PHTY306 Lecture Notes - Lecture 10: Pubic Symphysis, Palpation, Epicenter
Document Summary
Phty306 week 10 practical: finger point test: point to the epicentre of the pain using one finger. What are the aggravating factors: sl activities, stairs, general walking, standing on one leg, rolling in bed, prolonged. Prior to performing the tests ask woman about how they normally lie, if they get faint and how long it takes. If they become faint, perform the tests at the end of the examination. Palpation of the sij: palpation of the long dorsal. Ligament in sl position (if this test is positive then progress to the ppppt: ppppt (from msk pelvic assessment)- 80% sensitivity and specificity in pregnancy, fabers and gaenslens"s test not suitable for pregnant women, differential diagnosis: Round ligament (not a true ligament) and has muscle fibres: palpation of the pubic symphysis in supine, modified trendelenburg test: If one test is positive and the other is negative due to baby pushing on the bone.
