Orthopaedic short case approach

Orthopaedic short case approachCreated OnApril 18, 2020Last Updated OnApril 18, 2020byadmin You are here: Main Clinical Examination Orthopaedic short case approach < All Topics Table of Contents General approach to short case   Normally examiner starts with the question “examine.” Or “have a look at and describe…”. Sometimes the examiner will give you a short summary of the patient that will guide you what to do. Listen carefully to the question of the examiner; what the examiner wants you to do. “Examine the right knee joint” is very different from “examine the lower limb”. Sometimes instruction is very clear and if you are asking, “Shall I examine the whole limb or shall I examine the knee joint?” Which makes the examiner easily irritable. Sometimes instruction is written somewhere around, do not forget having a look around. You may find some hints about the case something like brace or crutches used by the patient. First, you have to introduce yourself and request permission from the patient. Second, position the patient in anatomical position. Generally, in orthopaedics, lower limb examination can be started in supine or sitting position and upper limb examination can be started with sitting or standing position. Especially patient is in pain, you have to be careful in positioning. If you doubt the patient is in pain, you may request the examiner that you want to know whether the patient is painful or not before positioning. Most of the time in short cases, students are not allowed to communicate with the patient, however, this is the only question you are allowed to ask the patient under examiner approval. This only one question is really important clue for you where the patient feels pain is most probably the area you have to examine, do not miss to grab this opportunity. Third, you have to expose properly, in a case of upper limb, exposure is ideally up to upper chest, at least you must see sternoclavicular joint. However, there may be...

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