Dermato Musculoskeletal: Pemeriksaan Anamnesis & Muskuloskeletal

Summary

In 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.