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Hand Exam

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1. Exam Series: Guide to the Knee Exam

Exam Series: Guide to the Knee Exam Exam Series: Guide to the Knee Exam - CanadiEM Exam Series: Guide to the Knee Exam In by Kathryn Chan June 5, 2018 A 22 year old female comes to emergency department unable to walk. She was in the middle of a rugby game when she caught the ball while pivoting quickly, and was tackled shortly thereafter. She immediately heard a “pop” and says that the swelling in her right leg has increased substantially over the last hour. Background: The knee is a complex (...) hinge joint and one of the most common sites of MSK injuries. Fortunately a diagnosis is usually possible with a good history and physical exam! Four ligaments – the anterior cruciate ligament (ACL), posterior cruciate ligament (PCL), medial collateral ligament (MCL), and lateral collateral ligament (LCL) connect the femur to the tibial plateau, ensuring proper alignment and providing stability. Two menisci cushion the articulating surfaces while several bursa further reduce friction around the knee

2018 CandiEM

2. Exam Series: Guide to the Shoulder Exam

Exam Series: Guide to the Shoulder Exam Exam Series: Guide to the Shoulder Exam - CanadiEM Exam Series: Guide to the Shoulder Exam In , by Kathryn Chan August 7, 2018 A 58 year old right hand dominant painter presents to the emergency department with right shoulder pain. The pain started after he returned a particularly forceful serve during a tennis match earlier that afternoon. He states that it has a similar quality to the shoulder pain he typically feels at night, but more intense (...) suggests a supraspinatus tear, subacromial impingement, or subacromial bursitis : Instruct the patient to internally rotate their shoulder such that the back of their hand rests on their low back. Ask the patient to lift-off from their back against resistance. Pain suggests a subscapularis tear. : Place the seated patient in 90° of abduction and 90° elbow flexion. A positive test is failure to externally rotate against resistance, and indicates a tear to teres minor. Impingement: : Assist the patient

2018 CandiEM

3. Hand Exam

Hand Exam Hand Exam Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Hand Exam Hand Exam Aka: Hand Exam II. Indication III. Observation (...) digitorum profundus injury ( ) Testing Test with all fingers in extension Hold affected finger DIP in extension Patient instructed to flex affected PIP joint Flex DIP joint of affected finger only Consider flexor digitorum superficialis injury Specific test for index finger Patient pulls a paper between both hands Paper held by each hand pinching paper Each hand uses opposed thumb and index finger Injury of flexor digitorum superficialis signs DIP hyperflexes PIP hyperextends VIII. Exam: Brief

2018 FP Notebook

4. Comparison of Diagnostic Accuracy of Automated Volume Breast Scanner to Hand Held Ultrasound for Diagnostic Breast Exam

Comparison of Diagnostic Accuracy of Automated Volume Breast Scanner to Hand Held Ultrasound for Diagnostic Breast Exam Comparison of Diagnostic Accuracy of Automated Volume Breast Scanner to Hand Held Ultrasound for Diagnostic Breast Exam - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum (...) number of saved studies (100). Please remove one or more studies before adding more. Comparison of Diagnostic Accuracy of Automated Volume Breast Scanner to Hand Held Ultrasound for Diagnostic Breast Exam The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT02789163 Recruitment Status : Completed First

2016 Clinical Trials

5. Overtesting American doctors: The toxic pressure of board exams

students might trade this time for “binge-watching the most recent Netflix series or compulsively updating their Instagram account” disappointingly fell back on generational stereotypes. They did not appear to grasp the brutal routines that medical students adopt when preparing for the exam, nor the impact the whole process has on their mental health. The , and subsequent hat-in-hand , highlights how today’s doctors and trainees are increasingly resisting medicine’s culture of overwork and pushing (...) Overtesting American doctors: The toxic pressure of board exams Overtesting American doctors: The toxic pressure of board exams - The BMJ ---> The US’s Step 1 exam is increasingly career defining, driving many medical students to adopt punishing routines while studying for it. Pranav Reddy and Kunal Sindhu call for change “I erupted from a void disassociated from reality . . . I forgot to engage in basic human activities, such as eating or relaxing.” This of studying for the United States

2019 The BMJ Blog

6. Tenosynovitis of the hand and wrist

Tenosynovitis of the hand and wrist Tenosynovitis of the hand and wrist - Symptoms, diagnosis and treatment | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search  Tenosynovitis of the hand and wrist Last reviewed: February 2019 Last updated: March 2018 Summary Trigger digits and de Quervain's disease are the 2 most common forms of tenosynovitis tendinopathy. Diagnosis is usually clinical. If required, the single most useful and accurate investigation (...) is a high-resolution ultrasound scan. Treatment may involve non-steroidal anti-inflammatory drugs (NSAIDs), splinting, corticosteroid/local anaesthetic injections, or surgery. Definition Tenosynovitis of the hand and wrist is a group of entities with a common pathology involving the extrinsic tendons of the hand and wrist and their corresponding retinacular sheaths. They usually start as tendon irritation manifesting as pain, and can progress into catching and locking when tendon gliding fails. Burman M

2018 BMJ Best Practice

7. Hand-foot-and-mouth disease

countries, enterovirus 71 (EV71) is responsible for a more severe version of the disease with serious complications; however, this is uncommon in the US and Europe. Definition A common childhood viral infection that is most commonly caused by a coxsackievirus, characterised by low-grade fever, painful oral ulcers, and vesicles on the hands and feet. The disease has no relation to foot-and-mouth disease, which affects cattle and other cloven-hoofed animals. History and exam presence of risk factors low (...) Hand-foot-and-mouth disease Hand-foot-and-mouth disease - Symptoms, diagnosis and treatment | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search  Hand-foot-and-mouth disease Last reviewed: February 2019 Last updated: August 2018 Summary Diagnosis is usually clinical, based on a typical history and characteristic clinical features. Infection typically resolves spontaneously within 10 to 14 days, and treatment is mainly supportive. In East and South-east Asian

2018 BMJ Best Practice

8. The HINTS Exam to Differentiate Central from Peripheral Vertigo

and reliability of HINTS testing in the hands of emergency physicians has not been evaluated. However, with some degree of training it is reasonable to expect emergency physicians to be able to perform the HINTS exam as proficiently as our specialist colleagues. When ED ultrasound was First being introduced, one of the primary concerns was that "only trained radiologists" could perform ultrasound and hence this was . Over the years, we have not only proven capable of using ultrasound effectively in emergency (...) , and obviate the need for further work-­‐up. For example, using the upper limits of the 95% CI for the negative LR from the largest study ( ) of 0.09, a patient with a pre-test probability of 25% for a central etiology who has a negative HINTS would have a post-test probability of 2.9%, and hence the decision may be made to not proceed with further work up. Further testing of the HINTS exam will need identify a more concrete role for this test. The accuracy and reliability of the test in the hands

2014 Washington University Emergency Medicine Journal Club

9. Splints for the reduction of pain from hand osteoarthritis

Splints for the reduction of pain from hand osteoarthritis RACGP - Splints for the reduction of pain from hand osteoarthritis Search Become a student member today for free and be part of the RACGP community A career in general practice Starting the GP journey Enrolments for the 2019.1 OSCE FRACGP exams closing 29 March 2019 Fellowship FRACGP exams Research Practice Experience Program is a self-directed education program designed to support non vocationally registered doctors on their pathway (...) to RACGP Fellowship Fellowship International graduates FRACGP exams RACGP offer courses and events to further develop the knowledge you need to develop your GP career Re-entry to general practice Supervisors and examiners Mental Health (GPMHSC) Research Discover a world of educational opportunities to support your lifelong learning Courses and events QI&CPD Online learning Conferences Become a provider with the QI&CPD Program and be recognised for the quality education and training you offer GPs

2016 Handbook of Non-Drug interventions (HANDI)

10. June Wash U Nephrology Webisode - Clinical Exam of Hemodialysis Vascular Access

June Wash U Nephrology Webisode - Clinical Exam of Hemodialysis Vascular Access Renal Fellow Network: June Wash U Nephrology Webisode - Clinical Exam of Hemodialysis Vascular Access | | | | | Thursday, June 1, 2017 June Wash U Nephrology Webisode - Clinical Exam of Hemodialysis Vascular Access The June web episode features a special guest who was visiting St. Louis - Dr. Dirk Hentschel, Assistant Prrofessor and Director of Interventional Nephrology at Brigham and Women's/Harvard Medical School (...) this is a... Multiple myeloma and renal disease often go hand-in-hand, and it has a differential diagnosis which is fascinating in terms of its breadth An unusual cause of ascites is urinary ascites : this occurs when there is rupture of either the ureter or bladder, leading to leakage of u... There is a patient now on the renal consult service with Churg-Strauss Syndrome. This disease falls under the category of "small vesse... A colleague of mine at another academic institution recently informed me about

2017 Renal Fellow Network

11. Board Exam Nightmare

Board Exam Nightmare Board Exam Nightmare – Clinical Correlations Search Board Exam Nightmare June 27, 2014 5 min read By Michael Tanner, MD The American Board of Internal Medicine compels us internists to take a 6-hour multiple-choice Maintenance of Certification exam every 10 years. I, by an accident of birth year (being old), am one of the few doctors who have had to take “the Boards” three times—in 1994, 2004 & 2014. The exam tests our knowledge of 500 diseases that we haven’t seen (...) in the 10 years since we last had to take the exam. It’s kind of like a college reunion: a chance to catch up with old friends. I was given a test date of May 5, 2014. My New Year’s resolution to read 10.41 pages per day for 125 days for a total of 1301 pages never really got off the ground, and so with two weeks to go before the test, I opened the first of my eleven Medical Knowledge Self-Effacement Program XVIII books. I thought I’d start off with one of my weaker organ systems, and so I opened

2014 Clinical Correlations

12. CRACKCast E050 – Orthopedics – Hand Injuries

tendon proximal to the juncturae tendinum can have a falsely normal MCP extension on exam Know how to test the EIP and EDM (hook ‘em horns) The three wrist flexors (FCR, FCU, PL). Knowing how FDS and FDP lie (you’ll cut FDP at the DIP, but FDS at MCP volarly) FDP is paradoxically lacerated more often! Synovial spaces – and the function of bursae (exist for flexors only) and where they run Hand nerves Nail body anatomy: Nail body vs. Lunula vs. nail root vs. nail bed vs. hyponychium vs. prionychium 1 (...) ) Describe discriminatory motor, sensory, and vascular testing of the hand Go through Box 50-1 – with your study partner to hammer this home! X-rays of the hand are part of the physical examHand nerve roots are C6-T1 Sensory testing – pick areas that have minimal overlap Ulnar n.: volar tip of little finger Median n.: volar tip of index finger Radial n.: dorsal first web space (between thumb and index finger) Two point discrimination Ability to tell the difference between one point of touch or two

2016 CandiEM

13. Do Traditional or Flavored Tongue Depressors Make for Easier Posterior Oropharynx Exams in Pediatric Patients

and illness. Frequently, illnesses will present atypically as well, and a patient complaining of abdominal pain may ultimately be diagnosed with streptococcus pharyngitis. If the examiner does not evaluate the posterior oropharynx, the throat as a cause of abdominal pain is easily overlooked. Additionally, young children are prone to infections with pox viruses causing herpangina, hand foot and mouth disease, oral thrush. Despite the importance of the posterior oropharynx exam, it can be a source (...) Do Traditional or Flavored Tongue Depressors Make for Easier Posterior Oropharynx Exams in Pediatric Patients Do Traditional or Flavored Tongue Depressors Make for Easier Posterior Oropharynx Exams in Pediatric Patients - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies

2017 Clinical Trials

14. Comparative Analysis of Family Medicine Education and Exams at Cathedras of Family Medicine of Universities in Southeastern Europe - “Splitska inicijativa”, Sarajevo, 2017 (PubMed)

Comparative Analysis of Family Medicine Education and Exams at Cathedras of Family Medicine of Universities in Southeastern Europe - “Splitska inicijativa”, Sarajevo, 2017 Education means: learning, teaching or the process of acquiring skills or behavior modification through various exercises. Traditionally, medical education meant the oral, practical and more passive transferring of knowledge and skills from the educators to students and health professionals. Today the importance of focus (...) to create a large number of irrelevant information, which represents a limiting factor and a real growing gap, between the medical knowledge on one hand, and the ability of students and physicians to follow its growth on the other. Furthermore, in our environment, the term technology is generally reserved for its technical component. This terminology essentially means not only the purchase of the computer and related equipment, but also the technological foresight and technological progress, which

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2017 Acta Informatica Medica

15. Physical Exam and Evaluation of the Unstable Shoulder (PubMed)

Physical Exam and Evaluation of the Unstable Shoulder The clinical evaluation of the patient with shoulder instability can be challenging. The pathological spectrum ranges from the straightforward "recurrent anterior dislocation" patient to the overhead athlete with a painful shoulder but not clear instability episodes. Advances in shoulder arthroscopy and imaging have helped in understanding the anatomy and physiopathology of the symptoms. The aim of this general article is to summarize (...) separately. For anterior instability, a combination of apprehension, relocation and release tests provide great specificity. On the other hand, multidirectional or posterior instability can be difficult to diagnose especially when the main complain is pain.A detailed interview and clinical examination of the patient are mandatory in order to identify a shoulder instability problem. Range of motion of both shoulders, clicking of catching sensations as well as pain, should be considered together

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2017 The open orthopaedics journal

16. Choosing Surgery for Neurogenic TOS: The Roles of Physical Exam, Physical Therapy, and Imaging (PubMed)

Choosing Surgery for Neurogenic TOS: The Roles of Physical Exam, Physical Therapy, and Imaging Neurogenic thoracic outlet syndrome (nTOS) is characterized by arm and hand pain, paresthesias, and sometimes weakness resulting from compression of the brachial plexus within the thoracic outlet. While it is the most common subtype of TOS, nTOS can be difficult to diagnose. Furthermore, patient selection for surgical treatment can be challenging as symptoms may be vague and ambiguous, and diagnostic

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2017 Diagnostics

17. The death of Ezekiel Stephan: Quackery and antivaccine views go hand in hand

The death of Ezekiel Stephan: Quackery and antivaccine views go hand in hand The death of Ezekiel Stephan: Quackery and antivaccine views go hand in hand | ScienceBlogs Advertisment Search Search Toggle navigation Main navigation The death of Ezekiel Stephan: Quackery and antivaccine views go hand in hand By on April 26, 2016. About a month and a half ago, I became aware of the case of Ezekiel Stephan, a 19-month-old Canadian toddler living in Alberta who in 2012 developed bacterial meningitis (...) again. David and Collet Stephan are antivaccine as hell. , and, as I mentioned before, David Collet tried to to bring about universal forced vaccination. Unfortunately, antivaccine beliefs very frequently go hand-in-hand with the sort of quackery-filled beliefs held by people like the Stephans. Similarly, the medical neglect antivaccine parents subject their children to by failing to protect them against serious diseases can sometimes presage more serious medical neglect, like that of the Stephans

2016 Respectful Insolence

18. Joint protection strategies for hand osteoarthritis

Joint protection strategies for hand osteoarthritis RACGP - Education about joint protection strategies: hand osteoarthritis Search Become a student member today for free and be part of the RACGP community A career in general practice Starting the GP journey Enrolments for the 2019.1 OSCE FRACGP exams closing 29 March 2019 Fellowship FRACGP exams Research Practice Experience Program is a self-directed education program designed to support non vocationally registered doctors on their pathway (...) to RACGP Fellowship Fellowship International graduates FRACGP exams RACGP offer courses and events to further develop the knowledge you need to develop your GP career Re-entry to general practice Supervisors and examiners Mental Health (GPMHSC) Research Discover a world of educational opportunities to support your lifelong learning Courses and events QI&CPD Online learning Conferences Become a provider with the QI&CPD Program and be recognised for the quality education and training you offer GPs

2015 Handbook of Non-Drug interventions (HANDI)

19. An Experimental Survey on the Effect of Using the CTS-6 Tool on the Diagnosis of Carpal Tunnel Syndrome by Hand Surgeons. (PubMed)

An Experimental Survey on the Effect of Using the CTS-6 Tool on the Diagnosis of Carpal Tunnel Syndrome by Hand Surgeons. This controlled randomized experiment tested the research hypothesis that providing the CTS-6 quantitative diagnostic information to hand surgeons affects the diagnosis of carpal tunnel syndrome.Surgeon members of American Association for Hand Surgery participated in an online survey. Demographic and practice pattern information was collected. Few surgeons routinely use (...) associated with carpal tunnel syndrome.While accurate diagnostic decisions are dependent on the incorporation of all of the pertinent information gathered during the history and physical exams, the results of the CTS-6 may help the clinician focus their thinking and revise their diagnostic probabilities.

2017 The journal of hand surgery Asian-Pacific volume

20. Tales of Survival: Physical Exam

Tales of Survival: Physical Exam Tales of Survival: Physical Exam – Clinical Correlations Search Tales of Survival: Physical Exam July 15, 2011 6 min read By John Hwang General Patient is a demented, chronically ill elderly male lying in bed attached to a ventilator, appearing anything but his stated age. Contracted in a fetal position, huddled under the bed sheet with only his bald head and wrinkled skin showing, he alternately resembles a centenarian or a newborn child—someone very much (...) at the brink of life. Mental Status Exam Patient awake and alert, but severely cognitively impaired. Completely nonverbal and does not repeat or respond to commands. He looks observers in the eye, but he does not recognize faces and generally remains expressionless. On occasion, though, he spontaneously breaks into a beaming, ear-to-ear toothless smile that always surprises me, and at which I cannot help but sheepishly smile back. The entire room seems to light up, if only briefly, and even the doctors

2011 Clinical Correlations

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