Check out the shoulder examination mark scheme here. Simple osce is designed to help students with their osce examinations, providing highquality markschemes. Explain the examination, obtain consent and a chaperone and then proceed to wash hands. Youll be expected to pick up the relevant clinical signs using your examination skills. Osce stations examination mbbs4 orthopaedics shoulder exam shoulder exam may 28. Orthopaedicrheumatological hand and wrist examination. This video produced by students at oxford university medical school in conjunction with the faculty demonstrates how to perform an orthopaedic examination of the shoulder joint. Validity evidence for two objective structured clinical examination. The hand and wrist examination, along with all other joint examinations, is commonly tested on in osces. Applied examination objective structured clinical examination osce content outline expanded each osce scenario will address one of the following skills.
This basically presses the tendons of the shoulder cuff against the coracohumeral ligament. The shoulder examination follows the look, feel, move rule of joint exams. Occasionally it can be the underlying cause of other conditions such as sciatica the spine examination, along with all other joint examinations, is commonly tested on in osces. To print or pdf mark sheets click the title to view and click on. The shoulder examination, along with all other joint examinations, is commonly tested on in osces. Examination of the knee joint introduction introduce yourself wash hands briefly explain to the patient what the examination involves ask the patient remove their bottom clothing, exposing the knee inspection whilst patient standing patient gait assess for asymmetry. Briefly explain to the patient what the examination involves.
Swelling of the shoulder joint may be visible due to a joint effusion, or synovial thickening. Some differences can occur due to shoulder dominance. Start disable copy paste please help support osce i spend ages writing each station and updating the website. Back pain is one of the most common presentations to accident and emergency and general practice. If you remember these steps then it will help perform the exam. A collection of musculoskeletal msk osce guides including video demonstrations and osce mark schemes. Shoulder examination for the mrcs part b ocse surgery. See the written guide alongside the video here download the app here. This shoulder examination osce guide provides a clear step by step approach to examining the shoulder, with an included video demonstration. Shoulder examination musculoskeletal osce skills medistudents. Instability the common disorders arise from diseases of the following structures. This article will describe the requirements of the clinical examination part.
Check out the geeky medics quiz platform, with over. Osce example scenarios this document provides example scenarios for skills described in the applied examination objective structured clinical examination osce content outline. Leicester sims leicester medical student hub presents a full shoulder examination. Shoulder examination introduction shoulder disorders are can be broadly classified into the following types. By the time you get to the sensory exam you should know what you are expecting to find and use it to confirm andor narrow down differentials. Examination of the eyes and vision osce guide geeky medics. An extension to this station may be to assess the rotator cuff muscles individually, you should therefore be aware how to do this. Examination of the eyes and vision frequently appears in osces.
Other causes are degenerative joint disease and arthritis. Clinical examination a comprehensive collection of clinical examination osce guides that include stepbystep images of key steps, video demonstrations and pdf mark schemes. Musculoskeletal exam osce stations the medical textbook. The shoulder is a ball and socket joint formed from three bones the clavicle. Position always position your patient as you would like to examine them before you begin. Common causes of back pain include arthritis, prolapsed disc, and muscular injuries. To complete exam to complete my examination i would examine the joint above, and also do a full neurovascular exam would you like me to do this now. Discussion of treatment options and informed consent obtain informed consent from a patient. Shoulder examination osce guide old version youtube. All osce notes and osce examinations are downloadable for medicine osce exam finals revision. Compared to other joint exams, the shoulder examination is often chosen as an osce station and you should prepare for it accordingly. Feel for example, feeling a joint to see if it is hot or swollen. The upper limb examination is another skill to elicit neurological signs, such as nerve problems that supply the arms and hands.
Pdf background this article provides clinicians with a users guide on the performance of the shoulder physical examination tests most. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. The ottawa knee rules a useful clinical decision tool. Initial assessment of the injured shoulder pdf 431kb. Table 4 provides details of the muscles of the shoulder and figure 38ad illustrations of. Shoulder pain is one of the most common complaints in the outpatient setting. Pdf a users guide to performance of the best shoulder physical. In each case it is important to be familiar with some basic examination tools that can help us confirm the presence of a shoulder lesion. The shape, position and function of each shoulder should be relatively similar. A stepbystep guide to performing shoulder examination in an osce setting, with an included video demonstration. Deformity of the joint and fractures and dislocations are usually obvious figure 37a,b. Summarise and suggest further investigations you would do after a full history. Vague shoulder pain with a normal physical examination should increase. Look inspect and observe the patient and around the patients bedside.
Upper limb neurological examination neurology osce. Print pdf if theres any errors just leave a comment and it will be fixed asap. The examination of all joints follows the general pattern of look, feel, move as well as. The elbow examination, along with all other joint examinations, is commonly tested on in osces. This guide provides a stepbystep approach to examining the eyes, assessing vision and performing fundoscopy. The key principle with this phase of the shoulder examination is symmetry. Offers examination of shoulder and hip, neurovascular exam and history. You should ensure you are able to perform this confidently. Then flex the elbow to 90 so that this forearm is parallel to the floor.
Case 5 shoulder pain tim milligan november 16, 2015 musculoskeletal you are seeing mrs. To complete exam to complete my examination i would examine the joint above and joint below, and also do a full neurovascular exam distal to. Examination of the shoulder joint introduction introduce yourself wash hands briefly explain to the patient what the examination involves ask the patient to expose their shoulders fully inspection look anterior, lateral, and posterior asymmetry or deformity scars or skin changes muscle bulk palpate temperature. Ask whether the patient is in any pain, especially in the shoulder area, and ask them to report if they have any pain at any point of the examination. Shoulder examination instructions examine the shoulder joint of this patient examiner summarise your. General principles musculoskeletal exam performed if symptoms i. Now, press down on the patients wrist and at the same time try to forcibly inwardly rotate the shoulder joint. The etiology is most of the time traumatic and related either to sport or accidents. The joint is susceptible to injury due to its high mobility and instability. Shoulder examination may be tested during the mrcs osce. Kossopoulos, a 26 year old woman, for shoulder pain that has steadily worsening over the last few weeks, during which time shes been playing softball. Shoulder exam stanford medicine 25 stanford university.
Patients may present with a number of complaints including altered sensation, for example. This video aims to give you an idea of whats required in the osce and you can then customise the examination to suit your own personal style. Shoulder exam stanford medicine 25 stanford medicine. A comprehensive collection of clinical examination osce guides that include stepbystep images of key steps, video demonstrations and pdf mark schemes.
In the real world it is not uncommon to face patients with rotator cuff injuries and dislocations, or. Osce guides clinical skills communication geeky medics. Introduce yourself, confirm the patients name and date of birth. Musculoskeletal exam osce stations in musculoskeletal exams it is all about 1 look, 2 feel, 3 move, 4 special tests. A collection of osce guides covering common osce stations with included video demonstrations and pdf mark schemes. Gp assessment of the shoulder keith littlebury msc grad dip phys. Osce content outline american board of anesthesiology. This is a passive movement, so the patient should be relaxed. This video aims to give you an idea of whats required in an elbow examination osce scenario. Hand and wrist examination musculoskeletal osce skills. Pain suggests ac pathology apprehension test o have the patient in the supine position, with the arm abducted 90 degrees and elbow flexed. There are 6 main concepts that need to be remembered for all of the regional examination of the musculoskeletal system. Pain suggests ac pathology apprehension test o have the patient in the supine position.
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