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Book Details
Abstract
Still the only atlas available devoted to the physical diagnosis of pain, this highly practical guide mirrors the clinician’s approach to pain evaluation: focusing on "what is it" rather than "where is it." Through concise text, high-quality illustrations, and real-time videos, internationally recognized pain expert Dr. Steven Waldman provides clear, how-to methods for evaluating and diagnosing more than 240 pain-related conditions through their physical signs. Comprehensive and lavishly illustrated, this essential atlas is a must-have resource for all practitioners and trainees that encounter patients with pain.
- Provides essential physical examination techniques for the full range of pain-related conditions in the cervical spine, shoulder, elbow, forearm, wrist and hand, chest wall, thorax and thoracic spine, lumbar spine, abdominal wall and pelvis, hip, knee, ankle and foot.
- Each chapter follows the same concise format for ease of use and quick reference: anatomy, inspection, palpation, and range of motion, followed by relevant special tests.
- Includes 20 brand-new procedures such as the Sharp Purser Test for atlanto-axial joint instability; the Crank Test for tears of the glenoid labrum; the Chair Lift Test for tennis elbow; the Stork Test for sacroiliac joint pain; the Fulcrum Test for stress fractures of the femur; the Mulder Sign for Morton’s neuroma, and many more.
- Provides exceptional visual guidance via hundreds of high-quality radiographic images, clinical photos, and color line drawings -- many NEW to this edition.
- Includes real-time videos of Dr. Waldman and his staff demonstrating key physical examination techniques, helping you increase your expertise and reach an accurate diagnosis.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | cover | ||
| Endsheet 2 | endsheet2 | ||
| Physical Diagnosis of Pain | i | ||
| Copyright Page | iv | ||
| Dedication | v | ||
| Preface | vii | ||
| Table Of Contents | ix | ||
| Video Contents | xiv | ||
| 1 The Cervical Spine | 1 | ||
| 1 Functional Anatomy of the Bony Cervical Spine | 2 | ||
| The Vertebrae of the Cervical Spine | 2 | ||
| The Mobility of the Cervical Spine | 3 | ||
| The Cervical Vertebral Canal | 3 | ||
| The Cervical Nerves and Their RELATION TO the Cervical Vertebrae | 4 | ||
| Implications for the Clinician | 4 | ||
| 2 Functional Anatomy of the Cervical Intervertebral Disc | 5 | ||
| 3 Nomenclature of the Diseased Cervical Disc | 7 | ||
| The Normal Disc | 7 | ||
| The Degenerated Disc | 7 | ||
| The Diffusely Bulging Disc | 7 | ||
| The Focal Disc Protrusion | 8 | ||
| The Focal Disc Extrusion | 8 | ||
| The Sequestered Disc | 8 | ||
| 4 Painful Conditions Emanating from the Cervical Spine | 13 | ||
| 5 Visual Inspection of the Cervical Spine | 14 | ||
| 6 Palpation of the Cervical Spine | 15 | ||
| 7 Physical Examination of the Cervical Spine Range of Motion | 17 | ||
| Flexion and Extension | 17 | ||
| Rotation and Lateral Bending | 18 | ||
| 8 The Cervical Dermatomes | 19 | ||
| 9 The C5 Neurologic Level | 20 | ||
| 10 The C6 Neurologic Level | 23 | ||
| 11 The C7 Neurologic Level | 25 | ||
| 12 The C8 Neurologic Level | 27 | ||
| 13 The Spurling Test for Cervical Radiculopathy Secondary to Herniated Disc or Cervical Spondylosis | 29 | ||
| 14 The Axial Loading Test for Cervical Discogenic Disease | 30 | ||
| 15 The Hoffmann Test for Cervical Myelopathy | 31 | ||
| 16 The Sharp Purser Test for Atlantoaxial Joint Instability | 32 | ||
| 2 The Shoulder | 35 | ||
| 17 Functional Anatomy of the Shoulder Joint | 36 | ||
| 18 Visual Inspection of the Shoulder | 39 | ||
| 19 Palpation of the Shoulder | 40 | ||
| 20 External Rotation of the Shoulder | 41 | ||
| 21 Internal Rotation of the Shoulder | 42 | ||
| 22 Crossed-Arm Adduction of the Shoulder | 43 | ||
| 23 Abduction of the Shoulder | 44 | ||
| 24 Painful Conditions of the Shoulder | 45 | ||
| 25 Shoulder Instability Syndromes | 47 | ||
| 26 The Anterior Drawer Test | 52 | ||
| 27 The Shift and Load Test for Shoulder Instability | 53 | ||
| 28 The Apprehension Test for Anterior Shoulder Instability | 54 | ||
| 29 The Jobe Relocation Test for Anterior Shoulder Instability | 55 | ||
| 30 The Andrews Anterior Apprehension Test for Anterior Shoulder Instability | 57 | ||
| 31 The Posterior Drawer Test for Posterior Shoulder Instability | 58 | ||
| 32 The Jerk Test for Posterior Shoulder Instability | 59 | ||
| 33 The Posterior Clunk Test for Posterior Shoulder Instability | 60 | ||
| 34 The Sulcus Sign Test for Inferior Glenohumeral Instability | 61 | ||
| 35 The Crank Test for Injury of the Labrum of the Glenohumeral Joint | 62 | ||
| 36 An Overview of Shoulder Impingement Syndromes | 64 | ||
| 37 The Neer Test for Shoulder Impingement Syndromes | 68 | ||
| 38 The Hawkins Test for Shoulder Impingement Syndromes | 69 | ||
| 39 The Gerber Subcoracoid Impingement Test | 70 | ||
| 40 The Zaslav Rotation Resistance Test for Shoulder Impingement | 71 | ||
| 41 Bicipital Tendinitis | 72 | ||
| 42 The Speed Test for Bicipital Tendinitis | 75 | ||
| 43 The Yergason Test for Bicipital Tendinitis | 76 | ||
| 44 The Snap Test for Subluxing Biceps Tendon Syndrome | 77 | ||
| 45 The Gerber Lift-Off Test for Rupture of the Subscapularis Muscle | 79 | ||
| 46 The Gerber Belly Press Test for Subscapularis Weakness | 80 | ||
| 47 The Internal Rotation Lag Sign for Rupture of the Subscapularis Tendon | 81 | ||
| 48 The Snapping Scapula Test | 82 | ||
| 49 The Ludington Test for Ruptured Long Tendon of the Biceps | 84 | ||
| 50 The Squeeze Test for Distal Rupture of the Biceps Tendon | 86 | ||
| 51 Clinical Correlates | 87 | ||
| What the Rotator Cuff Is and What It Does | 87 | ||
| The Pathogenesis of Rotator Cuff Disease | 88 | ||
| 52 The Drop Arm Test for Complete Rotator Cuff Tear | 93 | ||
| 53 The External Rotation Lag Sign for Rupture of the Supraspinatus or Infraspinatus Tendon | 94 | ||
| 54 The Dawbarn Sign for Supraspinatus Tendinitis | 95 | ||
| 55 The Empty Can Test for Supraspinatus Tendinitis | 97 | ||
| 56 The Jobe Supraspinatus Test | 100 | ||
| 57 The Midarc Abduction Test for Infraspinatus Tendinitis | 101 | ||
| 58 The External Rotation Stress Test for Impairment of the Infraspinatus and Teres Minor Muscles | 103 | ||
| 59 The Drop Arm Test for Subdeltoid Bursitis | 104 | ||
| 60 The Adduction Release Test for Subcoracoid Bursitis | 105 | ||
| 61 The Adduction Stress Test for Acromioclavicular Joint Dysfunction | 107 | ||
| 62 The Chin Adduction Test for Acromioclavicular Joint Dysfunction | 110 | ||
| 63 The Paxino Test for Acromioclavicular Joint Dysfunction | 111 | ||
| 64 The Sergeant’s Chevron Test for Axillary Nerve Deficits | 112 | ||
| 65 The Adson Maneuver for Thoracic Outlet Syndrome | 113 | ||
| 66 The Costoclavicular Test for Thoracic Outlet Syndrome | 115 | ||
| 67 The Hyperabduction Test for Thoracic Outlet Syndrome | 116 | ||
| 3 The Elbow | 117 | ||
| 68 Functional Anatomy of the Elbow Joint | 118 | ||
| 69 Visual Inspection of the Elbow | 122 | ||
| 70 Palpation of the Elbow | 124 | ||
| 71 Flexion and Extension of the Elbow | 126 | ||
| 72 Supination and Pronation of the Elbow | 127 | ||
| 73 The Valgus Stress Flexion Test for Medial Ligamentous Incompetence | 128 | ||
| 74 The Varus Stress Flexion Test for Lateral Ligamentous Incompetence | 129 | ||
| 75 The Lateral Pivot-Shift Test for Posterolateral Insufficiency | 130 | ||
| 76 The Froment Paper Sign for Ulnar Nerve Entrapment at the Elbow | 131 | ||
| 77 The Jeanne Sign for Ulnar Nerve Entrapment at the Elbow | 132 | ||
| 78 The Wartenberg Sign for Ulnar Nerve Entrapment at the Elbow | 133 | ||
| 79 The Little Finger Adduction Test for Ulnar Nerve Entrapment at the Elbow | 134 | ||
| 80 The Valgus Extension Overload Test for Olecranon Impingement | 135 | ||
| 81 The Compression Test for Lateral Antebrachial Cutaneous Nerve Entrapment Syndrome | 136 | ||
| 82 The Snap Sign for Snapping Triceps Syndrome | 138 | ||
| 83 The Creaking Tendon Sign for Triceps Tendinitis | 139 | ||
| 84 The Ballottement Test for Olecranon Bursitis | 140 | ||
| 85 The Tennis Elbow Test | 142 | ||
| 86 The Maudsley Test for Lateral Epicondylitis | 144 | ||
| 87 The Chair Lift Test for Lateral Epicondylitis | 145 | ||
| 88 The Golfer’s Elbow Test | 146 | ||
| 89 The Polk Test to Differentiate Lateral and Medial Epicondylitis | 147 | ||
| 90 The Brachialis Jump Test for Climber’s Elbow | 149 | ||
| 4 The Forearm | 151 | ||
| 91 The Compression Test for Radial Tunnel Syndrome | 152 | ||
| 92 The Forced Pronation Test for Pronator Syndrome | 154 | ||
| 93 The Pinch Test for Anterior Interosseous Syndrome | 155 | ||
| 94 The Creaking Tendon Test for Intersection Syndrome | 156 | ||
| 5 The Wrist and Hand | 157 | ||
| 95 Functional Anatomy of the Wrist | 158 | ||
| 96 Visual Inspection of the Wrist and Hand | 160 | ||
| Dorsal Aspect | 160 | ||
| Palmar Aspect | 160 | ||
| Side View | 160 | ||
| 97 Palpation of the Wrist and Hand | 161 | ||
| 98 Extension of the Wrist and Hand | 162 | ||
| 99 Flexion of the Wrist and Hand | 163 | ||
| 100 Adduction of the Wrist and Hand | 164 | ||
| 101 Abduction of the Wrist and Hand | 165 | ||
| 102 Painful Conditions of the Wrist and Hand | 166 | ||
| 103 The Wristwatch Test for Cheiralgia Paresthetica | 167 | ||
| 104 The Finkelstein Test for de Quervain Tenosynovitis | 169 | ||
| 105 The Allen Test for Patency of the Radial and Ulnar Arteries at the Wrist | 171 | ||
| 106 The Watson Stress Test for Arthritis of the Carpometacarpal Joint of the Thumb | 173 | ||
| 107 The Ulnar Click Test for Ulnar Impaction Syndrome | 174 | ||
| 108 Carpal Tunnel Syndrome | 175 | ||
| 109 The Tinel Sign for Carpal Tunnel Syndrome | 178 | ||
| 110 The Phalen Test for Carpal Tunnel Syndrome | 179 | ||
| 111 The Opponens Weakness Test for Carpal Tunnel Syndrome | 180 | ||
| 112 The Opponens Pinch Test for Carpal Tunnel Syndrome | 181 | ||
| 113 The Two-Point Discrimination Test for Carpal Tunnel Syndrome | 182 | ||
| 114 The Dowart Hotdog Sign for Carpal Tunnel Syndrome | 183 | ||
| 115 The Spread Sign for Ulnar Tunnel Syndrome | 184 | ||
| 116 Flexion/Extension Test for Ganglion Cysts of the Wrist | 186 | ||
| 117 The Hunchback Carpal Sign for Carpal Boss | 187 | ||
| 118 The Tuck Sign for Extensor Tenosynovitis of the Wrist | 189 | ||
| 119 The Palmar Band Sign for Dupuytren Contracture | 190 | ||
| 120 The Allen Test for Patency of the Digital Arteries of the Fingers | 191 | ||
| 121 The Catching Tendon Sign for Trigger Finger Syndrome | 192 | ||
| 122 The Sausage Finger Sign for Psoriatic Arthritis | 194 | ||
| 123 The Swan Neck Deformity Sign | 195 | ||
| 124 The Boutonnière Deformity Sign | 196 | ||
| 125 The Heberden Node Sign for Osteoarthritis of the Distal Interphalangeal Joints | 197 | ||
| 126 The Bouchard Node Sign for Osteoarthritis of the Proximal Interphalangeal Joints | 198 | ||
| 127 The Ice Water Test for Glomus Tumor of the Finger | 199 | ||
| 6 The Chest Wall, Thorax, and Thoracic Spine | 201 | ||
| 128 The Winged Scapula Sign for Entrapment of the Long Thoracic Nerve of Bell | 202 | ||
| 129 The Suprascapular Notch Sign for Suprascapular Nerve Entrapment Syndrome | 203 | ||
| 130 The Shoulder Retraction Test for Costosternal Syndrome | 205 | ||
| 131 The Swollen Costosternal Joint Sign for Tietze Syndrome | 206 | ||
| 132 The Shrug Test for Sternoclavicular Joint Dysfunction | 207 | ||
| 133 The Hooking Maneuver Test for Slipping Rib Syndrome | 209 | ||
| 134 The Flexion Test for Acute Thoracic Vertebral Compression Fracture | 210 | ||
| 7 The Lumbar Spine | 213 | ||
| 135 Functional Anatomy of the Lumbar Spine | 214 | ||
| The Bony Elements | 214 | ||
| Movement | 214 | ||
| The Intervertebral Disc | 215 | ||
| 136 An Overview of the Nomenclature of the Diseased Lumbar Disc | 216 | ||
| The Normal Disc | 216 | ||
| The Degenerated Disc | 216 | ||
| The Diffusely Bulging Disc | 216 | ||
| The Focal Disc Protrusion | 220 | ||
| The Focal Disc Extrusion | 220 | ||
| The Sequestered Disc | 220 | ||
| 137 An Overview of Painful Conditions Emanating from the Lumbar Spine | 221 | ||
| 138 Visual Inspection of the Lumbar Spine | 222 | ||
| 139 Palpation of the Lumbar Spine | 223 | ||
| 140 Range of Motion of the Lumbar Spine | 224 | ||
| Flexion and Extension | 224 | ||
| Rotation and Lateral Bending | 224 | ||
| 141 The Schober Test for Lumbar Spine Flexion | 226 | ||
| 142 The Kemp Test for Lumbar Facet Joint Pain | 227 | ||
| 143 The Lumbar Dermatomes | 228 | ||
| 144 The L4 Neurologic Level | 230 | ||
| 145 The L5 Neurologic Level | 232 | ||
| 146 The S1 Neurologic Level | 233 | ||
| 147 The Lasegue Straight Leg Raising Test for Lumbar Root Irritation | 235 | ||
| 148 The Sitting Straight Leg Raising Test for Lumbar Root Irritation | 236 | ||
| 149 The Naffziger Jugular Compression Test for an Equivocal Lasegue Straight Leg Raising Test | 237 | ||
| 150 The Flip Test for Lumbar Nerve Root Irritation | 238 | ||
| 151 The Buckling Knee Test for Lumbar Nerve Root Irritation | 239 | ||
| 152 The Spurling Test for Lumbar Nerve Root Irritation | 240 | ||
| 153 The Bragard Test for Lumbar Nerve Root Irritation | 241 | ||
| 154 The Ely Test for Lumbar Nerve Root Irritation | 242 | ||
| 155 The Fajersztajn Test for Lumbar Nerve Root Irritation | 243 | ||
| 156 The Stoop Test for Spinal Stenosis | 244 | ||
| 157 The Babinski Sign for Diseases of the Corticospinal System | 245 | ||
| 158 The Chaddock Sign for Diseases of the Corticospinal System | 246 | ||
| 159 The Oppenheim Sign for Diseases of the Corticospinal System | 247 | ||
| 160 The Gordon Reflex for Diseases of the Corticospinal System | 248 | ||
| 8 The Abdominal Wall and Pelvis | 249 | ||
| 161 The Sit-Up Sign for Anterior Cutaneous Nerve Entrapment Syndrome | 250 | ||
| 162 The Waddling Gait Sign for Osteitis Pubis Syndrome | 252 | ||
| 163 The Yeoman Test for Sacroiliac Joint Pain | 254 | ||
| 164 The Van Durson Standing Flexion Test for Sacroiliac Joint Pain | 255 | ||
| 165 The Piedallu Seated Flexion Test for Sacroiliac Joint Pain | 256 | ||
| 166 The Stork Test for Sacroiliac Joint Dysfunction | 257 | ||
| 167 The Gaenslen Test for Sacroiliac Joint Dysfunction | 258 | ||
| 168 The Numb Medial Thigh Sign for Obturator Nerve Entrapment Syndrome | 260 | ||
| 169 The Novice Skier Sign for Ilioinguinal Nerve Entrapment Syndrome | 262 | ||
| 170 The Femoral Stretch Test | 264 | ||
| 171 The Burning Lateral Thigh Sign for Meralgia Paresthetica | 265 | ||
| 9 The Hip | 267 | ||
| 172 Functional Anatomy of the Hip | 268 | ||
| 173 Visual Inspection of the Hip Joint | 271 | ||
| 174 Palpation of the Hip | 272 | ||
| 175 Flexion of the Hip | 273 | ||
| 176 Extension of the Hip | 274 | ||
| 177 Abduction of the Hip | 275 | ||
| 178 Adduction of the Hip | 276 | ||
| 179 Internal Rotation of the Hip | 277 | ||
| 180 External Rotation of the Hip | 278 | ||
| 181 Painful Conditions of the Hip | 279 | ||
| 182 The Thomas Test for Flexion Deformity of the Hip | 280 | ||
| 183 The Trendelenburg Test for Weak Hip Abductors | 281 | ||
| 184 The Hopalong Cassidy Sign for Antalgic Gait | 283 | ||
| 185 The Patrick/FABER Test for Hip Pathology | 285 | ||
| 186 The Waldman Knee Squeeze Test for Adductor Tendinitis | 286 | ||
| 187 The Resisted Hip Extension Test for Ischial Bursitis | 288 | ||
| 188 The Resisted Hip Abduction Test for Gluteal Bursitis | 289 | ||
| 189 The Resisted Hip Adduction Test for Iliopsoas Bursitis | 290 | ||
| 190 The Piriformis Test for Piriformis Syndrome | 291 | ||
| 191 The Resisted Abduction Release Test for Trochanteric Bursitis Pain | 292 | ||
| 192 The Fulcrum Test for Stress Fractures of the Femoral Shaft | 294 | ||
| 193 The Ober Test for Iliotibial Band Contracture | 296 | ||
| 194 The Snap Sign for Snapping Hip Syndrome | 297 | ||
| 10 The Knee | 299 | ||
| 195 Functional Anatomy of the Knee | 300 | ||
| 196 Visual Inspection of the Knee | 303 | ||
| 197 Palpation of the Knee | 304 | ||
| 198 Flexion of the Knee | 305 | ||
| 199 Extension of the Knee | 306 | ||
| 200 Rotation of the Knee | 307 | ||
| 201 An Overview of Painful Conditions of the Knee | 308 | ||
| 202 The Bulge Sign for Small Joint Effusions | 309 | ||
| 203 The Ballottement Test for Large Joint Effusions | 310 | ||
| 204 The Valgus Stress Test for Medial Collateral Ligament Integrity | 312 | ||
| 205 The Varus Stress Test for Lateral Collateral Ligament Integrity | 313 | ||
| 206 The Anterior Drawer Test for Anterior Cruciate Ligament Integrity | 314 | ||
| 207 The Flexion-Rotation Anterior Drawer Test for Anterior Cruciate Ligament Instability | 315 | ||
| 208 The Lachman Test for Anterior Cruciate Ligament Integrity | 316 | ||
| 209 The Posterior Drawer Test for Posterior Cruciate Ligament Integrity | 317 | ||
| 210 The Hughston External Rotation–Recurvatum Test for Posterior Cruciate Ligament Instability | 318 | ||
| 211 The Quadriceps Active Test for Posterior Cruciate Ligament Integrity | 319 | ||
| 212 The Pivot Shift Test for Anterolateral Rotary Instability | 320 | ||
| 213 The Reverse Pivot Shift Test of Jakob for Posterolateral Instability | 321 | ||
| 214 The Tibial External Rotation Test for Injury to the Posterolateral Corner | 322 | ||
| 215 The Perkins Test for Patellofemoral Pain Syndrome | 323 | ||
| 216 The Patellar Grind Test for Patellofemoral Pain Syndrome | 324 | ||
| 217 The Fairbanks Apprehension Test for Lateral Patellar Subluxation | 325 | ||
| 218 The Patellar Tilt Test for Lateral Retinacular Dysfunction | 326 | ||
| 219 The McMurray Test for Torn Meniscus | 327 | ||
| 220 The Apley Grinding Test for Meniscal Tear | 328 | ||
| 221 The Squat Test for Meniscal Tear | 329 | ||
| 222 The Thessaly Test for Meniscal Tear | 330 | ||
| 223 The Twist Test for Semimembranosus Insertion Syndrome | 332 | ||
| 224 The Knee Extension Test for Quadriceps Expansion Syndrome | 334 | ||
| 225 Bursitis of the Knee | 336 | ||
| Suprapatellar Bursitis | 336 | ||
| Prepatellar Bursitis | 337 | ||
| Superficial and Deep Infrapatellar Bursitis | 338 | ||
| Pes Anserine Bursitis | 339 | ||
| 226 The Creaking Tendon Sign for Hamstring Tendinitis | 340 | ||
| 227 The Nobel Compression Test for Iliotibial Band Syndrome | 341 | ||
| 228 The Bump Sign for Baker Cyst of the Knee | 342 | ||
| 11 The Ankle and Foot | 345 | ||
| 229 Functional Anatomy of the Ankle and Foot | 346 | ||
| The Hindfoot | 346 | ||
| The Midfoot | 346 | ||
| The Forefoot | 347 | ||
| 230 Visual Inspection of the Ankle and Foot | 348 | ||
| 231 Palpation of the Ankle and Foot | 350 | ||
| 232 The Wave Test for Ankle Joint Effusion | 352 | ||
| 233 The Anterior Drawer Test for Anterior Talofibular Ligament Insufficiency | 353 | ||
| 234 The Inversion Test for Anterior Talofibular Ligament Insufficiency | 355 | ||
| 235 The Eversion Test for Deltoid Ligament Insufficiency | 357 | ||
| 236 The Squeeze Test for Syndesmosis Ankle Strain | 360 | ||
| 237 The External Rotation Test for Syndesmosis Ankle Strain | 361 | ||
| 238 The Tinel Sign for Anterior Tarsal Tunnel Syndrome | 362 | ||
| 239 The Tinel Sign for Posterior Tarsal Tunnel Syndrome | 364 | ||
| 240 The Creak Sign for Achilles Tendinitis | 367 | ||
| 241 The Toe Raise Test for Achilles Tendon Rupture | 369 | ||
| 242 The Thompson Squeeze Test for Achilles Tendon Rupture | 371 | ||
| 243 The Matles Test for Achilles Tendon Rupture | 372 | ||
| 244 The Calcaneal Jump Sign for Plantar Fasciitis | 373 | ||
| 245 The Windlass Test for Plantar Fasciitis | 375 | ||
| 246 The Mulder Sign for Morton Neuroma | 376 | ||
| Index | 378 | ||
| A | 378 | ||
| B | 378 | ||
| C | 379 | ||
| D | 379 | ||
| E | 379 | ||
| F | 380 | ||
| G | 380 | ||
| H | 380 | ||
| I | 381 | ||
| J | 381 | ||
| K | 381 | ||
| L | 381 | ||
| M | 382 | ||
| N | 382 | ||
| O | 382 | ||
| P | 382 | ||
| Q | 383 | ||
| R | 383 | ||
| S | 383 | ||
| T | 384 | ||
| U | 385 | ||
| V | 385 | ||
| W | 385 | ||
| Y | 385 | ||
| Z | 385 | ||
| Endsheet 7 | endsheet7 |