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Knee Exam

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21. Newborn Exam

. ) or (e.g. ) Gray ation due to (occult spinal cord lesion) s ( versus ) or e (e.g. ) Abnormal lesions associated with or syndromes (in some cases) (skull deformities) or port wine stain ( , Klippel-Trenaunay-Weber Sydrome) (epidermal nevus syndrome, malignant potential) (malignant potential) ( , Tuberous Sclerosis, Albright Syndrome) IX. Exam: Abdomen and Rectum See Perform abdominal exam while supporting infants hips and knees in flexed position Observe abdominal contour for (congenital ) or distention (...) Newborn Exam Newborn 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 Newborn Exam Newborn Exam Aka: Newborn Exam , Neonatal Exam

2018 FP Notebook

22. Hip Exam

See Images Lewis (1918) Gray's Anatomy 20th ed (in at or ) III. Precautions: Findings most suggestive of hip intra-articular cause Pain on external and internal hip rotation Pain on hip axial loading (force applied at foot or knee towards hip) IV. Exam: External to hip Critical to evaluate for referred pain (e.g. radicular pain) Lower extremity Exam of and or may present with Other common causes of pain referred to the hip Greater trochanter tenderness to palpation V. Exam: Observation Resting (...) Trandelenburg (hip adductor weakness) Observe for inability to bear weight Hip Avascular Necrosis of the Hip Femoral lesion (e.g. malignancy) Observe for inability to climb onto exam table Decreased flexibility Iliopsoas muscle or quadriceps VIII. Exam: Specific Tests Flexion ABduction External Rotation Also known as or Flexion ADduction Internal Rotation ( ) (with hip and knee extended) IX. References Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search

2018 FP Notebook

23. Brief Musculoskeletal Exam

the External rotation and abduction Scratch back with each hand from under the Internal rotation and adduction V. Exam: Upper Extremity Flex and extend elbows Pronate and supinate wrists Hold arms at sides with elbows flexed to 90 degrees Spread fingers Make a fist VI. Exam: Lower Extremity Contract and relax quadriceps Observe for Symmetry Observe for Observe for ankle effusion Duck walk for 4 steps away from examiner Buttocks on heels Tests hip, knee, and ankle range of motion VII. Exam: Back and related (...) exam symmetry Touch toes (keep knees straight) Hip motion Hamstring tightness Raise up on toes, raise up on heels Calf strength Leg strength Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Brief Musculoskeletal Exam." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database) Related Topics in Examination About FPnotebook.com is a rapid access, point-of-care

2018 FP Notebook

24. Sensory Exam

Upper Arm and C6: Thumb, Index Finger, lateral ( ) C7: Index, Middle and Ring Fingers, triceps ( ) C8: Middle, Ring and Little Finger (pinky), medial ( ) T1: Ulnar hand, axilla to olecranon T4: Nipple T8: Xiphoid T10: T12: Symphysis V. Exam: Dermatomes - Lower body Sensory Innervation L1: Inferior to iliac crest L3: Anterior and medial thigh down to knee L4: Anterior low leg and medial foot L5: Lateral leg, heel, dorsal foot, space between 1st and second toes S1: Posterior leg, lateral , dorsal (...) Sensory Exam Sensory 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 Sensory Exam Sensory Exam Aka: Sensory Exam , Afferent

2018 FP Notebook

25. Reflex Exam

, Deep Tendon Reflex , Pectoral Reflex , Deltoid Reflex , Biceps Reflex , Brachioradialis Reflex , Supinator Reflex , Triceps Reflex , Patellar Reflex , Knee Jerk , Medial Hamstring Reflex , Achilles Reflex , Ankle Jerk , Anal Wink II. Exam: Upper Extremity Reflexes C4: Pectoral Reflex C5: Deltoid Reflex C6: Biceps Reflex and Brachioradialis Reflex C7: Triceps Reflex III. Exam: Lower Extremity Reflexes L1-2: L2-4: Patellar Reflex (Knee Jerk) L5: Medial Hamstring Reflex S1: Achilles Reflex (Ankle Jerk (...) Reflex Exam Reflex 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 Reflex Exam Reflex Exam Aka: Reflex Exam , Tendon Reflex

2018 FP Notebook

26. Newborn Gestational Age Exam

the ear Score -1: Heel reaches the ear with the knee fully extended Score 4: remains primarily in flexed position V. Exam: Physical Maturity Criteria Skin Score -1: Skin sticky, friable and transparent Score 5: Skin leathery, cracked and wrinkled Lanugo Score -1: No Lanugo Score 1: Abundant Lanugo Score 4: Mostly bald Plantar ace Score -2: Heel to toe distance <40 mm Score 0: Heel to toe distance >50 mm and no crease Score 3: Creases cover the anterior 2/3 of the sole Score: 4: Crease cover the entire (...) Newborn Gestational Age Exam Newborn Gestational Age 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 Newborn Gestational Age Exam

2018 FP Notebook

27. Should guns be discussed in the exam room?

Should guns be discussed in the exam room? Should guns be discussed in the exam room? Should guns be discussed in the exam room? | | August 18, 2016 34 Shares Let me preface this blog by stating that I write this to stimulate discussion and debate, not to sway opinions. Today, doctors are required to spend more and more time doing administrative work — including checking off electronic boxes in the electronic medical record (EMR) — the result is less quality time with patients. Now, those (...) struck by how much controversy surrounds this issue: How do we protect patient’s privacy rights? How do we preserve our relationships with patients? Certainly, as physicians we may ask many uncomfortable questions of our patients — sexual history, drug, and alcohol use, and other sensitive subjects — but should we really be asking about guns? The legal implications alone of these discussions are enough to make even the most steadfast physician a little weak in the knees. For far too long

2016 KevinMD blog

28. Knee Surgery

be measured using patient-reported outcome measures (PROMs). These are useful tools in the comprehensive assessment relying on a combination of patient self-report and clinical exam. An example of a widely used PROM is the KOOS, see Appendix A. The non-physical areas assessed are the patient’s ability to perform activities of daily living (ADLs), engage in work or recreation, and perceived quality of life. Repeated use of these instruments allows the practitioner to trend the degree of knee related (...) Knee Surgery 1 Washington State Department of Labor and Industries Surgical Guideline for Work-related Knee Injuries – July 2016 Surgical Guideline for Work-related Knee Injuries 2016 TABLE OF CONTENTS I. Review Criteria for Knee Surgery 2 II. Introduction 9 A. Background and Prevalence 9 B. Establishing Work-relatedness 10 III. Assessment 11 A. History and Clinical Examination 11 B. “Overuse Syndrome” and Contralateral Effects 11 C. Diagnostic Imaging 12 IV. Non-Operative Care 12 V. Surgical

2016 Washington State Department of Labor and Industries

29. Effect of a Lateral Wedge Insole and Simple Knee Sleeve in Individuals With Knee Osteoarthritis

Effect of a Lateral Wedge Insole and Simple Knee Sleeve in Individuals With Knee Osteoarthritis Effect of a Lateral Wedge Insole and Simple Knee Sleeve in Individuals With Knee Osteoarthritis - 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. Effect of a Lateral Wedge Insole and Simple Knee Sleeve in Individuals With Knee Osteoarthritis 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. of clinical studies and talk to your health care provider before participating. Read our for details. ClinicalTrials.gov Identifier: NCT03225911 Recruitment Status : Not yet

2017 Clinical Trials

30. Simultaneous ipsilateral knee arthroscopy and unicondylar knee arthroplasty is effective for bicompartmental symptoms (PubMed)

Simultaneous ipsilateral knee arthroscopy and unicondylar knee arthroplasty is effective for bicompartmental symptoms Patients with unicompartmental radiographic arthritis but bicompartmental symptoms pose a clinical challenge. Some surgeons may perceive it as a contraindication for unicondylar knee arthroplasty (UKA). We investigated patient outcomes 2 years after simultaneous ipsilateral arthroscopy and UKA as compared to a similar group of patients who had total knee replacement (TKA (...) and simultaneous arthroscopy. Further, TKA for isolated compartment radiographic disease in this limited series had poorer outcomes. We obtain MRI selectively when physical exam and radiographic findings suggest isolated arthritic disease in patients with bicompartmental symptoms.

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2017 Journal of orthopaedics

31. Knee Exam

Knee Exam Knee 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 Knee Exam Knee Exam Aka: Knee Exam , Knee Examination , Knee Joint (...) Finding , Knee Maneuver II. Exam: General (compare with less affected knee) Observation with obscured landmarks See See See Previous surgical scars resting position Quadriceps muscle atrophy Evaluate Vastus Medialis Obliquus specifically Atrophy often on side of Tenderness to Palpation Tibial tubercle r tendon Quadriceps tendon Joint line Pes Anserine Bursa Iliotibial Band Normal Range of Motion Flexion: 135 degrees Extension: 0 to -10 degrees (above horizontal plane) III. Exam: Patellofemoral (Q

2015 FP Notebook

32. Aquatic exercise for knee and hip osteoarthritis

Aquatic exercise for knee and hip osteoarthritis RACGP - Aquatic exercise for knee and hip 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 Curriculum for Australian

2013 Handbook of Non-Drug interventions (HANDI)

33. Exercise-Based Knee and Anterior Cruciate Ligament Injury Prevention

Exercise-Based Knee and Anterior Cruciate Ligament Injury Prevention Exercise-Based Knee and Anterior Cruciate Ligament Injury Prevention | Journal of Orthopaedic & Sports Physical Therapy ADVERTISEMENT Journal of Orthopaedic & Sports Physical Therapy | | | | | > > > Exercise-Based Knee and Anterior Cruciate Ligament Injury Prevention Clinical Practice Guidelines Exercise-Based Knee and Anterior Cruciate Ligament Injury Prevention Clinical Practice Guidelines Linked to the International (...) ) for orthopaedic and sports physical therapy management and prevention of musculoskeletal impairments described in the World Health Organization's International Classification of Functioning, Disability and Health (ICF). This particular guideline focuses on the exercise-based prevention of knee injuries. J Orthop Sports Phys Ther. 2018;48(9):A1–A42. doi:10.2519/jospt.2018.0303 Keyword: , , , , , , Summary of Recommendations Review the Evidence in the Scientific Literature for Exercise-Based Knee Injury

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2018 The Orthopaedic Section of the American Physical Therapy Association (APTA), Inc.

34. The Non-Surgical Management of Hip & Knee Osteoarthritis (OA)

The Non-Surgical Management of Hip & Knee Osteoarthritis (OA) VA/DoD CLINICAL PRACTICE GUIDELINE FOR THE NON-SURGICAL MANAGEMENT OF HIP & KNEE OSTEOARTHRITIS Department of Veterans Affairs Department of Defense QUALIFYING STATEMENTS The Department of Veterans Affairs and the Department of Defense guidelines are based upon the best information available at the time of publication. They are designed to provide information and assist decision-making. They are not intended to define a standard (...) and/or therapeutic interventions within these guidelines does not guarantee coverage of civilian sector care. Additional information on current TRICARE benefits may be found at www.tricare.mil or by contacting your regional TRICARE Managed Care Support Contractor. Version 1.0 – 2014 Prepared by: THE NON-SURGICAL MANAGEMENT OF HIP & KNEE OSTEOARTHRITIS Working Group With support from: The Office of Quality and Performance, VA, Washington, DC & Office of Evidence Based Practice, US Army Medical Command Version 1.0

2014 VA/DoD Clinical Practice Guidelines

35. Self Transcranial Direct Current Stimulation for Pain in Older Adults With Knee Osteoarthritis

Self Transcranial Direct Current Stimulation for Pain in Older Adults With Knee Osteoarthritis Self Transcranial Direct Current Stimulation for Pain in Older Adults With Knee Osteoarthritis - 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. Self Transcranial Direct Current Stimulation for Pain in Older Adults With Knee Osteoarthritis 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. of clinical studies and talk to your health care provider before participating. Read our for details. ClinicalTrials.gov Identifier: NCT03425019 Recruitment Status : Recruiting

2018 Clinical Trials

36. Deep-learning-assisted diagnosis for knee magnetic resonance imaging: Development and retrospective validation of MRNet. (PubMed)

to automatically learn layers of features, are well suited for modeling the complex relationships between medical images and their interpretations. In this study we developed a deep learning model for detecting general abnormalities and specific diagnoses (anterior cruciate ligament [ACL] tears and meniscal tears) on knee MRI exams. We then measured the effect of providing the model's predictions to clinical experts during interpretation.Our dataset consisted of 1,370 knee MRI exams performed at Stanford (...) ACL tears (p-value < 0.001; q-value = 0.006). The primary limitations of our study include lack of surgical ground truth and the small size of the panel of clinical experts.Our deep learning model can rapidly generate accurate clinical pathology classifications of knee MRI exams from both internal and external datasets. Moreover, our results support the assertion that deep learning models can improve the performance of clinical experts during medical imaging interpretation. Further research

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2018 PLoS medicine

37. Isolated Knee Arthritis as Early and Only Symptom of Whipple's Disease (PubMed)

Isolated Knee Arthritis as Early and Only Symptom of Whipple's Disease We report a case of isolated Whipple's disease involving the knee of a 64-year-old female patient who presented recurrent monoarthritis whose origin was not clear. Initially, the cause of the gradually invalidating symptoms was related to a meniscal lesion and a diffuse minor grade chondropathy, but pain and functional impairment suggested that more exams were needed. Biopsies were performed during arthroscopy. The histology

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2018 Case reports in medicine

38. Iontophoresis With Dexamethasone and Physical Therapy to Treat Apophysitis of the Knee in Pediatrics

of the inclusion criteria Systemic fungal infections Has an implanted electronic device Has a known sensitivity to DSP Presence of damaged skin, denuded skin, or other recent scar tissue on index knee Presence of active dermatologic conditions in the affected area (e.g., eczema, psoriasis) Presence of an abnormal neurological exam that indicates the subject would have a reduced ability to perceive pain (e.g. peripheral neuropathy) Has a known sensitivity to electrical current Is currently taking systemic (...) Iontophoresis With Dexamethasone and Physical Therapy to Treat Apophysitis of the Knee in Pediatrics Iontophoresis With Dexamethasone and Physical Therapy to Treat Apophysitis of the Knee in Pediatrics - 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

2018 Clinical Trials

39. Tregocel® as Dietary Supplement in Mild Knee Osteoarthritis

Tregocel® as Dietary Supplement in Mild Knee Osteoarthritis Tregocel® as Dietary Supplement in Mild Knee Osteoarthritis - 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. Tregocel® as Dietary Supplement (...) in Mild Knee Osteoarthritis 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. of clinical studies and talk to your health care provider before participating. Read our for details. ClinicalTrials.gov Identifier: NCT03636035 Recruitment Status : Not yet recruiting First Posted : August 17, 2018 Last Update Posted : August 22, 2018 See Sponsor: Max Biocare Pty

2018 Clinical Trials

40. Investigating the Effect of Deep Sea Krill Oil Supplementation in Osteoarthritis of the Knee

Investigating the Effect of Deep Sea Krill Oil Supplementation in Osteoarthritis of the Knee Investigating the Effect of Deep Sea Krill Oil Supplementation in Osteoarthritis of the Knee - 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. Investigating the Effect of Deep Sea Krill Oil Supplementation in Osteoarthritis of the Knee 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. of clinical studies and talk to your health care provider before participating. Read our for details. ClinicalTrials.gov Identifier: NCT03483090 Recruitment Status : Recruiting First Posted

2018 Clinical Trials

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