Hand and Wrist OSCE Flashcards
1
Q
Preparation:
A
Introduce self
Wash hands
Informed consent
Position - seated, exposed hands on pillow
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
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
4
Q
Move
A
(passive and active) (crepitus) Fingers: - Extend - Flex - Abduct - Adduct
Wrist:
- Flex
- Extend
- Phalens test
5
Q
Function
A
Power Grip
Pincer Grip
Pick up