Altman's Clinical Criteria for Hip OA

sen=0.86, spec 0.75

How I remember this:
1. Hip OA has 5 letters, so there are 5 criteria
2. Typically, your hips come in a pair (I'm adding an S to get all 5 criteria in)

P: PAIN, in the hip
A: AGE > 50 y/o
*IR: < 15 degrees, and PAIN with IR
S: stiffness in the morning up to 60 minutes

*there are two criteria

CPR for hip OA

How I remember it:
1. Hip OA has 5 letters, so there are 5 criteria.
2. Firefighters give CPR and put out FIRESS, if you have OA you probably feel like like your hip is on fire!

F: flexion, lateral hip pain with active flexion
IR: IR less than or equal to 25 degrees
E: extension, hip pain with active extension
S: squat, self-reporting squat is aggravating
S: Scour test, with ADD causes groin or lateral hip pain

3/5 criteria present= 68% probability
4/5 present= 91% probability

Contraindications for BOTOX

Real housewives get botox injections and their foreheads look pink and irritated afterward.

P: pregnant
I: inflammation at the injection site
N: neurotransmission disease (i.e myasthenia gravis)
K: kids under 2

CPRS for Mobilization/Manips, Stabilization, Traction for Lumbar Spine

MOB/MANIP CPR:
So, I'm Kristi and I actually meet the variables for mobilization/manipulation so I thought, why not make up a mnemonic about myself? "Kristi has sticky, hypomobile facets". And, I do. It's true. See pic for more info and a mini thumb cameo appearance. Don't judge, mcjudgersons.

K: knee, no sxs distal
H: hip, one hip IR >35 degrees
S: sxs, less than 16 days
H: hypomobile
F: FABQ <19


If you are more math inclined you can also think of the first 3 variables like an equation:

• Acute sxs < 16 days
• Turn the 6 upside down and you've got a 9 and now you can remember a FABQ score <19
• 16+19=35. As in at least one hip has 35 degrees of IR

**This mathy version is brought to you by Alex Rodriquez

STABILIZATION/IMMOBILIZATION CPR:

I think SPAA for this. When you go to the spa and you choose one of those ridiculously claustrophobic treatments where they wrap you up like a burrito, you are essentially immobilized. I'll refer you to the picture to see what SPAA stands for. Please note the age should be LESS than 40. I made a mistake in the picture.

S: SLR > 91 degrees
P: (+) Prone Instability Test (PIT)
A: Age < 40
A: aberrant motion

TRACTION:

Still a work in progress, but for now, I've got nothing, nada, zilch. I'm thinking about some sort of roller coaster idea or track star scenario.  I'll update this one when it's ready.

Posterior triangle (cervical) contents

Contents of the posterior triangle (courtesy of Alexa)

PEOPLE SAY COFFEE BRINGS SOME EXTRA SMILES, TRUE STORY

P: Phrenic nerve
S: Spinal accessory nerve

C: Cervical plexus
B: Brachial plexus

S: Subclavian vein
E: External jugular vein

S: Subclavian artery
T: Transverse cervical artery
S: Suprascapular artery

CHIIMP GILL

Key points to hit when asking a subjective interview:

CHIIMP GILL

C: Chief complaint
H: History (medical personal, family, past surgeries, etc)
I: Imaging
I: Integumentary
M: Meds
P: Pain (locate/palpate it, easing and aggravating factors, intensity 0-10 scale)

G: Goals (what does the client want to achieve)
I: Initial assessment
L: Level of prior function
L: Lifestyle (social, recreational habits, general health i.e. smoker, etc)

CBC and Metabolic Panel lab values

These values vary depending on your source. I'm using the ones we received in lecture (for the most part).