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    Musculoskeletal System Clinical Examination 2016

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    dr sarang
    This document provides an illustrated guide for examining the musculoskeletal system for 2nd year medical students. It outlines the process for examining each body area, including the hands, elbows, shoulders, hips, knees, ankles, and spine. For each area, it lists steps like inspecting for abnormalities, palpating for tenderness or swelling, and assessing active range of motion and special tests. The goal is to systematically examine each body area and evaluate for signs of injury, inflammation or reduced function. References for further information are also provided.

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    Musculoskeletal System Clinical Examination 2016

    Uploaded by

    dr sarang
    162 views36 pages
    This document provides an illustrated guide for examining the musculoskeletal system for 2nd year medical students. It outlines the process for examining each body area, including the hands, elbows, shoulders, hips, knees, ankles, and spine. For each area, it lists steps like inspecting for abnormalities, palpating for tenderness or swelling, and assessing active range of motion and special tests. The goal is to systematically examine each body area and evaluate for signs of injury, inflammation or reduced function. References for further information are also provided.

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    This document provides an illustrated guide for examining the musculoskeletal system for 2nd year medical students. It outlines the process for examining each body area, including the hands, elbows, shoulders, hips, knees, ankles, and spine. For each area, it lists steps like inspecting for abnormalities, palpating for tenderness or swelling, and assessing active range of motion and special tests. The goal is to systematically examine each body area and evaluate for signs of injury, inflammation or reduced function. References for further information are also provided.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    162 views36 pages

    Musculoskeletal System Clinical Examination 2016

    Uploaded by

    dr sarang
    This document provides an illustrated guide for examining the musculoskeletal system for 2nd year medical students. It outlines the process for examining each body area, including the hands, elbows, shoulders, hips, knees, ankles, and spine. For each area, it lists steps like inspecting for abnormalities, palpating for tenderness or swelling, and assessing active range of motion and special tests. The goal is to systematically examine each body area and evaluate for signs of injury, inflammation or reduced function. References for further information are also provided.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 36

    An Illustrated Guide For

    musculoskeletal System
    Examination
    Bedside Teaching for 2nd year medical Students

    Prepared by:
    Dr. Farid Ghalli
    Associate Clinical Teacher (Hon)
    October 2016
    Before Examination :

    Wash hands
    Introduce yourself
    Confirm patient details – name / DOB
    Explain the examination
    Gain consent
    Ask patient if they have pain anywhere before you
    begin!
    a)Position the patient with hands are comfortable

    b) Inspect the patient hands


    c) Assess the temperature over the joint areas

    d) Carpals Palpation

    e)Feel the muscle bulk of the thenar eminence


    f) Inspect the elbow
    g) Assess the movements of wrist and fingers

    h)Phalens maneuver
    i)Functional Assessment
    Assess the joint temperature

    Palpate the medial epicondyle


    Check joint movements

    Check for Tennis elbow


    and Golfers elbow
    General Inspection of the shoulder joint

    Assess the temperature of the joint


    Systematically feel along both sides of the bony shoulder girdle

    Assess the active movements of the joint


    Special Tests

    Impingement test
    Functional tests

    Arms behind head Arms behind back


    Ask patient to walk

    Trendelenburg Test
    Check apparent leg lenghth and true leg length

    Palpate Greater Trochanter

    Assess movement
    Special Tests: Thomas test
    Ask patient to walk
    General Inspection

    Assess joint temperature


    Patellar Examination
    Test movements

    Specific Tests

    1-To test cruciate ligaments


    2- To test collateral ligaments

    3- McMurray`s Test (to assess meniscal damage)


    (Please note that this test is no longer recommended in the NICE guidelines due to concerns that
    it may exacerbate the injury and due to its low diagnostic accuracy. )
    Observe the patient gait

    Feel the Achilles tendon for any thickening or swelling

    General Inspection
    Check Ankle Temperature

    Palpate the joint

    Assess movements of the joint


    Test midtarsal joint
    Look at any spinal deformity
    Assess Spinal movement
    Assess Cervical Spine movement

    Assess thoracic rotation


    Straight leg raise test : for sciatica

    References :
    1- - Clinical assessment of the musculoskeletal system:Arthritis Reseach UK 2011.

    2- Online osceskills website. www.osceskills.com

    3- Macleod`s clinical examination ,thirteenth ed. 2013

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