Hand and Wrist Examination - OSCE Guide (Latest) | UKMLA | CPSA
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- čas přidán 16. 06. 2024
- This video provides a step-by-step demonstration of how to perform a hand and wrist examination in an OSCE station including Tinel's test and Phalen's test.
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Chapters:
- Introduction 00:00
- Inspection 00:30
- Temperature 00:54
- Pulses 01:09
- Muscle bulk 01:22
- Hand sensation 01:31
- MCP joint squeeze 01:56
- Palpation of hand joints 02:09
- Palpation of wrist joints 02:57
- Palpation of elbows 03:10
- Active movement 03:25
- Passive movement 03:45
- Motor assessment 03:57
- Hand function 04:24
- Tinel's test 04:50
- Phalen’s test 5:00
- Summary of findings 05:11
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Always adhere to your medical school/local hospital guidelines when performing examinations or clinical procedures. DO NOT perform any examination or procedure on patients based purely upon the content of these videos. Geeky Medics accepts no liability for loss of any kind incurred as a result of reliance upon the information provided in this video.
Some people have found this video useful for ASMR purposes.
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Can you please make a video in how to approach teaching student in osce senarios for plab 2. There are many teaching stations recently
Thank you for helping me study for my OSCE😊
Intro
Explain process
Inspect both sides
Lift arms
Feel temperature
Ask about pain
Palpate radial pulse both hands
Palmer thickening
Median nerve
Radial nerve
Squeeze metacarpophalangeal
Squeeze dip
Pip
Carpometacarpal
Palpate snuffbox
Palpate ulnar border
Fist form
Namasray
Opposite namasray
Passige flexion
Sprrad fingers anf push down
Them abduction
Power grip
Pincer grip
Coin pick
Tinel test
Phalen test
Thank u
Ok Hafsa
Thank you madam 👍
yes
Thank you for this summary - don't forget thumbs to ceiling and push down as a separate test for median nerve!
it would be extremely helpful if you did another version of this amazing video on a patient with a hand abnormality/finding!!
She pocketed that coin.
Hahahaha
These videos are great!!
Great job
Fantastic channel
Hi there! Thanks so much for the video - just one thing; the anatomical snuffbox is more proximal and lateral than the area you are palpating in this video - between the tendons of the extensor pollicis brevis and extensor pollicis longus, which can be better visualised with full finger extension + abduction :)
Thanks for the feedback Leliani, we appreciate it :)
Leilani D I’m gonna pretend like I know what your saying
@@andrewj7752 loooooolll
@@andrewj7752proximal = closer to body
Later = outside part of body
omy goood thank youuuuuu
He didn't putapitofpaper on it come on man
pdog109 Was looking for this comment, thanks
he also didn't blink once
Thank you
Thanks!
Thanks so much 🙂 👾
Hi great video, but did you forget to inspect the nail for changes though?
Yes looking for nail changes is important, that wasn’t labelled in the video but in reality you do this throughout the assessment. In particular nail signs of psoriasis could be highly relevant in the context of an inflammatory arthritis.
It says inspect for skin and nail changes right at the beginning during inspection of the hands.
hi thErE I'm andrew and im a final year medical student
I read the comments before getting to 4:41 so I thought it said “Observe the patient pocketing a small object.”
Is the coin acceptable from an infection control perspective? Ps thanks for the video.
Is Thumb abduction against resistance for radail nerve or median nerve?
Radial nerve
Thannnnnk youuuuuuuu
It would be nice if all osce cases were normal lol we always get the most complicated cases on osce
Iraqi medical schools are always the hardest, my dad tells me
@@caffeinefix2751 haha so does mine
@@caffeinefix2751yes…..
And we so tired
whats the significance of function / pincer grips ? which dermatome affected? ? ?
OK sign = median nerve
The examiner was checking dexterity of the fingers and thumb needed for ADLs such as buttoning shirts and picking up small objects like coins, ballpens, or pins.
Does someone else has difficulty when palpating DIP joints? :'c
Hand and fingers examination to determine if they are in proper function .👍
I hope i won't say her examination findings are negative at my osce today 😢
Inspect, elbows, temp, pulses, bulk, thickening slide, sensation, jt squeeze, feel every jt, palpate wrists/snuffbox, feel elbows, fist TKD, pray, upsidedown pray, wirst up/down, finger power, squeeze/pinch my fingers, coin, tap wrist tinel, upsidedown pray for 1min phalen
Dr Who visiting the Doctor , classic