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Fdps Notes

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Talha Parkar
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3K views116 pages

Fdps Notes

Uploaded by

Talha Parkar
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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INDEX — NAME. :__Q@aatveh + K+ Tathan std. : YER Div. « Roll No. _/2 School / College. -_ £OFS Sr. . s Teacher's No TITLE Bate Sign / Remark., |, Page No- te | Basie related t Apps I ve ast) & | Paty and its cssessrent % &- | fentaat assrasonnt igamthation 19 a ~ Clubbing [ Tndernts/Cyanasts Cardio~“tespinatry Assisement | 8 5. | fate f Peretevéed Eqertion 25 23 be Aes of) @. | ¢- Méenute Walk Tat oe feos 1% | Antertat Kood gases Y Analyaal 2m Assessment hesity Clinicdlly | 83s a Prrighenctt Vascular Déseowe 38 ee : a (Ankle -Brathial tree, ttaeeltcatin) aire to. | Gpeetae Tels fn joints s~ Fhoracte outlet syndrome_| ~39-- Shoulder fotne cart v 23s Elbow otnt : Asaf eh ¢ Spine Cox, bx 8zJ) 48,4852 |G - \ Hip ‘joint 54 . ) Scanned with CamScanner (s. | Dele Teacher's 4 | No TITLE fage Me: Sign / Remark ing Atrtetee Joint Ze : Ankle goin * [lh | Physiologica! and pathabgieat | © = o-oo v tnd. feels —] 12. Spin | close (2h: postition 83 %._| Funetronut Arseasernnt of Balanee |. 6 | tn fests for Co-ordination S 5. ee Coma _Geale ie u | ts. Modihus Ashworth seete , 7 es ae Newrodyramte Tels sas i tt. Repiatety thi a 1. Neonatat Reflexes. 1S: ae oe Meura-Oeveapirantat Lheny yC6obatt) | 76 | gr. Maltenbon Mobilization 79 7 Re Mekenzée Apotoach Be “ 25. Bunnsterrn Moverrent Theapy 8% iB 2h Mattiqan Mobilization 38 ia 25s Mallard Mebilezatien 0 26. }-—Lrtaw mob tlisadion % , 2. anittpelossvenad wr Bld . Aabeoge fim hs Y Cvg Ne i i Scanned with CamScanner Bosies _netated Pore (bee ] Geaputo - frat Hye: The \ shocilden coca act vin ay: Coortiriatd way & fii in smth # pct ROM peat & tat. Flower Nocteyctive pai | J 4 -f geude Cenc.» J . | J “Malignant Non Goat Wacoal. rabyrant ; a = Auagpat te e a * 4 4 Cntaad porehual =| Pain Path wayp t The nove impulers fving tbe te * Conaedous etn ma 4 in 4 ‘nupion. of fh th_tach tf tohteh & + can be modeled » J rey aes = A : ‘ 5 \ canned with CamScanner ae | epinat cond : ___ Bensat_ttnn - _ _ Lateral _spleotbatan i aes 7 = _ _ at sy ee | —Thatames Tut Tedarrte Nucleus Treory: By Meleack Wal val By t ety fe Patn_gate/qae ‘conkrol theo Gels / dowel how - Gately _rrethanésen ti whi = tnd a tr inbibit- No técyot of preted “oily Nocteg ttve bi al | {bate = aige dimly AS fos, fis catbotbranls > hier inppirge. én oui tilts in amir OE YI in__Dovsal tern Y Gpircal. Cond. =| trout of rrechananceertora _redeveee thy cauifakility of recteyte() tis fein perwated stiredl bryeifytl/ peapeptt| sigmental _ inbépiyech nw U on $ duptive oft pebvcay =| Aesesserunt- tf Pai + “@| Dino paphie daha = fro graphic date : Ae . Ceeupatton ge/ Set. ®: Chest complatct a 7 9 Pa dtistory w/ : ya | loahion s= Whetb, local ora Hf locativd, thee? speller radiating | Type Z Quatizy of 7. pair a Va % | Creette oe = - } —- _ Garptirg , dull cthing Musee. Out " gbing Avi? Lfoamint - ¢oint ceyostule Gh stedgirg : Merve okt Sharp heights) EE like ye Nowe Bunting Sonat ind] at teging yma Mere Deep, Ul Wappieg Oust | Bone. Sharp, Behe " trfotaable L-_ sracture Grobbing, poorly tocatizedl - Vascular pus bee Scanned with CamScanner = Chemical ‘raitadion, + vi rat 3 a lated pi novel jin Diwnal voniation $ Cohethy sain i ‘iat tn_monting | day time bt? Agquwating Foutonss : LOhieh movement pte a CO” fneneo.ses telly | Reléevirng Pactora ¢ __ _ “nedute suf ol - i | fretienle xin_Intenel A pie. Stelle ‘ha \“otdereatlen abion fehautoe -_ phi iplolegical data Scanned with CamScanner [5 | @ Mésuat Aneto Ctak(vas) + C- Fhés-_patn’ seal allo wa attend te_viually geet: ammount of patn along | a solid 10 iy? lin V Jt J { { o to sNospain Asie ny Mat sewoit pain = On the line _ potovtded mak why youd ‘pair elatay - boda . fo) _atthal tamination the line rai k only (om long / vay? oo hiahes propuly with thy af upoiting ntetstunes wa pain inttnsite cP Maj” advehy age 2 Pirenee fn. pate inlenatte ~ Op Leinart point of time hy vas nynecerts teal diffrence) to rragriteck $ pate t @ Disadventage :- VAS sees to Be wore dificult undlrctard than other meagenenert J rrethoole- Nurnwricat Aatkeng Gea: NAS ts a_vartotion qf VAS that uses a__seatay numbering duster _ to _objeeté fey & patients sain. a OC ejost nun!) rotira er leks masking speed I tr _apant- No bv aee st 74d tnans pan mae pale) Patient is dehed bo rake 5 pain ays teraipeendtieg Scanned with CamScanner (oa ) 6 curent, pest: and _‘roorst owe, ot By hes) pain _eapevene _ thes - scale. A reltable fo Pedant fete Inknsity Tannin Pain. Fale al ee Fhe thememety_ pain scale 7 “rrade_ up of deny i toods —._aasoetatt —_eobth _ apy levels, I _paio 7 -t 21 >/ Profile angle £160" £180" = 186" >180" 0 " one PPO = dial phatangeal vor Inter pbalanpeal” alslerce = ‘ Profile oof ore. bfo val bed_Y nate 0 feat ri Clubbing A fade = Seber of nad Cbd fate I: = Deen fan angle Fi nail bed. a IL = Gwitlling JS aubeedereous Hewes over the nail pase, De wah? ner. 10 chew oe : ie oS canned with CamScanner ae = uve ae fingns tn all aliranatons causing jai rhe fists tents ate ty Raadtolopitay” ae of ubpentosbat pio boe lemon. earl 6 <2 7 2 Harn ond.- th apt. weil that a _ femed_4 xii eo 5 oe Pe rie % muchaniam = ATmehke= fale =. Sus of Clubbing § o i l Palmonaneyp __& Cardin: _ - ‘a _ ||: Reenchéegenic _cantirorog = ae enoloconclitia - Fronehleotasis __ _. at. Be 5_| Alimentary — = Faith a = Ulcer -_ Hoediter = Be Crohn's deease _- ida 4 - Billany New che 4 2 — it ke egptton_of path ”, def “which Bn t- gpa when" apfebd end/& fouched. EL pus) Pain is alkene olheretlo Findenes fa Gp rotator fotnt te be foushed o_put) © Scanned with CamScanner ZS Cyanosés amour Glué&eh déseobmation qf Nails due & fneneased a sedeuged. Hernogabinl me than S19) f_capitt if? blood Tapes § & Centaat_ (yanosts Y causrs =) _Candéac: léseases = Cyanotic Hb ~ “CCF + Pulmonary _conalitéon = copp -_ Atelectasis = Fibroids 5. Pergehural Cyanosés - causes = S# Cotd-(Loeat vexemnahtefto) & tnonasd vot boo £_ ehock & Muchandsr.= LT Mehta pat Mechanéaty Cntral Cyanosts | Pox 4 ~recbander (diminished onktdat: Op | dimminesbrd Pood Blol) ee fe tetteenadtion te tocal fut. Vtg | Ain, moreotes_ murfnane on ein entyy nail : ~|Tong we, Lips, cheeks, tte yy Fe . Woh \ . Limb seanune'| Wart old abhiry Asal amochied ‘|| Not asgocfefeot Featbing puss =| Cyanogés decreases Cpanasia \ prrateds opt J ved Cyanoets i Loca. htteg yanerts _puctats Satnasts abolishes canned with CamScanner (Paono] 18 | Cordio- Regpinadouyp Asgesmunt Buath “Counds = _ 7 _ Newel bueail sourds i ira tae Toe bal pg [ana ere bean _puclerntnantly dering énbftratten te _ an satgenter! ops eo ee = Vesedcu cae _ _ — _ _- Frondiat. ook = Bronchovesienloy — i “Veatcutan s dol tow pitehed busy bi cue” most _f the chest | L_feint sound Aearel eneyst Y near _the ath. 4 a “| me tnetemn — beonthit _arlf bebeoun_» the _ deapulae: Vesiecelan sounds mre __auditle. contideably borg & a iF - OU _ ingptnatéon _fhan on _capination (G0 _ _ Te Btoneniat 2 load, Hota f tale high ple pitebe) tours - ___feand_oven _trainstem che and Prather. _ oe Bronchial eounds ate» heard. tgually derthe intpinofion | _-Y_tapination wlth oth pute tT bekeweto:- ot Be nebo vesécailan ? Fst. cre stmt bal ofr. than — - Prrdial Sends , alto feard | ply but without. . Scanned with CamScanner (Pecone] 17) Cc j =| Abnened huath pounds y Adventitious sounds: a abnormal bucith sounds. Thuy me? . = Chacklis (Rates) ile Phere Ekby-(Ronché) @| Crathles 2 Fine déseontinows sounds (stmilan tf sound of bubbles gaping). Crackies can be fine ov Coarse Uy coe heard _rtimatty " bbing ingpinction , a Qo nsult seenekione | mg inthe" Ainevays wy _closea ebrtonys | “that me nelly? ‘ping : _ Dhuxe s+ Contino high a. tow _pitehed_ sound 0 _ sometimes musteat? notes “Reana during Eghalaken- Gtonch oyna en seonetions at naa He toherzes. lumth of abyways cause Co Chet Watt Deforntty + The anteraporfenton Gf (akerat ! - Hyperpnrat gpenpna pees : epee Cheyme: Stokes Repination : Time(s) Scanned with CamScanner tak «_ Maneotic pittniy . wnt tl Feasmaati Chanaelarteed by dep pte suai oe _ _ " Cont ditaktana. fn 6 7 7" afl Abe ~Unatable Angina) Reent il " pamane= Myo Goferetven J i yo a = q 6 ft hs LH bp ss = p> [Bo rn _— a pees R= astolfe BP» (00 ry eee | ings _cbould be aes Au Scanned with CamScanner eo ve] 27 Date ) he _ length of comeder ~ boul be’ muttd ung GM -Y tein rol —_potats afuald bi marked eelth a cont A statong — ne which nan Beginning 4 nd_of tach om lp! shoud be __ marke ctuiof? buiphtly tolouneel tape» " ' ; og tse “4 theadrot{t te _dlilvmniry MOTs rat _tiearomendted- inid Equi : Heute Fputpl op eoateh Mechonieat Lope Counter - . i Cones fp mark. funn arounid spotnts A_chaés that can be _rroved_casily around the walking Comat ayn, + EMT _ptofarma : Soence YY caygen AED (automate external ate[ibrtllecton) U. bp Appedrcttus Hy. She’ 6 minute wah Torts Patient pupuation £ Grfortabe ‘olethéry and-.chotg- bbe: wow + 4 opr coat op dids to be used: Usual — medtrat7 ngimen ould be _sendé continued Patient sould ndt have encterd & fns_perter ty tr tat Performance. p Ten og Prattie leita rol nuded bul can by =tonstdlened dam uw ahould mot be _pufrrmeol J wT Scanned with CamScanner GO l co) [oat j Patent should rest. on a Pabr 1. _. wetting at _(uagt (0 rnins Defoe ae Fit” “vitaly—chould be esd, (Pind C0 = tbe buted « out {____ : Position ~~ A. toatl ——+_|| Bo oat falh_ te 298 tere of vote woh _ 7 encoun lent oY a ___1_||_ Poet S teat = fee post wath cat spe A fitip Using Borg Reoon Re cdf a inrnuit thw / Covatior, whee a fy an p08tt — Srp vattabte. tye) Ss ‘as fs nl a “ga e_feohnician snuld be — hp a . _ _— Spe | Pale on Ashes appesn ane “SF rasan: Scanned with CamScanner Vartability tn _ 6MWT. — af| Factow’, redueerg 600 W0>déxtance:: + || Gharter Auge » Umpatiid cognition : a af = Canaio-purbbnan potholes. se we ah Ant oitis , tea hs Anke, Hip, he “Enjerts 8 Factera incunsing »6M lo dittunee? a : + || Tat! gd : Prosioutty found + || High maotfretion + Midtcatdorh’” befor ted male U — || Profouma fon 6M WT ‘ : oA G4 Vv a > Name: Age /puneten = _Oake 2 igh onthe + 6: Vita | Paatet | Pott trnenleat. | Simin |= Groin | 7 men be | i | ae. PR | KR | ! : 1 - | 8p02 _| | : | Ree | I I Déetanee woth = “Nos of faps X50 = « mss : | oo — ' Eapectee dlefance:-._* © 4 — fy mene » (57 x Hkem)-(5-02 rape) (eerOrneys Fein Lin women = Ctl x Hb em) ~ Zr 29 wots ig) 1G rapt 667m — Scanned with camscanner (Page No. Arterial Gboo0f iets ge Analyt (oe an 4G ket Fnvolvte ~ panitecira 0 an uteny aang nedh 3 ine and dinate © «ral rolarre Fee _mnort a eas gike > Aad 1 atery at conést, rf ea Eamesat rae tt alse _uatd a Slocd -cath can_also be dine fie utuial st | Ante: fae. Beso oy analysis ty weal ‘dhawn 4 ail Phlebotermtst oD ee f aa Pent is tarily [aati = ton Be “compl b contre es ty f fog leas? > _ccebeuslon- Te ea whith, radial cater “had on onfeomme._¢ Allen's Tet situations land soit, child hes. | fiamet oe ontuy tan also Be wused gral faken and sale in tf _ aniolley 22)» "[p "03 x Fac Scanned with CamScanner (oae] J Panameter Noro Vatut Altenations pil 1:36 - 7-45 £7352 | Aeédasi mie me : 37.45 = “Athalosés aCe VBS = 45 momély |» <85 = Resp. Mhalosis rit arch thant Y SS46= Rep acidosis Lr High Palds indicates undowentilatton (Hypereqonta) 1h 0.00; indécates » over» verbélatteon (eypocapnta) pa Oo L_TS- 100 mmée £15 = mild typoata _—| ' | [46-75 moderate - 7 i CHO = Gevent, Patient with Pads <60mmttg requind —_ supdemental oaygen ~ . CT Ae (rr ~ #003" [eo 26 mey/e | 22 Milabolic_auiclastr a >26 = metabelte atholests Base _extese = 2 ts + 2mmolfL| 472 = lt acédlésis sat | >+2 = Me alhalests a Base oneess fs _uuseel_for sattsint matabolic | = componut_0f axtde.-fase dbsordns~ cos t — . S72 Compensation? _ An attempt by body fr maintain _hornenetaave A” by connecting 7 the fl tc_tnatntainéng cctd-bast = jalanee g “=: Compensation atooys _oceens froro _the eet ydyrs — Scanned with CamScanner \ _| System Causing imbalance Comnpunsating a GU ; “7 ——— Fa (Pal0o) a} Metabolic #004) | Metatotie (#0) <—}-s fepstey CPaCds Te component _ 9 nupératboy. __ayetern that balances te |_ple &__déssolved “ Cor that ty forotleused bytes prac and fs an by lenge os Fe rena io “balorua ae by peotecieg H005 on 1 fons [By uiminal Gage 4 Topsaaa = _ _ Stage __ Desen fgdtor Cacdte) knee rowmat. = pale altered | fuy@ beh #005 altered J opp. denuttons 7 v > Pav | Partiae eon corspersalfon. ell teat Le 40 os mean to dei) teasment of Oberty Clete ee Belg Moss Indect ¢ (om The Bocly mass inden | Qa Endege: & a value derived. Ee the- tctigh bap ofan indivedluat J Te BMT dyinud x6 Booly raose Te oe divi by the aypune Hf “boty Apt “tnd & eayrushld 00 boli” BMT = Body weight (hy) \ > Left on) J* BME & an attend & quont{y thr amount of fssue mass (mascle/ fot [Boie) in |on Ginelivécual , ard Lasyoiice 0 = that fpouson 2 fellows = EME (igh) | s+ Catepony | me) ‘ 185 - 244 | Nonmot wwoeiaht | 2a5 ks | vn weight” 1 5-2-9 | Pre ebebe \ G0- 34-4 Class! obeae [9g- 309 __ Class 2 obese | > AO. -. y blass 5 obese.- Othey methods _fn_dléffuink _writt : ow BMI = Mase (lbs). 703 . Lepke lény]> Scanned with CamScanner [ome nee proves. fo famabton about By i fot —cnkrally (abd cee —_—t Indeidddts who cawty then cxese fot tonbratk oe 5 me onithans assattetdd _whth iste = ee Ja Cc Yype 2 Diabeke , Lnpained use fotenante, 0”. Homeal te —— CJ telinante with ineutin | tegen eth with £ mou. — of _the follow _ Fe : Ue a os BMI > 50 kiglm2* = Ulow HOL ~ thalestevel ~_ High a ee canned with CamScanner (oate ) Waiet tip Ratio ¢ The _watet to hip natto (wen) ts the ‘ato A he yap of “waist h het = Rips. x HR. ¥ Toate eines ad Hip elntuyfbnte Watst ‘htlimpine Trould be measured af _a_mictpoint betwen tie Yuen _mangin a Cast palpate Ath and __ the ippemeel_print z Hire Texeat- Kt eereferance. should be Teel ott He pide point gf the Buttocks - WHO and DG8P_critera for 685 fork has been _feurd hb be & moe Yfident puditer f petal than Y we pn BMT % Y Oth Methods * fay el peocentape: Scanned with CamScanner low Porighnat Vascular Divas (dntenriat/ Venus ‘rhe Reachied tren (060) | isthe atte =e syetolle_ BP at th: anklet the Eleoel frscue Z vinU the ppeu_tusin (brachtum) Abr tig fy stole [dovsaile ped] Post tibial avtay. nm fa Biashtgd entry 7 : wi 4 Computed f cm lowe BP io, Hocked artery due fr PAD Lipat A _Libogseere po c gf siren _ 4a (a seellttel_eteg above gien a fem i 4 PageNo] 87. (bate Inteyrutation 2 abr Lott” congperig Lralatéors te — Farge fosstble eens | >12 —Falsely eewetticl tata) denaie diabeles | L19-0-95- MNomat- | O-94- 0-715, Mild tubal déstase + ‘nlesnttll Caucdiratton | O14 - 0°50 Modouk astertat dénoee_+ Fest pain | £ 0°50 Pure -artertat désease | — || Cliniiat Significance + a oA Obtaining ABL movtdes cal tnfernettior abst the _anteréal. eysterd, sinew” 4 ts ab’ inaltedlon of’ leas of prifassion i Thou cater ite Compared. tam lowe BP vis-an tndteateen PAO. Te a papular fiot fn _non-tnvastve _aestsamet of PVO- U Lory at ‘ = || Dégadvontages ¢ U ae we 46 _unréliate on patients with artnial cafed{iation , which Arsetls én _ encompnesytble__ontentes Oo Resting 4B! ts _insensltive_to mild PAD Crit qperations ane regeutiea- = || Clay décation : + | Clauakatton ts defined 48 an tmpatomnt in walking 0 pain a o> ttoedness in the legs that oceluns "duning 204 and_fe _hetieved By Unesl= J a Scanned with CamScanner (be ) moet _eamrnon tn calves, but tan also yp f_ Claudeation — Intermittent Claecication / Vareuten claeidé cation’ - ae TT faaeedd ane to Dive nent Compassion spinal canal || of fileoe Y Mostly Coun enenedene PIVO, Spurs bélaterah.— | dn Pie Transeatabh é ot measurement meaenerment . hin aa — 4 Scanned with CamScanner Sputat_ Fas lm Lpevio fas fo Fhoraric: Outlet Syndaiie (708) Fes _& a poothelopéeal even teal - Btheles Tat = _(ntemeittent clowdteatéon teat - Most _cornrronty practised teas ane: 7 5 4 Adscrg feat: - 7 Preeedunes Fatint & seb. Pailpate th radial pulse robe Gre _cmypli tude Y fequenuy ‘ Abdeued the arm ty 46" while vrtending t- Have lhe _pabiend dunn the fheac tevomsds side bring? trated . Take a” dep breath fold it _fy_attart 10 Yecondy _whtle catending the neth “back « Bopeat Efe yh ‘ a Ratéonate > Compuaston thy “newro-vescelon buralle ray be raed by ~ salent museles or by: frsntl f evrvéea? ~ nibs : . Clossteat sphifnee.: a danpining f_cnplikide : on an fnovase in ptratthesia indécottes comp neastorn of either ree] oft _vaseetan compantnt of - stare edt Seah Aeno-vaseutar bundles Fadtioptajhh toil nube/oere Convicat nib. Scanned with CamScanner (Pane No, {bate + Patteng & weap - Foz th hac. “f 90" than oY eatemally_setate it. Plaee bn dik a tosrud thf. a | fim “se betng | “eubelavton res eet occu _beboun dlavtcte "on thoy try be some middle satene_ musi. a pene Aadéae ae pale that oceuna mh Te dt notabecl aeway aw — Test - wot thin bee Scanned with CamScanner ral) (bate ) Upuial fat _ fe stout _goint Yorganerts te = Steps toda pratlterd ° alleropts this atéonale: Bleyrs ratht _rntescle is suyctrater of fowarm as evell 08 fleaoy a tlhoeo. Addition peated) Gotatéon makes tendo mow. accesible te palpetédn Resistance tgetnet thls netion places rraginum stress on fondo Classicat ate Pain ot predybtatt. i o yaadlutter #4 pupa on aude click & sugpealtve! of oak sublunation itis fendin or Teraegno vies of Cong” fread. gf Bieyos achdi gd : Clinteat_ siqnéfteance Fits - rronkdhedey may cane polo at: bot, and. mutt be~ ~Hifcntate ifm tennis hotw- a at E “ye Finanit. < Frocecleue | Pattent- is seated! ath Futsn supiraféon % fl. Hoe eats Fabre ts cashed ty Yon _ahouley tote Ctowapiet nesthe the. mavemend- Reco egporige.: Scanned with CamScanner a Raterde tt 4 _bifptel Sine —_ Ti a ce ftw. “Ban tr i Fae ee ligament. * g tender may dls6-/oecun aumoetabed wt a) dich. ~ Gademaré et Test = Relaler Cup tater. _celfeéd_ rete “oll ry tied 4 on Babllity [old the eum tn abddtoo, tsa wr g Clinéeat fe fove_q tre pall. masele- 1 4 wun un alone aegietante 4 can be _gfuen 0 Scanned with CamScanner (Ce [pate J Pill op © piles sepoceplnalus ae tet pepe tat Bropty can tat = Pypaupioats Fedonts Poceclenes Fatine . bs sealed , orung_ant ctbdluctesl_ts e Apply : nesistanie te abdaton - fe thy shouddns rudd oe ond. erally aotabe it coe ope arststanee tf Obauction . Fetinile: In_the I postion integrity qd mar abdutter, aellecl is_tstattohed «In the Shorld atten mort qf tht atitss fer tmaintatning Ca & glued on seperate muscle | Closstcat Séprtftanee: Wrahness “a lhdeen df pal) when _pufeunty TT the fat to be pt” tnebeabe ft jap -atus _tendenttis: uta Sonéfteante ¢ Paes swéth frozen” droukden wit be unalle 6 do Bis” at abdeution will be severely _neslieled A ppochenséon Jeet =~ Shoulder clitloration Procwene = Patint & stated, Stand in font _f puted n Oe “elde~ being - feted » Bend th’ -elbo,” ts 90° ond ~ abdurt & talennally_nolade the anh Buonrd _pattentis sthiponse and _physteat-> segpoon reactor Rateonate : Then ant 6 abducted ) erdanally notated —evéth “aot afbow lector the print ttberbsély & clared am avemtens' of “Ghouldey ire shoulder goirt7 & wulntraede ty dislocation Scanned with CamScanner 3 || cteasteat fle Renter _ unde its patio sot i] _ on __pain _tltibed dai thes franiid. ro poten pica Heebted Wii abst mannutves igh 005 ab > | Rationale: Lateal Auta ate aus _¢ ray eae pain duit, foe at Elbow - 4 — Scanned with CamScanner [bate J NOTE? Pevenee conn Cat fon madBcl epirondylitts te hesiafecl fice 8 potty Sunt ‘let Mill's Feat [Oilteyy Tet = Fennts dbow- Precedents Patient & geakd . Palpate atnat picondyle whtle _pattind , fo one fluid motion’ flexts the bow, [tecees fie_tontet pronates the oo tan y Veceterdls (he elboed” aie 2 C $ Ratzonate $ Phonatéer - endl coniet fleaton .tauees Queatrel arount 7 — ¢ efnes at LE Cesricat spifanee + Ryrodeuton fp at Lalnal pleondyle is Synifiant 2 Lateral yeéroncly lity: © 7 ? Clintcat significance: Thi_potteen mag aléo cate pain 0 panathesice due B radian nour inbieprnuré TenelS test = Ulnon newe newbs Phoetdure : Pastent i satel. asp the paterd’s om 4 ebiht 7 7 7 ~ thi gueve found en _eltranon _rscese © and: ¢ medial tpteondyle —_tclth a» nanolopte hamenvy, ag Cf han Rateonae 2 The ulnar reve » lie ey seperfieéel at h& poirot ant irritated weil mrodeee " Hnpling along ts Hetodbeté cry ¢ OC Classidak Sipeifcneet An inves fh & tnditative f tingling. cllrfal ts faptag he’ Mente Mewrb tec Z Scanned with CamScanner Pageno] 46) [bate J —> | Srutal Fick for Freanm, Walet and tlands Fron tm = | pu) , Eaoment’e t{p‘n8) | Phaten's_ teat (P41), Bunnel- Littler piss “ deorvoavel &, ls of | head! 4a Fatiorae: tha & « pet tip fon_cliveol iF If powtero-beral_ is dig he faved eoFlt caus. disee to bude cada. ogee of ruaal_evttl augint the above precedent ~ - = Procedovie ® Paint 6. “seated, _ peer 30 fhe gunk pe on b decrease th dy _dise estar (I part % Muntion & Haya by Bradley Y colagaée Clasrteat’ el me fant 2 Scanned with CamScanner (Cote ) g.|| Dittractton teats — || Poceelene : Patéent & seated eth head th_nudoat. Cp your hands _ filing _tndy Che gas _end_at base yf Ceeput_Y J 7 gently Uift t /ep- : ale TI) ¢U - "i . >| Rationales thie_tert tt earned te ceduce prusane on _ceréeat veitibyae Ku on fit! lise. “| Classteat _stonificanee: Feduetion “th nadheatan symptomatology dndlealeg, 7 that the _pmesserre _ was od the dite“ newt ests | Urtcag Sirifeanee £ Ab trmase to toatpain’ within the neck od can_tnaéeate _lamentous 0 _rmuscedlan _ chfny due to o . S| Déxxéness feat? (Venta asta tat) = || Proedan &Paltert & sad Relate thr patient huade a8 fan hight a5 potstte Y at fun loft as pessibte Meat held’ the _fattins trad tented Sha Flue patent aelvaly rafal shoulden cs fu bgt g tH en left-as frail : = | Hatton ale: Acteve nefatton of head causes 4 foigete. on the vetoed ater’ db banaue foramnind . Refatisn at fbr uth head abil, -tovshh same fe => || Classtectt: etgniftcance: te dizxérns oct tet _& possittve Uf dizetines CY ocean only with bead “notation, nakeler fp “ vestibedar * yy undtion i pa , Shoulder dyptustten _teat s Magri ple. Scanned with CamScanner (Poore] 4e | } [oa } — oll Grecia teats ft lumbar _apine ss _3 ma Perera eenries TST a b andl potter, rok a x puted at fie e ybmad Lg / ger em ketene). = ja, ‘patient whe & the teuch heb lee _ watt “thould trerense by of (et than, ban. dé ope g _ lan ttn nestietlon: é ened pr asmecnrnert of Lumber 4 My ip " canned with CamScanner faeieiaal Le if Fort = stras on luinbar spine 7 Vas 0-70" [_skiess on VST joint dae Fig = Dyoamtes ¢ SLR Provecattye eeneitizing tel fer _rneenologtal Hesue OG = Abhle clowéflenton > Bioencts teat = Mech floakln + Hypndein’s sin J sole~ Hall Kab = Guat” tor extensioh > rants ‘beat E Great fer tatenston without ankle OF —> Tag's Feat Rationdle: Patiunt complains of pain in lowwey bowk 07 back..of leg Gen tet bs (eittove Classteal significance f the path & primarily back pain, 4 & mostly a dise_hornialtr) josie on _anteyier theca 4. thy pina tod: é petal caeue Sf potn_ts fitroa of lg tts mot _lehely thatthe raat on neevrotogted, tlesue & trove latercat A) 1G * Bultler has agg rnodfpeliens th let fon vontous _pertphea! ? nove 9 g it 7 Papsfepet ty - Scanned with CamScanner Page No, [oom Basie SLR and. its _modi{trattors: Baste SLA oat Patent kts _in prone , tohile Ti "| [LM fe [Bie __the oe maminny re fossiete 00 that. oe pessba cial ec Scanned with CamScanner (Pocono ST (aw || ff rectus 0B font fafiing hut tr feitfock may catse _antertr — 0, Fi tenatony at ihr tradtha te lambay 0 BY” pate || =? || Baste PAB and: ie modiffcations. I lomponent Baste - PB: PKB 2 Pi extension Covirat Aotakeon b Leet fotation by a Spank aide teat_séde dip Neatrat | Batereton, adduction| Eat, abd, b-B fine Fleaion Floater: Esttension Ankte - es Oorst Ptexefon Foot = | cs is Evusdéon Toes | = | - a = Nove | Fimmal reve | Lata? funenat | Saphenous Bias barby’ pot Leutenetus nove |" nee 4 |) Stump test? [ee Te, 4y, hrae= ppotnts whore _nubat'Wesue alees rot move " in-ntkation ty movetnent tral carat, «This hos become the moit_tommon uel fal tet fo Lbs ; 6 > Frocedene ? Fatint & seated on the tdoc of a hégh plinth. Hepa fn_neudvat _posttfen ,* and. tate bake oe back Patton fs athd ty 2llimb first tn thoracic y lumber flxton + |_Baaminn maintains pa ts _obin_én rectal _ potitéen on pont neeb andl head flexion Eaamtnn _usts “one hand -t “apply ourymesstne amoss. eboatelers & maintain _fleaton at thorneiey letobay spine Patient mest arttvly fla conical spine Y bread axa fan 0 possihle Faarrinn holds _foat th Aanalftaton t paint mld acbtely ehalylen — hres : wed Scanned with CamScanner |Raltonate # Ryrecuttton 4 a me : vi Aree _vottendls _ /euth) oy ff fhe 7 A Ural _trat || Bato _sleump feat andl ile mat pe ———— = eee T| [Skt lot Long sting alunp Slurp Tat |___SlenpTiat 2 |_ Skee ling lem 1 ti Seep ne a Lo firs tart (3TH ‘eaton - Flexion Fleior, nataleon Gly) Fleaton larg) _ Reazsnts [ Fre) Mi \Fleaton a0"). Fleadon (90°) ca neweaoots | neve Noe seéabic nu’ | «| -| Scanned with CamScanner at hip and (own ty peated again chest Eaarrtres afatilices pelle toblle Teaturding th Kip of teed pe Rattonale: Poin tnafeats a_peitlive beet Cfessteal Xonftcance + Pair may be coud dee te Gpatlatrod Sacre-illae Join “tater Ap patidlegy cr-an Ly nae nveé teston wo Alternative fatto: Fat tan br done fn supine at tye f te table Gillet sacnat frantion tut + U v Prowdune : White the patient lands taaminn poatpaks the PSis's teha_wetth ont seu and ohn thumb pole colth ts fhumb on the sacaum- Patent then _auked ty sland on one &y white _peiting the eppoitte Coq up tovoanda cheat Ge bet “epeabed with other try. ue fy Nepe : Ratterale ff the sacno-tliac point on ty side _on white knw Le flea moves: mrinimalty 0 up, the-potnd hudomobile 0 blocked jadbtaking " postlive feat= af : | Wawsieat tpriftcaneé? 0n_norneif stde PAIS” ahould move down m Sd infurtoely : : TTD Uinieal pointe: ine dig stple lig wane the_inomiate bont. rave, patton Lette of_samne sce Be tat ts also called _ os “pstlate Coeterion “notation test? Scanned with CamScanner (raeneysa (eae J y Sl Patateas [Faeers bub: Plexton- ABduetion-Eatunal- Fete 3 ate Pasteh bhp ay ie lytng allen, the examtow) fit ‘tbat foot ML & cae __fowrens we an ee aa. tip joka v le ot. rz Ps (Schial tub worth : 4 Scanned with CamScanner ¥ Page No] 55 ca gucaten” hochantn _ts- ro! will above thi the, H bs —Saggete of Gelocatd hip 1 Coaavug. > \ i bryant - fadanele’ =. CotaVana on CDH Lith patent th aupine ling the: maton dagps an _trrogfray} popundteute, tne froth 4613 ts the cgamining table. 4 "second imotnary lines -drawn® from tp of preatey - trochanter Y ferin ty met ~ ye “fort Une! at night angle id a U UA line is measered and foo sides cue compared Diffnencis may indicate ~cordétons: tbe coga vena CDH: the Kest t cone on a __nadéograph- ; a Crt Fann Thomas tat = tip fleaton _conbarteve. Procedencs “Pastent’ (ts -tn_supine,-'tohéle eaamtney theeks fn UV eauesstue_(erdosis the _crarranes fiat: ont_f Che hifes | bringing “nee th the best flaten of (carte) lumbar spine wy stabttrzes the plluts. She patient th ifleaed hue aga the chest: Rattorates Ff thue 8 ho hip flexion contrarture the bp Betng eattnrinal_ te eiaighe Mtg rumatne or Oh toamtfng fable tne ate ‘ Scanned with CamScanner ea (pa Lf eentiattene &. present , patients shaght_ ly bisee rable and a muscle _atnet taf A = | Lasstiat st solfane: l le é pushed nm ont “the o “ie ~ Taig. an_thoeased es > it, but seth abducts, Y% “Protedue: Patient to ede lying pasttton ae hip and free 4 The cxaminn, then estoely 4 Lt woth ne fe A “th lib a) IT contiaetun fs_putol ta does “nel ul. on fable fn5_abduutid = || Clastiat apeiane || Utneat se at quater sbreteh wher bree LiL is RY 2 tohen fine &- fleced ge a ts tuys 0 + feet oe “noe / an 5: 4 3 A Poceatune: Patient & stated ont high plinth with both nee flexed ty aj - # Scanned with CamScanner oa fe_eraminy — thin fvely_eattends one knee. Uf Hams ore teghe the patient eatbends/ hath ty reléwe tenon _&n Hare. fhe tep & delungen! fy starting - putten y_othn leg a beaed. and J Companed - fatdonale :. Katentéon of apine ts ~Indteative of -Harnening Gghtoes en contol 6. || Fr Fant Tats Hp adhd vata teal Help inrtobilty hts tert cued th assure hip rfebilily Y Te ability of abdutky muss to stabilize pelvis _on_fubey, = || Procedene = Patient tr asked ty sfand on one len. the czaminn chanues the postteen of prlds_* = || Rattonafe ¢ Nonmaly pelvfs_on pondfanw stile should. Abit Appa pilots tops th ket 6 > || Classtocil - sbpntfécarce't =ffthe pelts of opposite drops it tndFeages OT. lu keeis ma edbits coeaknusa’ 0) tp Tnatability. | Uinécat eoniftanees Fut should always be parformred’ on normal hip tt. (ex romat tah => Suc Tate fn hnee dint svat _ vile || “Memenncels test = Medial murky © fw = > || Proedine> Patent ttn supine .postiton Plate ene hand wndey pattents heel Yea. ince & 70°: Then’ apply val c = Scanned with CamScanner baught _ fnte_catnsion indlBeaby ridfearee + ln patind_totth lel Kit & sevouly Ch “fe_anbector taleftbalar fruguentty Hyena C foot aetaseed, Eocaminu filanteaflector 4 rawe fetus for n_also “b [oa Ctestca) Shotteane: Pulte tet may be tndteatt) wlth a ~ fief antnter tato-fibuter (tharntnt Gometénes Cuetin ston Uls poser Y. pilin ane ‘aath one minimal. U Ut Lineal Spin: Ideatty Ane should be paced e77in 90" fh alluiate tension in _ Achilles enden Feito tele : Lelearesfebuton fpamunt hey teat 00. te detente, whethn > cakeaneo,fibule, ligamunt -& _ tere ton UU O Procedune: Patéend lies in Lupine. on ate ‘yin, with foot nolozed Ghe foot i _ held th andlor teat? splottiory (a 40"). ‘whieh beings ceulebteoftbulan uy amin _perpendlicatay to long ats f Talus He? totus Hild Shor _atde ts tle, inte Shvtittor evugton a Raktonaly : Fala tlt fh measeerd ona nade a measenéng angle hulwein -oldetal peat! of tid ana feoeirnal suf yf ‘fides: florman's a 3 Sew vein Donlegh. wt Patient's fet fs_posetoaly olsen wath bw tatended Pain th Calf indtecutes posttad. Homan’s at fet bup vein Tomboy titebtlts, Feneterness bs ato _eliedted In aad ftion pallor toting and (o_o Onsale pits pues | Scanned with CamScanner (Pageno] 60 ) Phynologieal <) Patoloptal Erdal iS U . be afer a 2 aeneatton. which en _oaarnt bolt tat oe = | | When spol pass t. mavens, “aman - should apy s rd at set Rot ty cssess cod il _tnto demain heads : nm a “@) Meormat te Phy Gas eal { gs Gi) Abnormal fe ditt — _ oi GL Normal [Paysite End. pels “~ | bom _f bene. (bon a ree ge : ppt _ ceed i —__| one fa bone Osteoyotiyte mation - Empty Acute sublarra al Burtt Grieg bes vis ee Scanned with CamScanner (Pacono] 1 | (bee J Abnormal find fut ® \Cyntan \ducrtbed 5 dassteal abnortnal” Ey hls: Lata’) sonst RPA hy i te|| Musede’ spasms ¢ - fils _wndful 4 jnseoked by meoverent wlth sudden charmatle wannest dt movement; offen ascornpantid by Pain B Cyrtan “ catted =it ay 7 # Vébvant. “To nf : a , OM Agel pee Kenly musele spat > Ocun ial) tr hone: almeet as aoe Os mavernent —zbents_, soeteited weth acute dnflarn mason Lake muyele_spasna = Orde at oy neon unde nonge, wsearty caused clue th thytability 09 nesudling tvelfabttisy due bs Cmovemtht: Ts an. | epasticéty = Muscle Hypotenta seen tp Ubtn lester aT me : Cope allay Although the endfeel 6 siritan & Hssue _ebetth , tt low not aces where Gre. tapells Hf th be (te oeeen tarty fm hor) Roe reduced and eqpaule canbe _portutoled pte at [out Muse spasro _usuadty does hot Green tn coryuncltor _cvit eapsufan type af endful— taxpt Of movernnt _[t_fatst- Cm. , Gland eapsulay : Flere indie frag a thleken _ebetthing — guerloey ; rastly len in _chronfe condlttdony/ (Filan shed) oft copyedar:s lt fi similar ty mormaf flasue _sfuetch , bet with a ' aidaud foe : Synwthe) Scanned with CamScanner [bate pach athe perfeut “sal h his é ction © Gptuten 4. Joint ie mechani fi Scanned with CamScanner Pplat loose _on ee ls er Open Y Close Pack Joint _' Posttéon || aes eqneviad — goints are capable fran _adtie ROM benmed a Voluritery « “moverntnt. °° § flower in addition thew cis a small Kone thal can seonty be obtained by an waaminn. this _rovermn{ & culled “las Totn olay on Sheeess Movernen ts: i a Reting [opin-pach | Loose parked joint portent a Pp f at BOSE pate a ¢ ost do tpen pack seuttton te om ef whith oink te unde beast” arrount 'e obsess . re seafacty 7 nat congnuent Y fotrt capsule & lox (point sup g a ane, ]\|_ Closed paek postion sgponthnodal postion ¢ et TH ts a poston tn whith gotnt ts under maximum sfress a Tenet” masimurn congrdiney of cutteuton cevfares and ofeint ability te dented fram aliphrit of bone QV taut Upamounte cumourding. the Yoinf- Some. | Open Puch pasition loud pau postteer t «Fat | Midway bepeeen 4 ation | __“Pal- oxtenaton and” extension | TMI: | Mouth: sléghtty po | Clercred_ Heth +f anne lo" | Complete BF Glnshiurunal'| 40-85" abduction, 50" herteon'| Full abaeeetion Y =tul_adlduietéon latyal Rotatton Gla fotnt 50" flenton, 50" abduction Y | Full egtensdor, media) "U, Might ladnol rotetto | nelotion Abduction 5 Fut - | Bree 25" fiin extension + EK Scanned with CamScanner (Page No. [oa Funetoonal Geseesrnint of Batance Oo page od % Refiy_ sullivan px 222 Scanned with CamScanner [bot & thin ahd b dard wlth eps closed, js_ale t slab” with £0 the _patient fer bet bb positive patel 'bup derelaes " Serb ficant- _tneneace in sway. “| tatée + tpi balance Tef-= Bog Balan Cale Qyuamic balance est: Domemic (pat Indet (ObT) g gd Functional’ balance pades + Vv Gade Dacron Novmat. Patter? abl t - matntatrr balanee "pltbei jl Spe (slat) Petient _ecgrts * maaimal challenge Y can:ehift- wap cailey in att dinctions & di aarpe gre a Good Pitted & abe A matrfain balance without hardheld Sayed, v kinited fate soay tate) Falient! axeyls reltvate daltry, abi & maintain Bolanes wohile pis yp shel 4 fd ibe (dynam) Faty fatint & be tmuntain balan ~ wth handheld ipa many, hogpebse occastoral minima _ctsstrtanee. yt Pattlrt actigls minimal chatinge able maintain. balance while busing fread [trunk S (alyrarrée) Poon Patient _negetines hanithotd sepport - madnate ty “rnoctmat. axsésetante! tb _ mathtain poston Gfabie) —_- Pakient unable aenyet Sralterg an rave. ddéthout> Cogs Y boatone (ayn yngmte) Scanned with CamScanner —7/”_ UU [oa Gals _ Jn __G-ordtrat con C la Muscle act = yf 4001 ed rile muscles wilt J Draseing a eivele (Fove] 67] Equitebrium Feet $ _ | tanding ie feundamutat puter - + Grandily cote fit tebe Yaraurh, _ standtey Fardem soaliy ath = sidtwous Backend —chrete on huts, or fous March in Grove. Gersony olbanéetne Fete (allan past) . | Pormburgtd Fattnd fs asked te dand with fit bogetbo, wes pole) unaided for 20-36 seeonds CY patéent Vatrnonatrates sexy cotth Eo, teal—& over) fhe pottot_& ten edtid “ fe with ups dosed (€C) ‘| If test & positive = tt ab _b dard wlth Go, but danettiaky "2 Spitant (nose fr eway ‘ord fon tnabitily with EC Co 4 postive Rombuyls tet indtcaks loss ¥f prepstocwptton toe Paneory Aascfa | Fombug's Gustient. wi) & ratte of Bowy sway owing E09 ECU Y. can be ted 08 & Hlastne! of ait ay Nore: Nom wutliprtun lets we puferred woth fatto to_sittirg & fey shocdd be _peformnd fest with "20 9 Ben wilh EC Abnontnat’ nesponre ts _preitus’ _ dlwéation fom ‘holding? position Yfon bmrtntl puattty gf of ty pie with vision ~~ ocetuceol- Scanned with CamScanner (bate Glassgoro Coma _Cewle OU —f.. perky frvelues Evaluation of arousal «opening spontarxoust — i — Lean pa_ia_iper infute_afirrets de _rot goer f&_velbed. epee ful_ terre y_ 8 enable. t png te _te swelling, ft = pot np ae gprtale wos _ — snesrmpthunatee solunels Wo Tegense Carte sfimatt) Aged) pate bia [pat a baal tube fo 4 at pte f body pat pwlleena' lin tusooae Scanned with CamScanner [bate Seone 6 Obeys Command: Potent can efor 2 1g raowernent . Scone 5ST vCocatezes pain. fatturt des. netohy vobal ‘cOromand, Buf | perrpouly. moves ‘ann, nemo tata. —— Centnal _ pat -IOrore | Tdfhdrawe from’. potn. Patten? feats or -berelg the am beards _sounce p palo but Urnot (oealige -_- [Pron 5 | Flexion to pel Patéent o burs ther.om + chanuctorieed by —fntennat fines % adduséon Pd heudsen 9) Hlgion of tbe Cael rity) leon 2 Eekension roth. Patent entbenils ann aigh tering | the elbow (ceca te hae fry dag | ‘ leeone | | No neqpanse_t ES ful_ stimulus Paicfat dimutuss frapuxtes agtere iyna - ‘orbital nrkte presse. Aol a Arleckle & the ' tonum, sqbezing the fae kag po Hrcer between _thernb Y incl finger 7 CU. secrtly bared cn stone. raintatineh oo fae Head Frpey T di (64n_mow-hows)t ~ 8 on (rrs(3) —> sere _head ty re te th —>_» moderate head b 12 on mone —» mild had inp! . Scanned with CamScanner

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