A 64-year-old male presents to clinic with complaints of numbness and tingling in his right hand. The patient states that his symptoms have been ongoing for about 6 months and have been getting progressively worse. He endorses pain at night and states he occasionally wakes up from sleep to shake his hand out which helps relieve the pain. Examination reveals atrophy of the thenar eminence as well as decreased sensation to light touch in his thumb, index, and middle fingers. Which of the following is the most likely diagnosis?

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May 29, 2023 No Comments

A 14-year-old high school football player presents to the emergency room in significant pain after sustaining an injury to his right knee. The patient’s father states that a player on the opposing team tackled his son from the side which led to an audible “pop”. Vitals show mild tachycardia. Examination reveals a significant swelling and tenderness to palpation of the right knee. Which of the following special tests is best utilized to assess for a meniscal injury?

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May 29, 2023 No Comments

A 14-year-old high school football player presents to the emergency room in significant pain after sustaining an injury to his right knee. The patient’s father states that a player on the opposing team tackled his son from the side which led to an audible “pop”. Vitals show mild tachycardia. Examination reveals a significant swelling and tenderness to palpation of the right knee. Which of the following special tests is best utilized to assess for an ACL tear?

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May 29, 2023 No Comments

A 14-year-old high school football player presents to the emergency room in significant pain after sustaining an injury to his right knee. The patient’s father states that a player on the opposing team tackled his son from the side which led to an audible “pop”. Vitals show mild tachycardia. Examination reveals a significant swelling and tenderness to palpation of the right knee. Special tests reveal a positive Lachman’s test, McMurray’s test, and valgus laxity. Given the history and exam findings above, which of the following sets of structures are most likely to be injured?

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May 29, 2023 No Comments

A 23-year-old female soccer player presents to clinic with complaints of right knee pain. She localizes her pain to the lateral aspect of her right knee. Anterior and posterior drawer tests are negative. Negative McMurray’s test. No laxity or pain with valgus and varus stress of the right lower extremity. ROM testing reveals restrictions in plantarflexion and inversion of the right ankle. Which of the following somatic dysfunctions is most consistent with the findings above?

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May 29, 2023 No Comments

A 23-year-old female soccer player presents to clinic with complaints of right knee pain. She localizes her pain to the lateral aspect of her right knee. Anterior and posterior drawer tests are negative. Negative McMurray’s test. No laxity or pain with valgus and varus stress of the right lower extremity. Exam findings reveal restricted ROM in the ankle and a diagnosis of an anterior fibular head is made. Which of the following sets of findings is consistent with this patient’s somatic dysfunction?

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May 29, 2023 No Comments

A 27-year-old male presents to clinic with complaints of left knee pain. The patient is an avid runner and has been training for an upcoming marathon. He localizes his pain to the posterolateral aspect of his left knee. Physical exam without erythema, edema, or tenderness to palpation around the knee. Osteopathic structural examination reveals a posterior fibular head dysfunction. Which of the following sets of findings would be most consistent with the observed somatic dysfunction?

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May 29, 2023 No Comments

A 27-year-old male presents to clinic with complaints of left knee pain. The patient is an avid runner and has been training for an upcoming marathon. He localizes his pain to the posterolateral aspect of his left knee. Physical exam without erythema, edema, or tenderness to palpation around the knee. Range of motion testing reveals restriction in dorsiflexion and eversion of the left ankle when compared to the right. Special tests performed do not reveal laxity in anterior or posterior drawer tests. No evidence of meniscal injury is present. You decide to use a HVLA technique to treat the patient’s condition. Which of the following describes the correct treatment position for this patient’s somatic dysfunction?

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May 29, 2023 No Comments

A 27-year-old male presents to clinic with complaints of left knee pain. The patient is an avid runner and has been training for an upcoming marathon. He localizes his pain to the posterolateral aspect of his left knee. Physical exam without erythema, edema, or tenderness to palpation around the knee. Range of motion testing reveals restriction in dorsiflexion of the left ankle when compared to the right. Special tests performed do not reveal laxity in anterior or posterior drawer tests. No evidence of meniscal injury is present. Which of the following somatic dysfunctions is consistent with the exam findings above?

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May 29, 2023 No Comments

A 25-year-old male presents to the emergency department after motor vehicle accident and complains of headache. Vitals are within normal limits and imaging studies reveal no intracranial hemorrhage. Physical examination without neurologic deficits. Osteopathic structural examination reveals significantly reduced cranial rhythmic impulse (CRI). Which of the following treatments would best increase the CRI amplitude?

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May 29, 2023 No Comments