Medical Maneuvers

Diagnostic, Therapeutic, Emergency & OBG Techniques in Clinical Practice

Diagnostic Maneuvers

• ✅ Babinski Sign – Upgoing toe indicates upper motor neuron lesion.
• ✅ Straight Leg Raise (SLR) – Sciatica or lumbar disc herniation.
• ✅ Murphy’s Sign – Suggests acute cholecystitis.
• ✅ Lachman Test – Assesses ACL integrity.
• ✅ McBurney’s Tenderness – Appendicitis.
• ✅ Allen Test – Checks ulnar artery flow.
• ✅ Swinging Flashlight Test – Detects optic nerve issues.
• ✅ Val-Salva Maneuver – Evaluates heart murmurs.
• ✅ Romberg Test – Assesses balance and proprioception.
• ✅ Tinel’s Sign – Carpal tunnel syndrome.

Therapeutic Maneuvers

• ⚕️ Epley Maneuver – Treats BPPV (vertigo).
• ⚕️ McRoberts Maneuver – Resolves shoulder dystocia.
• ⚕️ Wood’s Corkscrew Maneuver – Assists in breech delivery.
• ⚕️ Modified Valsalva – Treats supraventricular tachycardia.
• ⚕️ Pursed-Lip Breathing – COPD management.
• ⚕️ External Cephalic Version – Turns breech baby.
• ⚕️ Suprapubic Pressure – Assists in shoulder dystocia.
• ⚕️ Reduction of Intussusception – Non-surgical treatment.

Emergency Maneuvers

• 🚨 Heimlich Maneuver – Relieves choking.
• 🚨 CPR (Chest Compressions) – Cardiac arrest response.
• 🚨 Jaw-Thrust Maneuver – Airway in trauma patients.
• 🚨 Needle Decompression – Tension pneumothorax (2nd ICS).
• 🚨 Cricothyrotomy – Surgical airway in emergencies.
• 🚨 Recovery Position – Prevents aspiration.
• 🚨 Defibrillation – For ventricular fibrillation.
• 🚨 Tourniquet Application – Severe limb bleeding.
• 🚨 Pericardiocentesis – Relieves cardiac tamponade.

🪄 Obstetric (OBG) Maneuvers

Used to facilitate safe and effective vaginal and breech deliveries.

• 🪄 McRoberts Maneuver – Flexes maternal thighs to relieve shoulder dystocia by rotating the symphysis pubis.
• 🪄 Gaskin Maneuver – Hands-and-knees position to help rotate the fetal head during difficult delivery.
• 🪄 Ritgen Maneuver – Gentle pressure on the perineum to guide fetal head delivery during crowning.
• 🪄 Burns Marshall Maneuver – Delivers posterior shoulder first in shoulder dystocia.
• 🪄 Pinnard Maneuver – Assists in delivering the after-coming head in breech delivery using fingers.
• 🪄 Zavanelli Maneuver – Emergency reversal: fetal head is pushed back for cesarean section.
• 🪄 Prague Maneuver – Used to deliver the fetal head in complicated breech births.
• 🪄 Loveset Maneuver – Helps deliver impacted shoulders during dystocia.
• 🪄 Wood’s Corkscrew Maneuver – Rotational technique to dislodge shoulders during dystocia.
• 🪄 Rubin Maneuver – Applies pressure on the anterior shoulder to rotate fetus in shoulder dystocia.
• 🪄 Mauriceau-Smellie-Veit Maneuver – Controls breech head delivery with finger support inside the vagina.
• 🪄 Bracht Maneuver – Abdominal pressure to assist breech head delivery (less common).
• 🪄 Dührssen's Incision – Surgical incisions in the perineum to prevent uncontrolled tearing.
• 🪄 Brandt-Andrews Maneuver – Assists delivery of anterior shoulder by applying traction near the clavicle.
• 🪄 External Cephalic Version (ECV) – Manual rotation of breech fetus to cephalic position at term.
• 🪄 Kristeller Maneuver – Suprapubic pressure to assist delivery (controversial, risk of injury).

~ These maneuvers are used in various obstetric situations to facilitate safe and effective deliveries ~

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