Hand and Wrist Examination - OSCE Guide (Latest) | UKMLA | CPSA

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  • Опубліковано 11 чер 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.
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КОМЕНТАРІ • 49

  • @geekymedics
    @geekymedics  3 роки тому +11

    Supercharge your clinical skills with our collection of OSCE Stations, Questions and Flashcards 👾 geekymedics.com/bundles

  • @stormblessed2321
    @stormblessed2321 5 років тому +302

    She pocketed that coin.

  • @geekymedics
    @geekymedics  5 років тому +18

    Help support us by buying our app subscription and get early access to our latest videos geekymedics.com/geeky-medics-app/ 🙌

    • @kiranpannu1025
      @kiranpannu1025 5 років тому

      Geeky Medics done

    • @fbk2556
      @fbk2556 4 роки тому

      Can you please make a video in how to approach teaching student in osce senarios for plab 2. There are many teaching stations recently

  • @hafsajabeen5303
    @hafsajabeen5303 3 роки тому +119

    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

    • @huzaifagill001
      @huzaifagill001 Рік тому +1

      Ok Hafsa

    • @Aadil99
      @Aadil99 Рік тому

      Thank you madam 👍

    • @drkpk384
      @drkpk384 8 місяців тому

      yes

    • @mouf725
      @mouf725 2 місяці тому

      Thank you for this summary - don't forget thumbs to ceiling and push down as a separate test for median nerve!

  • @graces2860
    @graces2860 4 роки тому +22

    Thank you for helping me study for my OSCE😊

  • @ibrahemkamal7229
    @ibrahemkamal7229 7 місяців тому +9

    it would be extremely helpful if you did another version of this amazing video on a patient with a hand abnormality/finding!!

  • @moatazahmed3355
    @moatazahmed3355 5 років тому +4

    Great job

  • @hcupo
    @hcupo Рік тому +2

    These videos are great!!

  • @aalaaabduljalil8455
    @aalaaabduljalil8455 3 роки тому +2

    Fantastic channel

  • @majadbassam1032
    @majadbassam1032 5 років тому +17

    omy goood thank youuuuuu

  • @leilanid6853
    @leilanid6853 5 років тому +103

    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 :)

    • @geekymedics
      @geekymedics  5 років тому +20

      Thanks for the feedback Leliani, we appreciate it :)

    • @andrewj7752
      @andrewj7752 5 років тому +67

      Leilani D I’m gonna pretend like I know what your saying

    • @TheNeuteredCat1
      @TheNeuteredCat1 4 роки тому +2

      @@andrewj7752 loooooolll

    • @muhammadah6850
      @muhammadah6850 7 місяців тому

      @@andrewj7752proximal = closer to body
      Later = outside part of body

  • @ccjh0806
    @ccjh0806 5 років тому +80

    Hi great video, but did you forget to inspect the nail for changes though?

    • @geekymedics
      @geekymedics  5 років тому +73

      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.

    • @bethanymcdermott3954
      @bethanymcdermott3954 11 місяців тому +4

      It says inspect for skin and nail changes right at the beginning during inspection of the hands.

  • @redaabdulhaleem6100
    @redaabdulhaleem6100 5 років тому +4

    Thank you

  • @pdog109
    @pdog109 5 років тому +197

    He didn't putapitofpaper on it come on man

  • @mohammednayemhossain8211
    @mohammednayemhossain8211 Рік тому +2

    Thanks!

  • @User-to7nb
    @User-to7nb 3 роки тому +20

    hi thErE I'm andrew and im a final year medical student

  • @louisaaa6353
    @louisaaa6353 2 роки тому +1

    Is Thumb abduction against resistance for radail nerve or median nerve?

  • @okokokjack
    @okokokjack 4 роки тому +6

    Is the coin acceptable from an infection control perspective? Ps thanks for the video.

  • @kevin6293
    @kevin6293 2 роки тому +6

    I read the comments before getting to 4:41 so I thought it said “Observe the patient pocketing a small object.”

  • @user-ks1ny7gy9i
    @user-ks1ny7gy9i 2 роки тому

    Thannnnnk youuuuuuuu

  • @kabindraification
    @kabindraification 5 років тому +9

    whats the significance of function / pincer grips ? which dermatome affected? ? ?

    • @ellesrevisionsession
      @ellesrevisionsession 5 років тому +6

      OK sign = median nerve

    • @joece1130
      @joece1130 4 роки тому +2

      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.

  • @vipcrownemoji2272
    @vipcrownemoji2272 5 років тому +58

    It would be nice if all osce cases were normal lol we always get the most complicated cases on osce

    • @caffeinefix2751
      @caffeinefix2751 Рік тому +5

      Iraqi medical schools are always the hardest, my dad tells me

    • @sparklingsun5223
      @sparklingsun5223 Рік тому +1

      @@caffeinefix2751 haha so does mine

    • @Mmmmy768
      @Mmmmy768 Рік тому +1

      @@caffeinefix2751yes…..
      And we so tired

  • @dulce654
    @dulce654 Рік тому

    Does someone else has difficulty when palpating DIP joints? :'c

  • @robertobobby7646
    @robertobobby7646 Рік тому +1

    Hand and fingers examination to determine if they are in proper function .👍

  • @thamarafonseka2997
    @thamarafonseka2997 4 місяці тому

    I hope i won't say her examination findings are negative at my osce today 😢

  • @neilcarroll4579
    @neilcarroll4579 4 роки тому +6

    Dr Who visiting the Doctor , classic

  • @izakmizrahi8569
    @izakmizrahi8569 11 місяців тому

    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