Dermato Musculoskeletal: Pemeriksaan Anamnesis & Muskuloskeletal
Summary
TLDRIn this clinical demonstration, Dr. Fahad, a surgical specialist, explains the process of anamnesis and musculoskeletal examination in a structured manner. The session includes a detailed inquiry into the patient's condition, highlighting key aspects such as pain quality, location, and severity, using the PQRST method. Dr. Fahad emphasizes the importance of a thorough physical examination, showcasing techniques like visual inspection, palpation, and assessing movement limitations. This informative video serves as a valuable resource for medical students and professionals interested in musculoskeletal disorders.
Takeaways
- 👨⚕️ Dr. Fahad introduces himself as a surgical specialist focusing on musculoskeletal examination techniques.
- 🩺 The clinical skylabs session aims to educate viewers on anamnesis and physical examination of musculoskeletal disorders.
- 📝 Anamnesis involves gathering patient history and understanding the nature of their pain.
- 🔍 The PQRST method is used to assess pain: Position, Quality, Radiation, Severity, and Timing.
- 🤕 The patient, Mr. Adit, reports pain in his right arm following an incident at work.
- 👁️ The physical examination is divided into three components: Look, Feel, and Move.
- ⚖️ During the 'Look' phase, the examiner observes for deformities, swelling, and other abnormalities.
- 🤲 The 'Feel' phase includes palpating the injury site to check for temperature changes and crepitus.
- 📏 In the 'Move' phase, the range of motion is assessed to determine any limitations or pain during movement.
- 📚 Dr. Fahad emphasizes the importance of thorough examinations for accurate diagnosis and effective patient care.
Q & A
What is the primary focus of the clinical demonstration presented by Dr. Fahad?
-The primary focus is on anamnesis and physical examination of musculoskeletal issues.
What specific complaint does the patient, Mr. Adit, present during the examination?
-Mr. Adit presents with pain in his right arm, specifically in the lower portion.
How did Mr. Adit sustain his injury?
-He sustained the injury at work when he fell and tried to catch himself with his arm.
What are the three main components of the anamnesis discussed in the video?
-The three main components are the nature of pain, incident history, and the use of the PQRST method.
What does the 'P' in the PQRST method represent?
-The 'P' represents 'Position,' which refers to identifying the anatomical location of the pain.
Why is comparing the injured arm to the healthy one important during the physical examination?
-It helps to identify any deformities, such as swelling or shortening, which may indicate the severity of the injury.
What does the 'Feel' step in the physical examination involve?
-The 'Feel' step involves assessing the temperature of the affected area, palpating for tenderness, and checking for crepitus.
What kind of movements does Dr. Fahad perform in the 'Move' step?
-In the 'Move' step, Dr. Fahad conducts passive movements of the elbow joint to evaluate range of motion and pain response.
What can crepitus during the physical examination indicate?
-Crepitus can indicate the possibility of fractures or subcutaneous emphysema.
What is Dr. Fahad's hope for the educational value of the video?
-Dr. Fahad hopes the video serves as a useful educational tool for viewers to enhance their understanding of musculoskeletal examinations.
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