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Jesse Shared "JClark COMLEX 2 MSK" - 74 Picmonics

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JClark COMLEX 2 MSK

Chapman’s Points Overview
Pathophysiology
Fascial Tissue Abnormality
Develops Secondary to Irritation or Dysfunction
Visceral Reflex
Characteristics
Small, Smooth, Firm
2-3 mm
Discretely Palpable
Tapioca or BB-Like
Partially Fixed
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2 mins
Chapman’s Points - Anterior Part One
Characteristics
2nd Intercostal Space
Thyroid and Heart
3rd & 4th Intercostal Spaces
Lungs
6th Intercostal Space - Left
Stomach - Peristalsis
6th Intercostal Space - Right
Liver and Gallbladder
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2 mins
Chapman’s Points - Anterior Part Two
Characteristics
7th Intercostal Space - Left
Spleen
7th Intercostal Space - Right
Pancreas
Supraumbilical
Adrenal Glands
Kidneys
12th Rib Tip - Right
Appendix
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2 mins
Chapman’s Points - Anterior Gastrointestinal
Characteristics
8-10th Intercostal Space
Small Intestines
Along Left Iliotibial Band
Sigmoid
Descending Colon
Splenic Flexure
Along Right Iliotibial Band
Hepatic Flexure
Ascending Colon
Cecum
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2 mins
Ankylosing Spondylitis
Chronic Inflammatory Arthritis
"Bamboo Spine"
HLA-B27
Uveitis
Aortic Regurgitation
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1 min
Scoliosis
Assessment
S Shaped Lateral Spinal Rotation
Unequal Shoulder and Scapula Height
Uneven Gait
Impaired Oxygenation
Hump when Bending Forward
Interventions
Body Braces
Worn 23 Hours/Day
Surgery
Considerations
Adolescent Screening
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3 mins
Osteoporosis Assessment
Highest Risk
Postmenopausal Women
Long Term Corticosteroids
Assessment
Kyphosis
Dowager's Hump
Loss of Height
Back Pain
Pathologic Fractures
Spinal Compression Fracture
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1 min
Osteoporosis Interventions
Increased Calcium Intake
Vitamin D Supplements
Bisphosphonates
Raloxifene
Denosumab
Calcitonin
Teriparatide
Bone Densitometry (DEXA) Scan
Weight Bearing Exercises
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2 mins
Facial Nerve Lesions
Etiology
Diabetes Mellitus
Sarcoidosis
Tumors
Herpes Simplex Virus (HSV)
Bell's palsy
Varicella Zoster Virus (VZV)
Lyme Disease
Treatment
Corticosteroids
Acyclovir
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2 mins
Anterior Shoulder Dislocation
Axillary Nerve Damage
Axillary Artery
Rotator Cuff Injury
Supraspinatus Tendon
Anterior Glenohumeral Ligament
Anatomic Lesions
Bankart's Lesion
Hill-Sachs Lesion
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1 min
Supracondylar Fracture Of Humerus
Mechanism
Fall On Outstretched Hand (FOOSH)
More Common In Children
Signs & Symptoms
Elbow Pain & Swelling
Diagnosis
X-ray Shows Elbow Effusion
Anterior Sail Sign
Posterior Fat Pad Sign
Treatment
Non-displaced: Splint And Sling
Displaced: Closed Reduction With Percutaneous Pin Placement
Considerations
Compartment Syndrome
Volkmann Ischemic Contracture
Brachial Artery Injury
Median Nerve Palsy
Cubitus Varus Deformity
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3 mins
Nursemaid's Elbow (Radial Head Subluxation)
Pathophysiology
Radial Head Subluxation
Inferiorly Under Annular Ligament
Axial Traction on Forearm
Pulled or Lifted by the Hand or Forearm
Children Aged (1-4 Years Old)
Signs & Symptoms
Extended & Pronated Forearm
Refusal to Bend Elbow
Treatment
Manual Reduction
Hyperpronation of Forearm
Gentle Supination of Elbow at 90 Degrees Flexion
No Immobilization
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3 mins
Carpal Tunnel Syndrome
Median Nerve Entrapment
Compression at Carpal Tunnel
Numbness, Tingling and Pain in Hand
Diagnosis
Phalen's Maneuver
Tinel's Sign
Treatment
Splints
Surgery
Steroids
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2 mins
Nerve Palsies - Klumpke's Palsy
Nerve
C8 to T1 Roots
Lower Trunk
Causes
Upward Arm Force during Delivery
Adult Trauma
Grabbing Tree Branch to Break a Fall
Muscle Affected
Intrinsic Hand Muscles
Presentation
Claw Hand
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1 min
Nerve Palsies - Winged Scapula
Nerve
Long Thoracic Nerve
Causes
Axillary Node Dissection in Mastectomy
Stab Wound
Muscle Affected
Serratus Anterior
Functional Deficit
Scapula Cannot Anchor to Thorax
Presentation
Inability to Raise Arm Above Head
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1 min
Nerve Palsies - Pope's Blessing
Nerve
Proximal Median Nerve
Causes
Supracondylar Fracture of Humerus
Functional Deficit
Loss of Flexion of Thumb, Pointer and Middle Finger
Presentation
Trouble Making a Fist
Hand Resembles Popes Blessing on Flexion
Complications
Atrophy of Thenar Eminence
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1 min
Nerve Palsies - Median Claw
Nerve
Distal Median Nerve
Causes
Carpal Tunnel Syndrome
Deficit
Unable to Extend Thumb, Pointer and Middle Finger
Presentation
Clawing of Digits 1-3
Tinels Sign
Phalens Sign
Complication
Atrophy of Thenar Eminence
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2 mins
Nerve Palsies - OK Gesture
Nerve
Proximal Ulnar Nerve
Causes
Fracture Medial Epicondyle of Humerus (proximal injury)
Deficit
Unable to Flex 4th and 5th Digits
Presentation
Trouble Making a Fist
Resembles OK gesture
Complication
Hypothenar Atrophy
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2 mins
Nerve Palsies - Erb's Palsy (Waiter's tip)
Nerves
C5-C6 Roots
Superior (Upper) Trunk
Causes
Lateral Traction on Neck during Delivery
Trauma in Adults
Functional Deficit
Deltoid
Infraspinatus
Biceps Brachii
Presentation
Waiter's Tip Deformity
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2 mins
Nerve Palsies - Ulnar Claw
Nerve
Distal Ulnar Nerve
Causes
Fracture Hook of Hamate (distal injury)
Cyclists
Compression Guyon's Canal
Functional Deficit
Unable to Extend 4th and 5th Digits
Presentation
Hand Resembles Ulnar Claw on Extension
Complications
Atrophy of Hypothenar Eminence
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1 min

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