Physical Examination in Occupational Medicine
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Transcript of Physical Examination in Occupational Medicine
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Physical Examinationin Occupational
Medicine
Dr. Majid GolabadiOccupational Medicine Specialist
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Apley Scratch Test
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Phalen Test
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Tinnel sign
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Reflex Abnormality - Biceps, Triceps, Brachioradialis
Upper ExtremityTendon Reflex
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• Kyphosis is excessive curvature of the spine in the sagittal (A-P) plane. The normal back has 20° to 45° of curvature in the upper back, and anything in excess of 45° is called kyphosis.
• Scoliosis is abnormal curvature of the spine in the coronal (lateral) plane. Scoliosis of between 10° and 20° is called mild. Less than 10° is postural variation.
• Lordosis or hyperlordosis is excessive curving of the lower spine and is often associated with scoliosis or kyphosis. It can be exaggerated by poor posture.
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Straight Leg RaiseSLR
Examiner raises straight leg (30 to 60 degrees) eliciting radicular pain on same
side (Lasegue Sign). Then lowers leg until pain goes away, the foot is then
dorsiflexed causing return of pain
Sensitivity 91%Specificity 26 %
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Crossed Straight Leg Raise
(Crossed SLR)
Examiner raises straight leg (30 to 60 degrees) eliciting radicular pain on
opposite side.
Sensitivity 25%Specificity 90-97%
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Reverse Straight Leg Raise
(Reverse SLR)
Patient is prone, examiner raises straight leg (30 to 60 degrees) –pain
radiating to anterior thigh indicative of L3-L4 root irritation
Sensitivity ?Specificity ?
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Duck Walk Test
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Knee Deformities
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