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Step by Step Hand​ Examination Guide - Medical School Revision - Dr Gill • Clinical examination of the hand can be quite challenging, as it is more engaged than many of the other orthopaedics examinations. We'll help with your medical school revision through guided explanation of how to examine the hands • As with any orthopaedic assessment, the Hand​ Examination Clinical Skills OSCE examination will be expecting you to approach with the standard Look, Feel, Move approach which you'll be already familiar with • People often find the Clinical Skills OSCE to be daunting and the Hand examination even more so, as it is quite an engaged OSCE station. However, as with everything at medical school, repetition is going to be key in understanding how you are assessing the patient, positioning your hands, and manipulating the patient. • Please note the hand examination also includes the special tests Tinel's Test and Phalen's Test to examine for carpal tunnel syndrome, which can be worsened in pregnancy, osteoarthritis and rheumatoid arthritis • During the Hand examination, the wrist is also assessed, as you should always examine the joint above and the below the joint are focusing your initial assessment on • ---- • This video is part of a series focusing on the hand • Hand Examination Explained - • Step by Step Hand​ Examination Guide ... • Hand Exam Demonstration - • Hand​ Examination Clinical Skills Dem... • Older Hand Exam Demo - • Hand​ Examination Clinical Skills OSC... • Carpal Tunnel Examination - • How To Check for Carpal Tunnel Syndro... • Carpal Tunnel Anatomy - • Hand Anatomy - The Carpal Tunnel - Dr... • • ----- • Please note that there is no ABSOLUTE way to perform a clinical examination. Different institutions and even clinicians will have differing degrees of variations - the aim is the effectively identify medically relevant signs. • However during OSCE assessments. Different medical schools, nursing colleges, and other health professional courses will have their own preferred approach to a clinical assessment - you should concentrate on THEIR marks schemes for your assessments. • The examination demonstrated here is derived from Macleods Clinical Examination - a recognized standard textbook for clinical skills. • Some people watching this video may experience and ASMR phenomenon • #clinicalskills #hands #DrGill • You can now consult via video or in person with Dr Gill at Dr Finlay’s Private Practice - https://www.drfinlays.co.uk/services/... • 00:00 - Introduction • 00:24 - Patient Identification and Consent • 00:50 - Identifying Dominant Hand • 01:33 - Observing Wrist and Hand Swelling • 02:17 - Palm and Nail Examination • 02:58 - Checking for Muscle Wasting and Nerve Compression • 03:21 - Checking for Psoriasis • 03:56 - Palpation Techniques for the Hand • 04:59 - Identifying Inflammation and Synovitis • 05:50 - Anatomical Snuff Box Examination • 07:00 - Importance of Scaphoid Bone Health • 07:44 - Palpation on the Opposite Side of the Hand • 08:27 - Testing for Trigger Finger • 09:01 - Assessing Hand and Finger Movement • 09:27 - Observing for Osteoarthritis Signs • 10:47 - Recognizing Structural Deformities • 11:51 - De Quervain's Tendonitis Assessment • 12:56 - Movement Testing • 14:29 - Opposition Movements • 15:30 - Movements of the Thumb • 16:20 - Assessing Nerve Function Through Hand Gestures • 18:14 - Effective Movements and Functional Testing • 18:51 - Special Tests for Carpal Tunnel Syndrome • 19:55 - Conclusion
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