MSK - Hand exam Flashcards
1
Q
Preparing patient
A
Expose wrist AND elbows!
2
Q
Procedure of exam
A
Inspection
Palpation
Movement
3
Q
Inspection (5)
A
Check elbows for plaques Swelling of any joints Nails for psoriatic changes Skin for sclerodactylyl Muscle wasting
4
Q
Name deformities at MCPJs and digits
A
MCPJs: ulnar deviation
Digits: swan neck, boutonniere, z-shaped thumb
5
Q
Palpation (3)
A
Temperature
Squeeze MCPs for tenderness
Palpate swollen joints for synovitis
6
Q
Movements (5)
A
Pray sign, then pray sign with backs of hands (wrist flexion and extension) make a fist squeeze my finger pincer grip (i try to pull it apart) hook grip (i try to pull apart)
7
Q
Fine movements (2)
A
pick up coin
hold a pen
