Scoliosis physical examination: Difference between revisions
Jump to navigation
Jump to search
No edit summary |
No edit summary |
||
| Line 11: | Line 11: | ||
===Skin=== | ===Skin=== | ||
* [[Skin]] for [[Café au lait spot|café au lait]] spots indicative of [[neurofibromatosis]] | * [[Skin]] for [[Café au lait spot|café au lait]] spots indicative of [[neurofibromatosis]] | ||
* [[Spina bifida]] as evidenced by a [[dimple]], hairy patch, [[lipoma]], or [[hemangioma]]. | |||
===Extremities=== | ===Extremities=== | ||
| Line 21: | Line 22: | ||
* Abdominal reflexes | * Abdominal reflexes | ||
* Muscle tone for [[spasticity]] | * Muscle tone for [[spasticity]] | ||
* The patient's [[gait analysis|gait is assessed]] | |||
===Others=== | ===Others=== | ||
| Line 26: | Line 28: | ||
* Uneven musculature on one side of the spine | * Uneven musculature on one side of the spine | ||
* A [[rib]] "hump" and/or a prominent [[shoulder blade]], caused by rotation of the ribcage in [[thoracic]] scoliosis | * A [[rib]] "hump" and/or a prominent [[shoulder blade]], caused by rotation of the ribcage in [[thoracic]] scoliosis | ||
* During the exam, the patient is asked to bend forward (Adam's Bend Test). If a hump is noted, then scoliosis is a possibility and the patient should be sent for an x-ray to confirm the diagnosis. | |||
==References== | ==References== | ||
Revision as of 15:50, 31 August 2012
|
Scoliosis Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Scoliosis physical examination On the Web |
|
American Roentgen Ray Society Images of Scoliosis physical examination |
|
Risk calculators and risk factors for Scoliosis physical examination |
Please help WikiDoc by adding more content here. It's easy! Click here to learn about editing.
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Physical Examination
Skin
- Skin for café au lait spots indicative of neurofibromatosis
- Spina bifida as evidenced by a dimple, hairy patch, lipoma, or hemangioma.
Extremities
- Uneven hip and shoulder levels
- Unequal distance between arms and body
- The feet for cavovarus deformity
Neurologic
- Slow nerve action (in some cases)
- Abdominal reflexes
- Muscle tone for spasticity
- The patient's gait is assessed
Others
- Asymmetric size or location of breast in females
- Uneven musculature on one side of the spine
- A rib "hump" and/or a prominent shoulder blade, caused by rotation of the ribcage in thoracic scoliosis
- During the exam, the patient is asked to bend forward (Adam's Bend Test). If a hump is noted, then scoliosis is a possibility and the patient should be sent for an x-ray to confirm the diagnosis.