Hand and Wrist OSCE Flashcards

1
Q

Preparation:

A

Introduce self
Wash hands
Informed consent
Position - seated, exposed hands on pillow

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2
Q

Look:

A

Posture - Z deformities/Ulnar deviation

Muscle wasting - thenar/hypothenar eminence

Scars (carpal tunnel)

Symmetry (contralateral joint)

Nails:

  • Pitting
  • Onycholysis
  • Nail fold vascilitis
  • Splinter Haemorrhages
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3
Q

Feel

A

Joints (bimanual):

  • DIP
  • PIP
  • MCP
  • Wrists (+ wrist drop)

Temp:

  • Forearm
  • Wrist
  • MCP

tenderness
swelling

General:

  • Peripheral pulses
  • thenar/hypothenar eminence
  • tendon thickening
  • Gentle touch - ulnar and median nerves
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4
Q

Move

A
(passive and active) (crepitus)
Fingers:
- Extend
- Flex
- Abduct
- Adduct

Wrist:

  • Flex
  • Extend
  • Phalens test
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5
Q

Function

A

Power Grip

Pincer Grip

Pick up

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