Diagnosis of Tendinitis
Diagnostic Test list for Tendinitis:
The list of medical tests
mentioned in various sources as
used in the diagnosis of Tendinitis
includes:
- X-ray - to see any calcium deposits
Tendinitis Diagnosis: Book Excerpts
Diagnostic Tests for Tendinitis: Online Medical Books
16 MEDICAL BOOKS ONLINE!
Review excerpts from medical books online, free, without registration,
for more information about diagnostis of Tendinitis.
Deep tendon reflexes, hyperactive:
History and physical examination
(Handbook of Signs & Symptoms (Third Edition))
After eliciting hyperactive DTRs, take the patient's history. Ask about spinal cord injury or other trauma and about prolonged exposure to cold, wind, or water. Could the patient be pregnant? A positive response to any of these questions requires prompt evaluation to rule out life-threatening autonomic hyperreflexia, tetanus, preeclampsia, or hypothermia. Ask about the onset and progression of associated signs and symptoms. Next, perform a neurologic examination. Evaluate the patient's level of consciousness, and test motor and sensory function in the limbs. Ask about paresthesia. Check for ataxia or tremors and for speech and visual deficits. Test for Chvostek's (an abnormal spasm of the facial muscles elicited by light taps on the facial nerve in a patient who has hypocalcemia) and Trousseau's (a carpal spasm induced by inflating a sphygmomanometer cuff on the upper arm to a pressure exceeding systolic blood pressure for 3 minutes in a patient who has hypocalcemia or hypomagnesemia) signs and for carpopedal spasm. Ask about vomiting or altered bladder habits. Make sure to take the patient's vital signs.
» READ BOOK EXCERPT ONLINE »
Source: Handbook of Signs & Symptoms (Third Edition), 2006
Deep tendon reflexes, hypoactive:
History and physical examination
(Handbook of Signs & Symptoms (Third Edition))
After eliciting hypoactive DTRs, obtain a thorough history from the patient or a family member. Have him describe current signs and symptoms in detail. Then take a family and drug history.
Next, evaluate the patient's level of consciousness. Test motor function in his limbs, and palpate for muscle atrophy or increased mass. Test sensory function, including pain, touch, temperature, and vibration sense. Ask about paresthesia. To observe gait and coordination, have the patient take several steps. To check for Romberg's sign, ask him to stand with his feet together and his eyes closed. During conversation, evaluate speech. Check for signs of vision or hearing loss. Abrupt onset of hypoactive DTRs accompanied by muscle weakness may occur with life-threatening Guillain-Barré syndrome, botulism, or spinal cord lesions with spinal shock.
Look for autonomic nervous system effects by taking vital signs and monitoring for increased heart rate and blood pressure. Also, inspect the skin for pallor, dryness, flushing, or diaphoresis. Auscultate for hypoactive bowel sounds, and palpate for bladder distention. Ask about nausea, vomiting, constipation, and incontinence.
» READ BOOK EXCERPT ONLINE »
Source: Handbook of Signs & Symptoms (Third Edition), 2006
Tendinitis and bursitis:
Diagnosis
(Professional Guide to Diseases (Eighth Edition))
In tendinitis, X-rays may be normal at first but later show bony fragments, osteophyte sclerosis, or calcium deposits. Arthrography is usually normal, with occasional small irregularities on the undersurface of the tendon. Computed tomography scan and magnetic resonance imaging (MRI) have replaced X-ray and even arthrography of the shoulder as diagnostic tools. An MRI will usually identify tears, partial tears, inflammation, or tumor but cannot reveal irregularities of the tendon sheath itself. Diagnosis of tendinitis must rule out other causes of shoulder pain, such as myocardial infarction, cervical spondylosis, degenerative changes, and tendon tear or rupture. Significantly, in tendinitis, heat aggravates shoulder pain; in other painful joint disorders, heat usually provides relief.
Localized pain and inflammation and a history of unusual strain or injury 2 to 3 days before onset of pain are the bases for diagnosing bursitis. During early stages, X-rays are usually normal, except in calcific bursitis, where X-rays may show calcium deposits.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Diseases (Eighth Edition), 2005
Achilles tendon contracture:
Diagnosis
(Professional Guide to Diseases (Eighth Edition))
Physical examination and patient history suggest Achilles tendon contracture.
CONFIRMING DIAGNOSIS A simple test confirms Achilles tendon contracture: While the patient keeps his knee flexed, the examiner places the foot in dorsiflexion; gradual knee extension forces the foot into plantar flexion.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Diseases (Eighth Edition), 2005
Deep tendon reflexes, hyperactive:
History and physical examination
(Professional Guide to Signs & Symptoms (Fifth Edition))
After eliciting hyperactive DTRs, take the patient’s history. Ask about spinal cord injury or other trauma and about prolonged exposure to cold, wind, or water. Could the patient be pregnant? A positive response to any of these questions requires prompt evaluation to rule out life-threatening autonomic hyperreflexia, tetanus, preeclampsia, or hypothermia. Ask about the onset and progression of associated signs and symptoms. Next, perform a neurologic examination. Evaluate level of consciousness, and test motor and sensory function in the limbs. Ask about paresthesia. Check for ataxia or tremors and for speech and visual deficits. Test for Chvostek’s sign (an abnormal spasm of the facial muscles elicited by light taps on the facial nerve in patients who have hypocalcemia) and Trousseau’s sign (a carpal spasm induced by inflating a sphygmomanometer cuff on the upper arm to a pressure exceeding systolic blood pressure for 3 minutes in patients who have hypocalcemia or hypomagnesemia) and for carpopedal spasm. Ask about vomiting or altered urination habits. Be sure to take vital signs.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Signs & Symptoms (Fifth Edition), 2006
Deep tendon reflexes, hypoactive:
History and physical examination
(Professional Guide to Signs & Symptoms (Fifth Edition))
After eliciting hypoactive DTRs, obtain a thorough history from the patient or a family member. Have him describe current signs and symptoms in detail. Then take a family and drug history.
Next, evaluate the patient’s level of consciousness. Test motor function in his limbs, and palpate for muscle atrophy or increased mass. Test sensory function, including pain, touch, temperature, and vibration sensation. Ask about paresthesia. To observe gait and coordination, have the patient take several steps. To check for Romberg’s sign, ask him to stand with his feet together and his eyes closed. During conversation, evaluate his speech. Check for signs of vision or hearing loss. Abrupt onset of hypoactive DTRs accompanied by muscle weakness may occur in life-threatening Guillain-Barré syndrome, botulism, or spinal cord lesions with spinal shock.
Look for autonomic nervous system effects by taking vital signs and monitoring for increased heart rate and blood pressure. Also, inspect the skin for pallor, dryness, flushing, or diaphoresis. Auscultate for hypoactive bowel sounds, and palpate for bladder distention. Ask about nausea, vomiting, constipation, and incontinence.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Signs & Symptoms (Fifth Edition), 2006
Deep Tendon Reflex Abnormalities:
Differential Overview
(Field Guide to Bedside Diagnosis)
Hyporeflexia
❑ Nerve root compression
❑ Hypothyroidism
❑ Acute stroke
❑ Diabetes
❑ Alcoholism
❑ Vitamin B12 deficiency
❑ Uremia
❑ Myopathy
❑ Occult cancer
❑ Toxins
❑ Guillain-Barré syndrome
❑ Amyloidosis
❑ Spinal shock
❑ Adie syndrome
❑ Botulism
❑ Charcot-Marie-Tooth
Hyperreflexia
❑ Cervical spondylosis
❑ Spinal cord compression
❑ Multiple small strokes
❑ Multiple sclerosis
❑ Metabolic encephalopathy
❑ Amyotrophic lateral sclerosis
Diagnostic Approach
Symmetrically hyperactive or hypoactive reflexes in the presence of downgoing toes are usually normal. A positive Babinski sign (upgoing toe) is always abnormal, signifying an upper motor neuron lesion, and is usually associated with spastic weakness and hyperreflexia. Lower motor neuron lesions are marked by hyporeflexia, flaccid weakness, atrophy, and twitching.
» READ BOOK EXCERPT ONLINE »
Source: Field Guide to Bedside Diagnosis, 2007
Tendinitis and bursitis:
Diagnosis
(Handbook of Diseases)
In tendinitis, X-rays may be normal at first but later show bony fragments, osteophyte sclerosis, or calcium deposits. Arthrography is usually normal, with occasional small irregularities on the undersurface of the tendon.
Diagnosis of tendinitis must rule out other causes of shoulder pain, such as myocardial infarction, cervical spondylosis, and tendon tear or rupture.
Significantly, in tendinitis, heat aggravates shoulder pain; in other painful joint disorders, heat usually provides relief.
Localized pain and inflammation and a history of unusual strain or injury 2 to 3 days before onset of pain are the bases for diagnosing bursitis. During early stages, X-rays are usually normal, except in calcific bursitis, in which X-rays may show calcium deposits.
» READ BOOK EXCERPT ONLINE »
Source: Handbook of Diseases, 2003
Deep tendon reflexes, hyperactive:
History
(Signs & Symptoms: A 2-in-1 Reference for Nurses)
After eliciting hyperactive DTRs, take the patient’s history. Ask about spinal cord injury or other trauma and about prolonged exposure to cold, wind, or water. Also find out if the patient could be pregnant. A positive response to any of these questions requires prompt evaluation to rule out life-threatening autonomic hyperreflexia, tetanus, preeclampsia, and hypothermia. Ask about the onset and progression of associated signs and symptoms. Also ask about paresthesia, vomiting, and altered bladder habits.
» READ BOOK EXCERPT ONLINE »
Source: Signs & Symptoms: A 2-in-1 Reference for Nurses, 2007
Deep tendon reflexes, hypoactive:
History
(Signs & Symptoms: A 2-in-1 Reference for Nurses)
After eliciting hypoactive DTRs, obtain a thorough history from the patient or a family member. Have him describe current signs and symptoms in detail. Then take a family and drug history.
» READ BOOK EXCERPT ONLINE »
Source: Signs & Symptoms: A 2-in-1 Reference for Nurses, 2007
Deep tendon reflexes, hyperactive:
History and physical examination
(Nursing: Interpreting Signs and Symptoms)
After eliciting hyperactive DTRs, take the patient's history. Ask about spinal cord injury or other trauma and about prolonged exposure to cold, wind, or water. Could the patient be pregnant? A positive response to any of these questions requires prompt evaluation to rule out life-threatening autonomic hyperreflexia, tetanus, preeclampsia, or hypothermia. Ask about the onset and progression of associated signs and symptoms. Next, perform a neurologic examination. Evaluate the patient's level of consciousness, and test motor and sensory function in the limbs. Ask about paresthesia. Check for ataxia or tremors and for speech and visual deficits. Test for Chvostek's (an abnormal spasm of the facial muscles elicited by light taps on the facial nerve in a patient who has hypocalcemia) and Trousseau's (a carpal spasm induced by inflating a sphygmomanometer cuff on the upper arm to a pressure exceeding systolic blood pressure for 3 minutes in a patient who has hypocalcemia or hypomagnesemia) signs and for carpopedal spasm. Ask about vomiting or altered bladder habits. Be sure to take the patient's vital signs.
» READ BOOK EXCERPT ONLINE »
Source: Nursing: Interpreting Signs and Symptoms, 2007
Deep tendon reflexes, hypoactive:
History and physical examination
(Nursing: Interpreting Signs and Symptoms)
After eliciting hypoactive DTRs, obtain a thorough history from the patient or a family member. Have him describe current signs and symptoms in detail. Then take a family and drug history.
Next, evaluate the patient's level of consciousness. Test motor function in his limbs, and palpate for muscle atrophy or increased mass. Test sensory function, including pain, touch, temperature, and vibration sense. Ask about paresthesia. To observe gait and coordination, have the patient take several steps. To check for Romberg's sign, ask him to stand with his feet together and his eyes closed. During conversation, evaluate speech. Check for signs of vision or hearing loss. Abrupt onset of hypoactive DTRs accompanied by muscle weakness may occur with life-threatening Guillain-Barré syndrome, botulism, or spinal cord lesions with spinal shock.
Look for autonomic nervous system effects by taking vital signs and monitoring for increased heart rate and blood pressure. Also, inspect the skin for pallor, dryness, flushing, or diaphoresis. Auscultate for hypoactive bowel sounds, and palpate for bladder distention. Ask about nausea, vomiting, constipation, and incontinence.
» READ BOOK EXCERPT ONLINE »
Source: Nursing: Interpreting Signs and Symptoms, 2007
To maintain a healthy body, exercise is essential. But working out can do more harm than good if you don't prevent injuries. Our panel of experts...
"I authorize the release of any medical or other information necessary to process this claim." Do you recognize these words? You should, if...
Sexual contact can sometimes result in problems. An unwanted pregnancy or sexually transmitted diseases may be some of those consequences. But by...
Sleep is necessary to feel refreshed, but now we know sleep actually impacts the way the body functions. Sleeping poorly can affect how often you get...
See full list of 4 related videos
» Next page: Signs of Tendinitis
Rate This Website
What do you think about the features of this website?
Take our user survey and have your say:
Website User Survey
Medical Tools & Articles:
Next articles:
Tools & Services:
Medical Articles:
Forums & Message Boards
- Ask or answer a question at the Boards:
