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Introduction to Exam Skills: Musculoskeletal (Small groups only) - |
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October 21, 2009 3:00 PM - 5:00 PM |
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| Assignment Due Today: |
Students should preview the Musculoskeletal lecture and the "Musculoskeletal" exam on the physical exam DVD on PCM Online prior to today's session.
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| Student Readings: |
| Mosby |
710-740, 745-746 |
Musculoskeletal System. |
| Syllabus |
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Musculoskeletal Exam DVD checklist. |
| Video |
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Knee Exam |
| Video |
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Knee Exam-McMurray's Test |
| Video |
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Shoulder Exam |
| Syllabus |
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Musculoskeletal Exam lecture |
| Knee Videos |
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Go to: http://meded.ucsd.edu/clinicalmed/joints.htm
View:
Video Demonstrating Assessment of Medial Joint Line Tenderness
Video Demonstrating Assessment of Lateral Joint Line Tenderness
Video showing McMurray's Test
Video Demonstrating Medial Collateral Ligament Testing
Video Demonstrating Lateral Collateral Ligament Testing
Video Demonstrating Anterior Drawer Test
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| Shoulder Videos |
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Go to: http://meded.ucsd.edu/clinicalmed/joints2.htm
View:
Video Demonstrating Neer’s and Hawkin’s Tests
Video Demonstrating Rotator Cuff Testing
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| Faculty Only: |
| Syllabus |
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Faculty copy of Mosby reading |
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| Internet Sites: |
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| Session Goal: |
To present/review basic concepts and vocabulary of the musculoskeletal exam: range of motion, palpation, and inspection.
To model examination procedures (as presented on DVD) and provide feedback as students practice examinations of the shoulder, elbow, forearm, wrist, hand, back, knee, and ankle.
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| Student Objectives: |
Define assessment grades 1 - 5 on the muscle strength scale.
Demonstrate an examination of any joint including:
Inspection
Palpation for joint or periarticular tenderness
Active ROM
Passive ROM
Special maneuvers
Demonstrate an examination of any joint including:
Inspection
Palpation for joint or periarticular tenderness
Active ROM
Passive ROM
Special maneuvers
Muscle strength testing
Describe normal ROM for the movements of the shoulder, elbow, hip, knee, ankle, and spine.
Describe and demonstrate a complete knee exam including:
Evaluation for joint effusion, swelling, or deformity
Palpation for tenderness
Range of motion (active and passive)
Muscle strength testing
Joint specific tests
Ligament stability
Meniscus tear
Describe and demonstrate complete shoulder exam including:
Inspection for joint effusion, swelling, or deformity
Palpation for tenderness
Range of motion (active and passive)
Muscle strength testing
Joint specific tests
Rotator cuff tendinitis (Neer’s and Hawkin’s Tests)
Biceps tendinitis
Describe the actions of the rotator cuff muscles
Describe a complete spine exam including:
Inspection for alignment
Palpation for tenderness
Range of motion (active)
Tests for nerve root compression
Demonstrate proficiency in Musculoskeletal Exam using DVD checklist.
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| Small Group Activities: |
- Using DVD checklist, have students practice musculoskeletal exam in pairs.
- Each student should demonstrate the musculoskeletal exam, as demonstrated in the exam DVD, to their faculty group leader.
- In the last 15 minutes, students will break into 2 groups for a GOSCE-type exercise on the Musculoskeletal exam.
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Assignment
Due
Oct 28:
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Students should preview the Eyes and Ears lecture and the "Eyes and Ears" exams on the physical exam DVD on PCM Online prior to today's session.
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