Examination

Concise but comprehensive guides to the 17 most important clinical examinations. These notes are very useful for OSCE revision, but also more generally for work on the wards.  

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Regional examination of the musculoskeletal system (REMS) refers to the more detailed examination that would be expected once an abnormality has been detected through either the history or screening examination.  

With both shoulders fully exposed, look from the front, the side and behind the patient for obvious loss of symmetry, muscle wasting or scars.  

With the patient lying as flat as possible look from the end of the bed comparing for symmetry. In a fractured neck of femur, for example, one leg may be shortened and externally rotated.  

Look initially from the end of the bed for loss of symmetry and loss of normal leg alignment such as varus deformity – where distal to the knee is deviated medially leading to a bow-legged appearance – or valgus deformity – where distal to the knee is deviated laterally leading to a knock-kneed appearance.  

With the patient on a couch and their feet overhanging the end of it, look at the feet, comparing for symmetry. In the forefoot look for nail changes and skin rashes. Look for the alignment of the toes and any evidence of hallux valgus of the big toe. Look for clawing of the toes, joint swelling and callus formation. Look at the underside or plantar surface for callus formation. Look at the patient’s shoes for asymmetrical wearing of the sole, the presence of insoles or other signs of poor fit.  

Look initially from behind the patient for any obvious muscle wasting, asymmetry or scoliosis of the spine. Look from the side for normal: cervical lordosis thoracic kyphosis and lumbar lordosis.  

 

To see the written guide alongside the video, head over to our website http://geekymedics.com/2010/09/29/cardiovascular-examination-2/ This video aims to giv...  

This is Basic Muscloskeletal Examination.ADVANCED will be added later.  

this video . what you should do after basic cardiac exam if abnormality found.  

EXAMINATION OF MOTOR SYSTEM Aim: To assess the functional status of the motor system of the given subject. Requirement: Tape for measurement. Procedure: The ...