeminal Facial Nerve
Touch to face Facial Expressions
Deltoid Ligament Strain Achilles Rupture
Evert Foot passively (medial colateral ligament) Thompson Test
Positional Ataxia Cerebellar Ataxia
positive rhombergs Can't walk straight line
Claudication Lower Leg Pain
Walk to exhaustion Palpation
Tennis Elbow Golfers Elbow
-resisted wrist extension while palpating lateral epi resisted wrist pronation and elbow extension
cervicogenic vertigo Vestibular
Corticospinal Tract Lesion Cerebellar Lesion
Muscle Strength, pronator Coordinated activity
Meniscus ACL
Joint line tenderness, McMurrays Test Anterior Drawer
Carpal Tunnel Median Nerve entrapment by pronator teres
Phalens resisted pronation with elbow straight
Cervical Strain Cervical Sprain
O'Donogue Maneuver O'Donogue Maneuver
TOS Scalenes TOS Pec Minor
Adsons (Scalene Maneuver) Wrights Test
Cervical Malingering Cervical Sprain Dysfunction
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