Hand Examination Clinical Skills OSCE - 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 a demonstration of a hands examination OSCE.
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
Performed by Dr James Gill
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This video is part of a series
- Hand Examination Explained -
https://youtu.be/dJOqZoLdAbs
- Hand Exam Demonstration -
https://youtu.be/7aMvQmWR96Q
- Older Hand Exam Demo -
https://youtu.be/xyGWosM5VyI
- Carpal Tunnel Examination -
https://youtu.be/HToHhEObrP8
- Carpal Tunnel Anatomy -
https://youtu.be/20RMmTA4StE
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 #handexamination #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/video-consultation/
00:00 - Introduction and Patient Confirmation
00:40 - Hand Examination Begins
03:35 - Hand Movement Analysis
05:00 - Wrist Movement Evaluation
06:23 - Hand Strength and Flexibility Tests
08:00 - Conclusion