Step by Step Hand​ Examination Guide - Clinical Skills - Dr Gill

Step by Step Hand​ Examination Guide - Medical School Revision - Dr Gill

Clinical examination of the hand can be quite challenging, as it is more engaged than many of the other orthopaedics examinations. We'll help with your medical school revision through guided explanation of how to examine the hands

As with any orthopaedic assessment, the Hand​ Examination Clinical Skills OSCE examination will be expecting you to approach with the standard Look, Feel, Move approach which you'll be already familiar with

People often find the Clinical Skills OSCE to be daunting and the Hand examination even more so, as it is quite an engaged OSCE station. However, as with everything at medical school, repetition is going to be key in understanding how you are assessing the patient, positioning your hands, and manipulating the patient.

Please note the hand examination also includes the special tests Tinel's Test and Phalen's Test to examine for carpal tunnel syndrome, which can be worsened in pregnancy, osteoarthritis and rheumatoid arthritis

During the Hand examination, the wrist is also assessed, as you should always examine the joint above and the below the joint are focusing your initial assessment on
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This video is part of a series focusing on the hand

Hand Examination Explained -    • Step by Step Hand​ Examination Guide - Cli...  
Hand Exam Demonstration -    • Hand​ Examination Clinical Skills Demonstr...  
Older Hand Exam Demo -    • Hand​ Examination Clinical Skills OSCE - M...  
Carpal Tunnel Examination -    • How To Check for Carpal Tunnel Syndrome - ...  
Carpal Tunnel Anatomy -    • Hand Anatomy - The Carpal Tunnel - Dr Gill  


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Please note that there is no ABSOLUTE way to perform a clinical examination. Different institutions and even clinicians will have differing degrees of variations - the aim is the effectively identify medically relevant signs.

However during OSCE assessments. Different medical schools, nursing colleges, and other health professional courses will have their own preferred approach to a clinical assessment - you should concentrate on THEIR marks schemes for your assessments.

The examination demonstrated here is derived from Macleods Clinical Examination - a recognized standard textbook for clinical skills.

Some people watching this video may experience and ASMR phenomenon

#clinicalskills #hands #DrGill

You can now consult via video or in person with Dr Gill at Dr Finlay’s Private Practice - https://www.drfinlays.co.uk/services/...

00:00 - Introduction
00:24 - Patient Identification and Consent
00:50 - Identifying Dominant Hand
01:33 - Observing Wrist and Hand Swelling
02:17 - Palm and Nail Examination
02:58 - Checking for Muscle Wasting and Nerve Compression
03:21 - Checking for Psoriasis
03:56 - Palpation Techniques for the Hand
04:59 - Identifying Inflammation and Synovitis
05:50 - Anatomical Snuff Box Examination
07:00 - Importance of Scaphoid Bone Health
07:44 - Palpation on the Opposite Side of the Hand
08:27 - Testing for Trigger Finger
09:01 - Assessing Hand and Finger Movement
09:27 - Observing for Osteoarthritis Signs
10:47 - Recognizing Structural Deformities
11:51 - De Quervain's Tendonitis Assessment
12:56 - Movement Testing
14:29 - Opposition Movements
15:30 - Movements of the Thumb
16:20 - Assessing Nerve Function Through Hand Gestures
18:14 - Effective Movements and Functional Testing
18:51 - Special Tests for Carpal Tunnel Syndrome
19:55 - Conclusion