Back Examination

1) Introduce self, state purpose and ensure P&C
2) Ask patient's name & age
3) Short history- when and why?
4) Explain to patient that the exam requires him to remove shirt
5) Ask patient to remove shirt while YOU WASH YOUR FREAKING HANDS

6) LOOK!!! - curvatures, SWEATS, fasciculations

7) FEEL!!!-
Protuberance, C2, C7, C6, T1 ,
spine of scapula----> sup. T2, inf. T7,
Illiac crest- L4,L5
Spinous process + Transverse process
Erector Spinae muscles0- wasting? fasciculations?

8) Measure lumbar extension- locate L5, 10cm up, 5 cm down----> more than 4cm= normal

9) MOVE!!!
Neck- flexion, extension, lateral rotation, lateral flexion
Thoracic- Rotation
Lumbar- flexion, extension, lateral flexion

10) Specific Tests
SLR----> BARRRHHH GADD's test (dorsiflex), LARRR SARGGHH's test (flex hip, extend leg)

11) Say your farewells to the patient, and thank patient.