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Limbs examination
 

Limbs examination

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    Limbs examination Limbs examination Presentation Transcript

    • Introduction to Clinical Skills Limbs Examination Universidad Iberoamericana UNIBE
    • Introduction to Clinical Skills
      • Teaching Staff
        • Dra Elizabeth Peralta
        • Dr Marcos Núñez
        • Dra Cristina Páez C
        • Dr Juan Carlos Mariñez
        • Dra Wayna Greo
        • Dra Yun Pey Lee
    • Introduction to Clinical Skills
      • Objectives
        • Skin and Appendages
        • Peripheral Vascular
        • Neurological (Peripheral)
          • Sensory, Motor, Reflexes
        • Muscle-skeletal
          • Muscle tone, Muscle strength
    • Introduction to Clinical Skills Lower Extremities Universidad Iberoamericana UNIBE
    • Introduction to Clinical Skills
      • Skin and Appendages
        • Embriology-Anatomy-Histology-Physiology
        • The Health History
        • Health Promotion and Counseling
    • Introduction to Clinical Skills
      • Skin and Appendages
        • Embriology -Anatomy-Histology-Physiology
          • 11 weeks
      1.Periderm 2. Basal layer 3. Intermediate layer 4. Migrating melanoblast 5. Mesenchyme
    • Introduction to Clinical Skills
      • Skin and Appendages
        • Embriology- Anatomy -Histology-Physiology
    • Introduction to Clinical Skills
      • Skin and Appendages
        • Embriology-Anatomy- Histology -Physiology
    • Introduction to Clinical Skills
      • Skin and Appendages
        • Embriology-Anatomy-Histology- Physiology
    • Introduction to Clinical Skills
      • Skin and Appendages
        • The Health History
          • Rash
          • Moles (Nevus)
        • Health Promotion and Counseling
          • Risk factors for skin cancers
          • Avoidance of excessive sun exposrure
          • Avoid skin dryness
          • Nail cutting (pedicure)
          • Shoes
    • Introduction to Clinical Skills
      • Skin and Appendages
        • Forefoot Types
    • Introduction to Clinical Skills
      • Peripheral vascular exam
        • Anatomy
        • The Health History
        • Health Promotion and Conseling
    • Introduction to Clinical Skills
      • Peripheral vascular exam
        • Anatomy
    • Introduction to Clinical Skills
      • Peripheral vascular exam
        • The Health History
          • Pain in the legs
          • Intermittent claudication
          • Cold, numbness, pallor in the legs, hair loss
          • Swelling in calves, legs or feet
          • Color change in toes in cold weather
          • Swelling with redness or tenderness
    • Introduction to Clinical Skills
      • Peripheral vascular exam
        • Health Promotion and Counseling
          • Screening for peripheral arterial disease
          • Screening for renal artery disease
          • Screening for abdominal aortic aneurysm
    • Introduction to Clinical Skills
      • Peripheral vascular exam
        • Risk factors for Lower-Extremity arterial peripheral disease
          • Age younger than 50 years with diabetes or atherosclerosis risk factor of smoking, dyslipidemia, hypertension, or hyperhomocysteinemia
          • Age 50 to 60 years and history of smoking or diabetes
          • Age 70 years or older
          • Leg symptoms with exertion or ischemic rest pain
          • Abnormal lower extremity pulses
          • Known atherosclerotic coronary, carotid, or renal disease
    • Introduction to Clinical Skills
      • Peripheral vascular exam
        • Important Areas of Examination
          • The Legs
            • Size, symmetry, skin color
            • Femoral pulse and inguinal lymph nodes
            • Popliteal, posterior tibialis and dorsalis pedis pulses
            • Peripheral edema
    • Introduction to Clinical Skills
      • Peripheral vascular exam
        • Important Areas of Examination
          • Arterial system exam
            • Anatomy
            • Pallor, cyanosis
            • Color and capillary refill
            • Postural changes
            • Extremity pulses ( 0 to 2+)
            • Ankle Brachial Index
    • Introduction to Clinical Skills
      • Peripheral vascular exam
        • Important Areas of Examination
          • Arterial system exam
    • Introduction to Clinical Skills
      • Peripheral vascular exam
        • Important Areas of Examination
          • Arterial system exam
    • Introduction to Clinical Skills
      • Peripheral vascular exam
        • Important Areas of Examination
          • Venous system exam
            • Anatomy
            • Skin color, pigmentattion, ulcers
            • Postural changes
            • Venous pattern
            • Competency of venous valves
            • Soft edema
    • Introduction to Clinical Skills
      • Peripheral vascular exam
        • Important Areas of Examination
          • Venous system exam
    • Introduction to Clinical Skills
      • Peripheral vascular exam
        • Important Areas of Examination
          • Venous system exam
    • Introduction to Clinical Skills
      • Peripheral vascular exam
        • Important Areas of Examination
          • Lymphatic system exam
            • Anatomy
            • Skin color
            • Postural changes
            • Edema (soft vs brawny)
            • Palpable lymph nodes
            • Painful lymh nodes
            • Red striking tracts
    • Introduction to Clinical Skills
      • Peripheral vascular exam
        • Recording your findings
          • “ Extremities are warm and without edema. No varicosities or stasis changes. Calves are supple and nontender. No femoral or abdominal bruits. Femoral, popliteal, posterior tibialis and dorsalis pedis pulses are 2+ and symmetric”
    • Introduction to Clinical Skills
      • Peripheral neurological exam
        • Sensory evaluation (sensory pathways)
        • Motor exam (motor pathways)
        • Reflexes (spinal reflexes: the deep tendon response)
    • Introduction to Clinical Skills
      • Peripheral neurological exam
        • Sensory evaluation (sensory pathways)
          • Dermatomes
            • Pinwheel
          • Digital nerves
            • 2PD static
    • Introduction to Clinical Skills
      • Peripheral neurological exam
        • Sensory evaluation (sensory pathways)
    • Introduction to Clinical Skills
      • Peripheral neurological exam
        • Motor exam (motor pathways)
          • Body position
          • Involuntary movements
          • Muscle bulk
          • Muscle tone
          • Muscle strength
    • Introduction to Clinical Skills
      • Peripheral neurological exam
        • Motor exam (motor pathways)
    • Introduction to Clinical Skills
      • Peripheral neurological exam
        • Reflexes (spinal reflexes: the deep tendon response)
          • Patella
          • Achilles tendon
    • Introduction to Clinical Skills
      • Peripheral neurological exam
        • Reflexes (spinal reflexes: the deep tendon response)
    • Introduction to Clinical Skills
      • Peripheral neurological exam
        • Reflexes (spinal reflexes: the deep tendon response)
          • Reinforcement of Knee Reflex
    • Introduction to Clinical Skills
      • Peripheral neurological exam
        • Reflexes (spinal reflexes: the deep tendon response)
    • Introduction to Clinical Skills
      • Peripheral neurological exam
        • Reflexes (Cutaneous stimulation reflex)
    • Introduction to Clinical Skills
      • Muscleskeletal exam
        • Joint structure and function
        • The Health History
        • Health Promotion and Counseling
        • Examination of specific joints
          • Spine and Hip
          • Joints of lower extremities
    • Introduction to Clinical Skills
      • Muscleskeletal exam
        • Joint structure and function
    • Introduction to Clinical Skills
      • Muscleskeletal exam
        • The Health History
        • Common or concerning Symptoms
          • Low back pain
          • Monoarticular or polyarticular joint pain
          • Inflammatory or infectious joint pain
          • Joint pain with systemic features such fever, chills, rash, anorexia, weight loss, weakness
          • Joint pain with symptoms from other organ system
    • Introduction to Clinical Skills
      • Muscleskeletal exam
        • Health Promotion and Counseling. Important Topics
          • Nutrition
          • Low back: lifting biomechanics
          • Prevneting falls
          • Osteoporosis: screening and prevention
    • Introduction to Clinical Skills
      • Muscleskeletal exam
        • Examination of specific joints
    • Introduction to Clinical Skills
      • Muscleskeletal exam
        • Joint structure and function
    • Introduction to Clinical Skills
      • Muscleskeletal exam
        • Joint structure and function
    • Introduction to Clinical Skills
    • Introduction to Clinical Skills Upper Extremities Universidad Iberoamericana UNIBE
    • Introduction to Clinical Skills
      • Skin and Appendages
    • Introduction to Clinical Skills
      • Skin and Appendages
        • Embriology -Anatomy-Histology-Physiology
    • Introduction to Clinical Skills
      • Skin and Appendages
        • Embriology- Anatomy -Histology-Physiology
    • Introduction to Clinical Skills
      • Skin and Appendages
        • Embriology-Anatomy- Histology -Physiology
    • Introduction to Clinical Skills
      • Skin and Appendages
        • Embriology-Anatomy-Histology- Physiology
    • Introduction to Clinical Skills
      • Skin and Appendages
        • The Health History
          • Rash
          • Moles (Nevus)
        • Health Promotion and Counseling
          • Risk factors for skin cancers
          • Avoidance of excessive sun exposrure
          • Avoid skin dryness
    • Introduction to Clinical Skills
      • Peripheral vascular exam
        • The Health History
          • Pain in the hands
          • Intermittent claudication
          • Cold, numbness, pallor in the hands, hair loss
          • Swelling in arm, forearm and hand
          • Color change in fingers in cold weather
          • Swelling with redness or tenderness
    • Introduction to Clinical Skills
      • Peripheral vascular exam
        • Arterial
        • Venous
        • Lymphatics
    • Introduction to Clinical Skills
      • Peripheral vascular exam
        • Allen´s Test
    • Introduction to Clinical Skills
      • Peripheral vascular exam
        • Allen´s Test
    • Introduction to Clinical Skills
      • Peripheral vascular exam
        • Allen´s Test
    • Introduction to Clinical Skills
      • Peripheral vascular exam
        • Allen´s Test
    • Introduction to Clinical Skills
      • Peripheral vascular exam
        • Arterial
        • Venous
        • Lymphatics
    • Introduction to Clinical Skills
      • Peripheral vascular exam
        • Arterial
        • Venous
        • Lymphatics
    • Introduction to Clinical Skills
      • Peripheral neurological exam
        • Sensory
          • Pinwheel exam
    • Introduction to Clinical Skills
      • Peripheral neurological exam
        • Sensory
          • 2PD static or moving
    • Introduction to Clinical Skills
      • Peripheral neurological exam
        • Sensory
          • Tinel´s sign
    • Introduction to Clinical Skills
      • Peripheral neurological exam
        • Motor
    • Introduction to Clinical Skills
      • Peripheral neurological exam
        • Flexion
        • Extension
        • Pronation
        • Supination
    • Introduction to Clinical Skills
      • Peripheral neurological exam
        • Ulnar deviation
        • Radial deviation
    • Introduction to Clinical Skills
      • Peripheral neurological exam
        • Fingers flexion
        • Fingers extension
    • Introduction to Clinical Skills
      • Peripheral neurological exam
        • Motor
          • Muscle Bulk
          • Muscle Tone
          • Muscle Strength
            • M0 –M5
          • Grip strength
            • Dynamometer
    • Introduction to Clinical Skills
      • Peripheral neurological exam
        • Motor
    • Introduction to Clinical Skills
      • Peripheral neurological exam
        • Motor
    • Introduction to Clinical Skills
      • Peripheral neurological exam
        • Motor
    • Introduction to Clinical Skills
      • Peripheral neurological exam
        • Motor
    • Introduction to Clinical Skills
      • Peripheral neurological exam
        • Motor
    • Introduction to Clinical Skills
      • Peripheral neurological exam
        • Reflexes
    • Introduction to Clinical Skills
      • Peripheral neurological exam
        • Reflexes
    • Introduction to Clinical Skills
      • Muscleskeletal exam
        • Muscles
        • Bones
        • Joints an ligaments
    • Introduction to Clinical Skills
    • Introduction to Clinical Skills