[Pa23] Ortho exam checklists information

[Gerstner, Laura R.]

Hi everyone!  As we have mentioned since the beginning of the block, on May 5th you will have ortho physical exam checklists.  These will be similar to the system-specific physical exam checklists that you performed back in block one.  Detailed information includes:


  *   Students will be placed into groups of 3 and each group of 3 will have 34 minutes total (10 minutes per student with 2 minutes in between to change roles).
  *   For round 1:
     *   Student 1: PA
     *   Student 2: patient
     *   Student 3: evaluator with the checklist
  *   For round 2:
     *   Student 1: patient
     *   Student 2: evaluator
     *   Student 3: PA
  *   For round 3:
     *   Student 1: evaluator
     *   Student 2: PA
     *   Student 3: patient
  *   Each student will be randomly assigned a patient history.  The student will then need to perform the appropriate exam in a 10 minute time period for that patient's HPI.  The chief complaint may include any of the following: c-spine, shoulder, elbow, wrist/hand, L-spine, hip, knee, foot/ankle.

For the sample checklist attached, the following history would be given:

  *   Patient is a 45 y/o right hand dominant male who presents with right shoulder pain for the past 2 weeks.  He denies any history of injury to his shoulder and points to the superior/lateral aspect of the shoulder as the area of pain.  Reaching overhead makes his symptoms worse.  He denies any pain, numbness, or tingling radiating down his right arm.
>From this history, you should know to do a shoulder physical exam, including special tests for rotator cuff and impingement syndrome (see checklist attached).  Verbalizing specifically what you are inspecting for as well as what you are palpating over will be very important in order for your evaluator to give you points for these items.

A schedule will be posted by early next week if not sooner.  I will also try to stop by the classroom immediately following the WSS meeting on Friday to answer any questions about this assessment.

Thanks!
Mrs. G

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