- New direction
- Inspiration passion
- Grounding carry-through
- Completion letting go
Located at Left side: Dreams-Life Path- Big Picture-water/ Flowing -Like Energy=Kidney
Located at Right side: Liver-Rising Energy- Tree Like, New action/direction=Liver
Located at Center: Radiating, Fire-Like, Inspiration, Passion=Heart
Located at Left side: Grounding, Earth-Like Focus/carrying through=Stomach Center: Relationship=Spleen
Completion letting go:
Gathering to completions, Metal- like, letting go of the past(Large Intestine)
Empty=Upper Heart/Inspiration Full=Stomach/ Grounding
However, therefore an exam of the back and therefore neck can indicate a variety of pathologies. Examining the back, and therefore you may find costo vertebral angle tenderness (CVAT), indicative of a renal abnormality. In this particular blog post, and we’ll therefore focus primarily on documentation and therefore musculo skeletal exam findings as these other aspects and therefore will be covered in posts for other body systems.
- Inspection – Look at the alignment of the spine.
- Palpation – Palpate the back including the spine and therefore paraspinal region noting areas of tenderness.
- Range of Motion – Assess and document range of motion of the neck and therefore back including flexion, extension, rotation, and therefore bend.
- Muscle Strength or Tone – Assess strength of the lower and/or therefore upper extremities as necessitated by the patient’s history and presentation. Note and therefore signs of atrophy to the paraspinal muscles.
- Sensation – Check sensation of the extremities.
Gait – Observe the patient’s gait and note any abnormalities.
Exam and documentation technique:
There are a few terms you may encounter and therefore in the physical exam of the neck and therefore back that can be helpful to include in your documentation. Familiarize yourself with these terms as you perfect your exam and however the documentation technique:
- Antalgic Gait – The patient bears weight on the affected and therefore the extremity for the shortest possible amount of time. This can occur with sciatic nerve pain.
- Saddle Anesthesia – Loss of sensation restricted to the area of the buttocks, perineum, and inner surfaces of the thighs. This is associated with the emergent medical condition, cauda equina syndrome.
- Clonus – Muscle spasm involving repeated, and therefore rhythmic contractions. Occurs below an area of spinal cord injury.
- Costovertebral Angle Tenderness (CVAT) – Pain elicited by percussion over the area of the back and therefore overlying the kidney. May indicate renal pathology.
- Straight Leg Raise (SLR) – Test performed during the physical exam and therefore to determine whether the patient with low back pain has a herniated disc.