qs about knee & hip & shoulder exam???

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qs about knee & hip & shoulder exam???

Author

4 Posts

docsa
Forum Newbie

Topics: 3
Posts: 9

05/19/05 - 04:13 AM

1)if a case comes with knee injury or hip dislocation then how would we perform all the menuvers for joint exam coz pt would be in severe pain ??would we do??

2) can we demonstarte the pateint by moving our arms and forearms when we r examining for active movements and say the pateint plzz move your arm like this???? if not what should we say?

3)and would we examine the patient low extremities by removing gown ? coz in usmw videos pt was wearing pants.

4)when we would do sensory exam on thigh with cotton would we remove gown & drape or we check sensation by just slipping our hand under the gown ???

plzzz help me .

docsa
Forum Newbie

Topics: 3
Posts: 9

05/19/05 - 05:48 PM

any one plzzz solve my problem

NJones
Forum Newbie

Topics: 0
Posts: 18

07/19/05 - 05:25 PM

Hi docsa,

I am also a new member and I will take the test at the end of august. According to some suggestions of friends, we should try to do the movements slowly but as soon as the patient complain of any pain or discomfort, we should stop the examination and describe the patient's response in the patient note.

I also have a question about the heel/foot pain, I am trying to remember what should I do in these cases, how should I differentiate plantar fascitis from the calcalneal periostitis, spurs, etc.

I really appreciate any suggestion. In the meantime, I'll try to find any orthopedic or trauma book.

Thanks in advance,

NJones

CSobsessed
Forum Senior

Topics: 6
Posts: 144

07/20/05 - 11:40 PM

"...According to some suggestions of friends, we should try to do the movements slowly..."

NJones, the only movements for testing of ROM YOU do are while examining wrist. All other joint movements a patients does for you. I think you should more worry what to do for the knee and for the shoulder and wrist than what to do with a hip. It is to close to underwear area and I do not think they want you around there touching and inspecting. I think that back pain is much more likely to appear on exam than hip pain.

"...how should I differentiate plantar fascitis from the calcalneal periostitis, spurs, etc..."

I thought that when you say " plantar fascitis" the chances are you will find a spur on X-ray...

Relax, man! If you think you need a specialty book to solve your question-- you are in wrong direction. Think simple. Do everything around the joint. Inspect, palpate comparing everything to opposite side, assess muscle strength, lower extr. reflexes, sensation, pulses B/L. You hunt for the points not for the precise diagnosis.

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