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(7) | | | | After a general examination of the patient, a systematic examination of any involved bones and joints must be carried out.
This will be under the headings of LOOK, FEEL AND MOVE.
Looking at the part affected should always include comparing the opposite arm or leg. It will include looking at the front, the back and the sides.
It should also include looking for any scars or sinuses, as well as skin discolouration, swellings or wasting of muscles.
Feeling will include warmth, sensation, tenderness and pulsation. Any masses should also be examined for fluctuation and adherence to the skin, bone or other structures.
Finally movement will include initially active movement or the movement performed by the patient, and then passive movement or the movement done by the examiner. Although theoretically all joints should be examined by active movements followed by passive movements, this is not usually practical, and after active movements only of the initial painful joint, all further examination should be carried out by gentle passive movements to save time. | | | | | Next > | | | | Slides 1-25 l Slides 26-50 l Slides 51-75 l Slides 76-100 l Slides 101-125 l Slides 126-150 Slides 151-175 l Slides 176-200 l Slides 201-225 l Slides 226-250 | |
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