Check out the video on shoulder examination! In this video, we explain the different steps involved in a shoulder examination, including inspection, palpation, and movement. th-cam.com/video/ERskTOC5LR4/w-d-xo.html
- Intro 1 - I would like to examine your knees 2- I want you to undress from the thigh downwards/I can see you are adequately exposed 3- I will have a chaperone with me to ensure your privacy 4- Is that alright? - Inspection 1 - Inspection of leg: redness, swelling, hair loss, shiny skin. 2- On dorsum of both feet, no thick skin, pallor, ingrowing toe nails , amputation 3 - Now I will touch your toes. Check between toes. No fungal infection between toes. No thick skin, hard corn 4- Please raise your rt leg, relax, raise your lt leg, relax. No pressure ulcer on heels 5- Please bend both legs for me. No skin changes at the back of the legs - Palpation 1- I'll check the temp of your legs. If you have pain, let me know. No local rise of temp, no tenderness. 2- Now I'll check the pulses. Distal pulses are present 3- Capillary refill time is normal - Tests 1- I'll be touching different parts of your leg with this cotton wisp. Please close your eyes and say yes when you feel it. This is how it feels. 2- I'll be doing the same thing with this neuro pin now. Please close your eyes and say yes when you feel it. This is how it feels 3- I'll be vibrating this tuning fork and placing it in different parts of your legs. Please close your eyes and say yes when you feel it.This is how it feels. 4- Now I'll check your joint position sense. Show him. Close eyes. Tell me if it's up or down 5- Tell him to open eyes after each After each: Pt has loss of fine sensation/ pain sensation below mid shin in both legs. Vibration sensation is intact in pt. Joint position sense is intact - Motor 1- Now I'll check your motor system. Bulk appears to be normal in both legs. Ideally, I'd check with measuring tape 2- Now I'll check the tone in both legs. Please go floppy. Tone is normal in pt 3- Now I'll be checking the power. I'll be pressing your legs, Press against my force. Bend both legs. Same. Then feet. Power is normal in pt 4- I'll be tapping on diff parts of your leg with this hammer. Don't worry It won't hurt. Please go floppy ( Knee, Achilles). Reflexes are normal
Adequate exposure + Chaperone + Consent Skin color-abnormalities, hair distribution, nails, amputation - Check btw toes ( Fungal infection ) - Raise right leg, then left - Bend both legs Palpate: Temperature Tender Pulses + CRT Cotton whool then pin then tuning fork, feel or no? Pull/push toes, feel or no? Motor activity and tone, - roll legs - elevate legs - circular foot Power - push against my hand in all directions - bend legs and push against my hand - Foot Hammer ( Tap on patella and achilles bilat )
Thank you for your video...However, Audio quality is very poor...As paid subscribers are also watching those videos as well...Please improve audio quality. Thank You.
Very much appreciated Dr. Ankur. How to check for antalgic or high stepping gate here? Should we examine gait within the diabetic foot examination station?
Is it normal to vocalise negative findings ? In my previous training we were told to omit negative findings from the presentation and only focus on positive findings. If no positive finding it would be adequate to say the findings were normal.
Yes I am recovering from a diabetic wound and after 7 weeks of antibiotics IV treat ment I am having difficulty with double vision for about a week. I have informed. the home health nurse and have a doctor's visit next Monday
CAC Kachnaar Guggul- These herbal tablets are prepared from ingredients like Kachnaar bark, Shunthi, Pippali, Haritaki, Bibhitaki, etc that are good for ovarian cyst. As the use of these tablets reduces the size of cyst and finally remove it out from the body. The signs and symptoms related to such women are treated with the regular use of the tablets.
Get in touch with us for details regarding PLAB 2 Course Email: info@aspire2plab.com 👉www.aspire2plab.com 👉www.thestudygenie.com Whatsapp: +44 7438 559952 Hurry! Book Now: links.aspire2plab.com 🔥🔥
Check out the video on shoulder examination! In this video, we explain the different steps involved in a shoulder examination, including inspection, palpation, and movement.
th-cam.com/video/ERskTOC5LR4/w-d-xo.html
- Intro
1 - I would like to examine your knees
2- I want you to undress from the thigh downwards/I can see you are adequately exposed
3- I will have a chaperone with me to ensure your privacy
4- Is that alright?
- Inspection
1 - Inspection of leg: redness, swelling, hair loss, shiny skin.
2- On dorsum of both feet, no thick skin, pallor, ingrowing toe nails , amputation
3 - Now I will touch your toes. Check between toes. No fungal infection between toes. No thick skin, hard corn
4- Please raise your rt leg, relax, raise your lt leg, relax. No pressure ulcer on heels
5- Please bend both legs for me. No skin changes at the back of the legs
- Palpation
1- I'll check the temp of your legs. If you have pain, let me know. No local rise of temp, no tenderness.
2- Now I'll check the pulses. Distal pulses are present
3- Capillary refill time is normal
- Tests
1- I'll be touching different parts of your leg with this cotton wisp. Please close your eyes and say yes when you feel it. This is how it feels.
2- I'll be doing the same thing with this neuro pin now. Please close your eyes and say yes when you feel it. This is how it feels
3- I'll be vibrating this tuning fork and placing it in different parts of your legs. Please close your eyes and say yes when you feel it.This is how it feels.
4- Now I'll check your joint position sense. Show him. Close eyes. Tell me if it's up or down
5- Tell him to open eyes after each After each: Pt has loss of fine sensation/ pain sensation below mid shin in both legs. Vibration sensation is intact in pt. Joint position sense is intact
- Motor
1- Now I'll check your motor system. Bulk appears to be normal in both legs. Ideally, I'd check with measuring tape
2- Now I'll check the tone in both legs. Please go floppy. Tone is normal in pt
3- Now I'll be checking the power. I'll be pressing your legs, Press against my force. Bend both legs. Same. Then feet. Power is normal in pt
4- I'll be tapping on diff parts of your leg with this hammer. Don't worry It won't hurt. Please go floppy ( Knee, Achilles). Reflexes are normal
Thanks 😊
Really helpful, concise videos; thank you!
Thank you very much Dr Ankur really appreciated your effort
Adequate exposure + Chaperone + Consent
Skin color-abnormalities, hair distribution, nails, amputation
- Check btw toes ( Fungal infection )
- Raise right leg, then left
- Bend both legs
Palpate:
Temperature
Tender
Pulses + CRT
Cotton whool then pin then tuning fork, feel or no?
Pull/push toes, feel or no?
Motor activity and tone,
- roll legs
- elevate legs
- circular foot
Power
- push against my hand in all directions
- bend legs and push against my hand
- Foot
Hammer ( Tap on patella and achilles bilat )
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Thank you for your video...However, Audio quality is very poor...As paid subscribers are also watching those videos as well...Please improve audio quality.
Thank You.
Noted, we are improving our quality. You can checkout our new videos
@@ankurgarg3134 Thank You.. 🙂
I think we just use monofilament for sole. Do we have to test with cotton wisp for fine sensation ove sole?
Very much appreciated Dr. Ankur. How to check for antalgic or high stepping gate here? Should we examine gait within the diabetic foot examination station?
Well PLAB2 allows only 8 minutes, including presentation and C/O check and all, so ... too long for that. But yeah well detailed, thanks
This is diabetic and lower limb neurological exams combined
it will be told what is the case?
or i have to identify by myself?
dont we do fine touch and cotton wool on dermatomal fashion and ask if its same on both legs?
Is it normal to vocalise negative findings ? In my previous training we were told to omit negative findings from the presentation and only focus on positive findings. If no positive finding it would be adequate to say the findings were normal.
Any double vision?
Yes I am recovering from a diabetic wound and after 7 weeks of antibiotics IV treat ment I am having difficulty with double vision for about a week. I have informed. the home health nurse and have a doctor's visit next Monday
Thank you
CAC Kachnaar Guggul- These herbal tablets are prepared from ingredients like Kachnaar bark, Shunthi, Pippali, Haritaki, Bibhitaki, etc that are good for ovarian cyst. As the use of these tablets reduces the size of cyst and finally remove it out from the body. The signs and symptoms related to such women are treated with the regular use of the tablets.
I thought he was dummy 😂 sorry
Complete examination is wrong. U dont even know how to immobilize the big toe before checking propeioception.
Get in touch with us for details regarding PLAB 2 Course
Email: info@aspire2plab.com
👉www.aspire2plab.com
👉www.thestudygenie.com
Whatsapp: +44 7438 559952
Hurry! Book Now: links.aspire2plab.com 🔥🔥
Really helpful, concise videos; thank you!
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