Question

When we check the pelvis in the head-to-toe exam, we?

1) press in, then down on the iliac crests
2) log roll the patient to assess stability
3) lift the hips to assess range of motion
4) press in on the iliac crests.

Answer 1

During a head-to-toe exam, assessment of the pelvis typically involves pressing in on the iliac crests to evaluate for stability and pain, which can indicate a potential fracture but it is crucial to minimize movement if there is a suspected spinal injury.

Step-by-step explanation:

When conducting a head-to-toe exam and checking the pelvis, we primarily assess for stability and the potential for injury. The pelvis is comprised of the right and left hip bones, the sacrum, and the coccyx. It plays a crucial role in supporting the weight of the upper body and in transferring it to the lower limbs while also providing attachment points for trunk and lower limb muscles, as well as protecting internal pelvic organs. To evaluate the pelvis during the exam, you could press in on the iliac crests to check for stability and the presence of pain which could indicate a pelvic fracture. However, if there is a concern for spinal injury, minimal movement is advised to prevent exacerbating any potential damage.