Upper Limb Exam Order Flashcards
1
Q
What are the 9 steps for an upper limb exam?
A
- Introduction
- Position and exposure
- General inspection
- Tone
- Power
- Reflexes
- Sensation
- Co-ordination
- End
2
Q
What is needed in introduction?
A
- Checks patients name and states role
- Obtains consent for examination
- Washes hands
3
Q
What is needed in position and exposure?
A
- Appropriate exposure
2. Checks if any pain in limbs
4
Q
What is in general inspection?
A
- End of bed (looking for 2)
2. Screens arm function and assess for drift and intention tremor
5
Q
What things are you looking for at end of bed?
A
- muscle wasting
- fasciculations
- neurofibromas
- scars
6
Q
What do you do in tone?
A
- Checks tone in shoulder
- Checks tone in elbow
- Checks tone in wrist and hand join
7
Q
What do you do in power?
A
- Assess Power of Shoulder (abduction and adduction)
- Assess Power of Elbow (flexion and extension)
- Assess Power of Wrist (flexion and extension)
- Assess Power of finger abduction and thumb opposition
8
Q
What do you do in reflexes?
A
- biceps
- supinator
- triceps reflexes (+/- Jendrassik Maneuver)
9
Q
What do you do in sensation?
A
- Assesses Light Touch with Cotton Wool
- Correctly identifies dermatome distributions
- Assess Pain Sensation with Neuro-Tip (uses both sharp and blunt ends)
- Safely disposes of Neuro-tip
- Assess Vibration with appropriate Tuning Fork (128Hz)
- Uses sternum as reference point and compares like for like for all sensory assessments
- Assess Proprioception
10
Q
What do you do in coordination?
A
assesses Co-ordination with Finger-Nose test and checks for dysdiadochokinesia
11
Q
What do you do in the end of the exam?
A
- Thanks patient, helps cover up
- Washes hands
- Documents appropriately
- Appropriate summary of findings
- Able to identify pathology
