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% Document Info
\author{Chrish0204}
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  /Title (msk-branching-exams.pdf)
  /Creator (Cheatography)
  /Author (Chrish0204)
  /Subject (MSK Branching Exams Cheat Sheet)
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    \vspace{-2pt}\large{\bf{\textcolor{DarkBackground}{\textrm{MSK Branching Exams Cheat Sheet}}}} \\
    \normalsize{by \textcolor{DarkBackground}{Chrish0204} via \textcolor{DarkBackground}{\uline{cheatography.com/21287/cs/4042/}}}
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  \mymulticolumn{2}{p{5.377cm}}{\bf\textcolor{white}{Cheatographer}}  \\
  \vspace{-2pt}Chrish0204 \\
  \uline{cheatography.com/chrish0204} \\
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  \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Cheat Sheet}}  \\
   \vspace{-2pt}Not Yet Published.\\
   Updated 11th May, 2016.\\
   Page {\thepage} of \pageref{LastPage}.
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  Measure your website readability!\\
  www.readability-score.com
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\begin{multicols*}{4}

\begin{tabularx}{3.833cm}{X}
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\mymulticolumn{1}{x{3.833cm}}{\bf\textcolor{white}{Knee Exams}}  \tn
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\mymulticolumn{1}{x{3.833cm}}{{\bf{Tests for Menisceal Tear}} \newline % Row Count 1 (+ 1)
{\emph{Joint line tenderness}}: patient supine, knee flexed at 90, palpate soft spot between femur / tibia \newline % Row Count 3 (+ 2)
{\emph{McMurrays:}} patient supine, hip flexed, knee parallel with floor, hold patella joint line, apply valgus + internal tibial rotation and varus + external tibial rotation; positive is pain or clicking \newline % Row Count 7 (+ 4)
{\emph{Apley grind:}} patient is prone, knee flexed at 90, apply force onto knee with both internal and external rotation of tibia while moving through ROM; positive is pain or clicking \newline % Row Count 11 (+ 4)
{\bf{Tests for ACL / PCL Pathology}} \newline % Row Count 12 (+ 1)
{\emph{Lachman:}} patient supine, grasp distal femur and proximal tibia, apply anterior force on tibia; positive is excessive translation / absence of firm end point (ACL) \newline % Row Count 16 (+ 4)
{\emph{Anterior drawer:}} patient supine, flex knee at 90, sit on foot for stability, apply anterior force on tibia; positive is excessive translation (ACL) \newline % Row Count 19 (+ 3)
{\emph{Posterior drawer:}} patient supine, flex knee at 90, sit on foot for stability, apply posterior force on tibia; positive is excessive translation (PCL) \newline % Row Count 23 (+ 4)
{\bf{Tests for MCL / LCL Pathology}} \newline % Row Count 24 (+ 1)
{\emph{Valgus stress:}} patient supine, knee flexed at 0 or 30, hold ankle with one hand and support thigh with other hand, apply valgus force; positive is pain / excessive gapping (MCL) \newline % Row Count 28 (+ 4)
{\emph{Varus stress:}} patient supine, knee flexed at 0 or 30, hold ankle with one hand and support thigh with other hand, apply varus force; positive is pain / excessive gapping (LCL)% Row Count 32 (+ 4)
} \tn 
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\mymulticolumn{1}{x{3.833cm}}{\bf\textcolor{white}{Shoulder Exams}}  \tn
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\mymulticolumn{1}{x{3.833cm}}{{\bf{Tests for Impingement}} \newline % Row Count 1 (+ 1)
{\emph{Neers:}} pronate arm, passively flex it upward; positive is pain reported \newline % Row Count 3 (+ 2)
{\emph{Hawkins:}} flex arm at 90, internally rotate elbow, forcibly internally rotate humerus; positive is pain reported \newline % Row Count 6 (+ 3)
{\emph{Painful arc:}} abduct arm in full arc; positive is pain in the 60 - 120 degree area (not more or less) \newline % Row Count 9 (+ 3)
{\bf{Tests for Labral Pathology}} \newline % Row Count 10 (+ 1)
{\emph{O'Brian's:}} arm flexed at 90, abducted at 15, test flexion against external then internal rotation; poisitive is pain with external and relief with internal / clicking \newline % Row Count 14 (+ 4)
{\emph{Crank:}} abduct arm to 90, apply pressure into the GH joint while internally rotating / externally rotating; positive is pain or clicking  \newline % Row Count 17 (+ 3)
{\emph{Speed's:}} arm flexed at 90, supinated, resist further flexion; pain is positive (also tests biceps tendon) \newline % Row Count 20 (+ 3)
{\bf{Tests for Biceps Tendon Pathology}} \newline % Row Count 21 (+ 1)
{\emph{Yergason's Test:}} arm at side, pronated, elbow at 90, resist patient supinating / externally rotating arm; positive is pain / clicking in bicipital groove \newline % Row Count 25 (+ 4)
Also see: Speed's test \newline % Row Count 26 (+ 1)
{\bf{Tests for Rotator Cuff Pathology}} \newline % Row Count 27 (+ 1)
{\emph{Empty Can:}} flex arm to 90, abduct to 30, full internal rotation; tests suprspinatus tear / strain \newline % Row Count 29 (+ 2)
{\emph{Lift Off:}} dorsum of hand against lower back, resists against examiner; tests subscapularis tear / strain \newline % Row Count 32 (+ 3)
} \tn 
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\vfill
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\begin{tabularx}{3.833cm}{X}
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\mymulticolumn{1}{x{3.833cm}}{\bf\textcolor{white}{Shoulder Exams (cont)}}  \tn
\SetRowColor{white}
\mymulticolumn{1}{x{3.833cm}}{{\emph{Drop Arm:}} abduct arm over head, watch for lack of smooth descent; tests supraspinatus tear \newline % Row Count 2 (+ 2)
{\emph{Infraspinatus test:}} elbow at 90, patient externally rotates against you; positive is pain / weakness% Row Count 5 (+ 3)
} \tn 
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\mymulticolumn{1}{x{3.833cm}}{\bf\textcolor{white}{Wrist Tests}}  \tn
\SetRowColor{white}
\mymulticolumn{1}{x{3.833cm}}{{\bf{Tests for Carpal Tunnel}} \newline % Row Count 1 (+ 1)
{\emph{Durkin's:}} press thumbs over carpal tunnel for 30 seconds; positive is reproduction of symptoms in median pattern (most sensitive) \newline % Row Count 4 (+ 3)
{\emph{Tinel's:}} tap fingers over carpal tunnel; positive is reproduction of symptoms in median pattern \newline % Row Count 6 (+ 2)
{\emph{Phalen's:}} patient maintains maximal palmar flexion for 1 minute; positive is reproduction of symptoms in median pattern \newline % Row Count 9 (+ 3)
{\bf{Tests for de Quervain's Tenosynovitis}} \newline % Row Count 10 (+ 1)
{\emph{Finkelstein's:}} patient puts thumb in fist and ulnarly deviates wrist; positive is pain in area of 1st extensor compartment% Row Count 13 (+ 3)
} \tn 
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\mymulticolumn{1}{x{3.833cm}}{\bf\textcolor{white}{Back Tests}}  \tn
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\mymulticolumn{1}{x{3.833cm}}{{\bf{Tests for Lumbar Nerve Root Impingement}} \newline % Row Count 1 (+ 1)
{\emph{Straight leg:}} patient supine, raise leg up passively, may dorsiflex foot to accentuate; radicular leg pain below the knee reproduced at 30 - 70 degrees indicates disc hernation (at lower / higher degrees may have different meanings) \newline % Row Count 6 (+ 5)
{\emph{Crossed straight leg:}} as straight leg, but unaffected is lifted and symptoms appear on affected side; very specific, less sensitive \newline % Row Count 9 (+ 3)
{\emph{Reverse straight leg:}} as straight leg, but patient is prone, and detects defect at L1 - L4 \newline % Row Count 11 (+ 2)
{\bf{Tests for Hip / SI Joint Pathology}} \newline % Row Count 12 (+ 1)
{\emph{Patrick / Fabere:}} hip externally rotated, ipsilateral knee flexed at 90 and placed on opposite knee, examiner applies pressure; positive is hip / buttock pain \newline % Row Count 16 (+ 4)
{\emph{Trendelenberg sign}}% Row Count 17 (+ 1)
} \tn 
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% That's all folks
\end{multicols*}

\end{document}