Hand Examination - OSCE Guide (old version) | UKMLA | CPSA

Summary

In this medical examination, a student named Andrew assesses a patient named Stuart. The examination focuses on the patient's hands, including visual inspection, palpation of joints, and movement tests. Andrew checks for pain, sensation, and grip strength while guiding Stuart through various hand movements. He concludes that the examination shows no abnormalities, normal sensation, and a full range of motion. The assessment is thorough, suggesting a need to evaluate the patient's wrists and elbows next, indicating a comprehensive approach to patient care.

Takeaways

• 😀 Andrew, a medical student, begins by introducing himself to the patient, Stuart.
• 😀 Stuart consents to have his hands examined as part of the assessment.
• 😀 The examination involves both visual inspection and physical palpation of the hands and arms.
• 😀 Andrew checks for any pain during the examination, confirming that Stuart feels no discomfort.
• 😀 Temperature and pulse of the hands are assessed to check for abnormalities.
• 😀 Sensation is tested by touching various points on Stuart's hands while his eyes are closed.
• 😀 Andrew evaluates joint mobility by asking Stuart to perform specific movements with his hands.
• 😀 Strength in Stuart's hands is assessed through resistance tests against Andrew's push.
• 😀 A 50p coin is used to test fine motor skills in both hands.
• 😀 The overall conclusion indicates a normal hand examination, with no abnormalities found.

Q & A

What is the purpose of the examination conducted by Andrew?

The purpose of the examination is to assess the condition of Stuart's hands, including their range of motion, strength, and sensation.

How does Andrew begin the examination process?

Andrew begins by introducing himself, confirming Stuart's name, and asking for permission to examine his hands.

What specific tests does Andrew perform during the hand examination?

Andrew performs a general inspection, palpation of joints, temperature checks, pulse measurement, strength assessments, and sensory testing.

Did Stuart experience any pain during the examination?

No, Stuart reported no pain at any point during the examination.

What movements did Stuart have to perform during the examination?

Stuart was asked to make a prayer sign, press the backs of his hands together, make a fist, and squeeze Andrew's fingers among other movements.

How does Andrew assess the strength of Stuart's hands?

Andrew assesses hand strength by asking Stuart to resist pressure on his fingers and to squeeze Andrew's fingers and a coin.

What were the findings from the inspection of Stuart's hands?

The findings showed no obvious abnormalities, no increase in temperature, no tenderness in the joints, intact sensation, and a normal range of movement.

What does Andrew plan to do next after the hand examination?

Andrew plans to examine the joints above, specifically the wrist and elbow, to complete the assessment.

What does Andrew ask Stuart to do to test his fine motor skills?

Andrew asks Stuart to pick up a 50p coin with both hands to assess his fine motor skills.

How does Andrew ensure that the examination is comfortable for Stuart?

Andrew instructs Stuart to relax his arms and provides a pillow for support during the examination.