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  • Upper Extremities Examination

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    Ayu Rahmi AMy
    50 views63 pages
    This document provides guidance on examining the upper extremities, including the shoulder, elbow, wrist, and hand. It describes evaluating each area through history taking, inspection, palpation, range of motion testing, and special tests. The examination focuses on assessing for asymmetries, deformities, injuries, and limitations in movement. Key steps include looking for swelling, atrophy, erythema; feeling for warmth, tenderness, abnormalities; and determining the quality and range of active and passive joint motion.

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    upper extremities examination

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    This document provides guidance on examining the upper extremities, including the shoulder, elbow, wrist, and hand. It describes evaluating each area through history taking, inspection, palpation, range of motion testing, and special tests. The examination focuses on assessing for asymmetries, deformities, injuries, and limitations in movement. Key steps include looking for swelling, atrophy, erythema; feeling for warmth, tenderness, abnormalities; and determining the quality and range of active and passive joint motion.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    50 views63 pages

    Upper Extremities Examination

    Uploaded by

    Ayu Rahmi AMy
    This document provides guidance on examining the upper extremities, including the shoulder, elbow, wrist, and hand. It describes evaluating each area through history taking, inspection, palpation, range of motion testing, and special tests. The examination focuses on assessing for asymmetries, deformities, injuries, and limitations in movement. Key steps include looking for swelling, atrophy, erythema; feeling for warmth, tenderness, abnormalities; and determining the quality and range of active and passive joint motion.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 63

    Nadhi l l a Nurayu Lathi fa

    Medi cal Facul ty Tri sakti Uni versi ty


    RSUD Bekasi
    Thi fa_qq@yahoo. com
    UPPER EXTREMITIES
    EXAMINATION
    Hi story
    Inspection
    Pal pation
    Range of Moti on (ROM)
    Muscular and Neurol ogical Assessment
    5/13/2014 thifa_qq@yahoo.com 2
    GENERAL APPROACH
    An accurate hi story i s essential
    How symptomp started? (mechani sm of i nj ury)
    Durati on of onset?
    Locaton, nature of pai n, and symptomps?
    Al l eviate or aggregavate maneuveres?

    5/13/2014 thifa_qq@yahoo.com 3
    HISTORY
    Observe how the pati ent moves as they go i nto the room or
    move from chai r to tabl e
    General Appearance
    Body Proporti ons
    5/13/2014 thifa_qq@yahoo.com 4
    GENERAL INSPECTION
    Look for assymetry between si des
    Swel ling
    Deformi ties
    Atrophy
    Erythema
    5/13/2014 thifa_qq@yahoo.com 5
    INSPECTION OF SPECIFIC AREA
    5/13/2014 thifa_qq@yahoo.com 6
    INSPECTION
    5/13/2014 thifa_qq@yahoo.com 7
    INSPECTION
    Know the anatomy of the structure before pal pating
    Warmth, ski n temperature
    Sof t ti ssue Swel ling or j oi nt ef fussi on
    Bones
    Eval uating l ocati on of tenderness, abnormalities compared to
    other si de
    5/13/2014 thifa_qq@yahoo.com 8
    PALPATION
    5/13/2014 thifa_qq@yahoo.com 9
    PALPATION
    5/13/2014 thifa_qq@yahoo.com 10
    PALPATION
    5/13/2014 thifa_qq@yahoo.com 11
    MOVEMENT
    5/13/2014 thifa_qq@yahoo.com 12
    MOVEMENT
    Range the Joi nts
    Decreased / i ncreased movement?
    Watch for swel ling, pai n, sti f fness, weakness i n movement
    Li sten for crepi tus or popping
    Watch for abnormal movement
    Note: qual ity of movement, crepi tus, pai nful range, l ooseness
    or excessive range
    5/13/2014 thifa_qq@yahoo.com 13
    RANGE OF MOTION (ACTIVE)
    5/13/2014 thifa_qq@yahoo.com 14
    MOVEMENT
    5/13/2014 thifa_qq@yahoo.com 15
    MOVEMENT
    5/13/2014 thifa_qq@yahoo.com 16
    MOVEMENT
    5/13/2014 thifa_qq@yahoo.com 17
    MOVEMENT
    Range the j oi nt passi vely, compare to the acti ve poi nts
    Note any decreased / i ncreased movement
    Pai n wi th the movement
    Any crepi tus or poppi ng?
    5/13/2014 thifa_qq@yahoo.com 18
    RANGE OF MOTION (PASSIVE)
    5/13/2014 thifa_qq@yahoo.com 19
    SPECIAL TEST
    5/13/2014 thifa_qq@yahoo.com 20
    SPECIAL TEST
    5/13/2014 thifa_qq@yahoo.com 21
    SPECIAL TEST
    Neer' s si gn (forward fl exion/internal rotati on) for subacromial
    i mpi ngement
    SPECIAL TEST - SHOULDER
    5/13/2014 thifa_qq@yahoo.com 22
    Hawkin' s si gn (90 abduction and 45 of hori zontal
    adduction, then humeral i nternal rotati on) for sub- acromi al
    i mpi ngement.
    SPECIAL TEST - SHOULDER
    5/13/2014 thifa_qq@yahoo.com 23
    5/13/2014 24 thifa_qq@yahoo.com
    ELBOW
    5/13/2014 thifa_qq@yahoo.com 25
    INSPECTION
    5/13/2014 thifa_qq@yahoo.com 26
    INSPECTION
    5/13/2014 thifa_qq@yahoo.com 27
    PALPATION
    5/13/2014 thifa_qq@yahoo.com 28
    PALPATION
    5/13/2014 thifa_qq@yahoo.com 29
    MOVEMENT
    5/13/2014 thifa_qq@yahoo.com 30
    MOVEMENT
    5/13/2014 thifa_qq@yahoo.com 31
    MOVEMENT
    5/13/2014 thifa_qq@yahoo.com 32
    SPECIAL TEST - ELBOW
    5/13/2014 33 thifa_qq@yahoo.com
    WRIST
    Swel ling or deformities
    Fl exi on, extensi on
    Ul nar & radi al deviation of the wri st?
    5/13/2014 thifa_qq@yahoo.com 34
    INSPECTION
    5/13/2014 thifa_qq@yahoo.com 35
    INSPECTION
    5/13/2014 thifa_qq@yahoo.com 36
    INSPECTION
    5/13/2014 thifa_qq@yahoo.com 37
    NSPECTION
    5/13/2014 thifa_qq@yahoo.com 38
    PALPATION
    5/13/2014 thifa_qq@yahoo.com 39
    PALPATION
    5/13/2014 thifa_qq@yahoo.com 40
    PALPATION
    5/13/2014 thifa_qq@yahoo.com 41
    MOVEMENT
    5/13/2014 thifa_qq@yahoo.com 42
    MOVEMENT
    5/13/2014 thifa_qq@yahoo.com 43
    MOVEMENT
    Determine stability of j oi nt by examining for abnormal
    mobi l ity
    Testing i ntegri ty of l i gaments and arti cular surface

    Mi l d : mi ni mal fi bres torn, stabili ty OK
    Moderate : parti al tear, some l oss of stabi lity
    Severe : compl ete rupture, unstable j oi nt
    5/13/2014 thifa_qq@yahoo.com 44
    LIGAMENT STRESS TESTING
    5/13/2014 thifa_qq@yahoo.com 45
    MOVEMENT
    5/13/2014 thifa_qq@yahoo.com 46
    MOVEMENT
    5/13/2014 thifa_qq@yahoo.com 47
    MOVEMENT
    5/13/2014 thifa_qq@yahoo.com 48
    SPECIAL TEST FOR WRIST
    5/13/2014 thifa_qq@yahoo.com 49
    SPECIAL TEST FOR THE WRIST
    5/13/2014 thifa_qq@yahoo.com 50
    SPECIAL TEST FOR WRIST
    5/13/2014 51 thifa_qq@yahoo.com
    THE HAND
    5/13/2014 thifa_qq@yahoo.com 52
    INSPECTION
    5/13/2014 thifa_qq@yahoo.com 53
    INSPECTION
    5/13/2014 thifa_qq@yahoo.com 54
    INSPECTION
    5/13/2014 thifa_qq@yahoo.com 55
    INSPECTION
    5/13/2014 thifa_qq@yahoo.com 56
    INSPECTION
    5/13/2014 thifa_qq@yahoo.com 57
    INSPECTION
    5/13/2014 thifa_qq@yahoo.com 58
    INSPECTION
    5/13/2014 thifa_qq@yahoo.com 59
    PALPATION
    5/13/2014 thifa_qq@yahoo.com 60
    MOVEMENT
    5/13/2014 thifa_qq@yahoo.com 61
    MOVEMENT
    5/13/2014 thifa_qq@yahoo.com 62
    MOVEMENT
    5/13/2014 thifa_qq@yahoo.com 63

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