[Pa24] Ortho exam checklists information

[Gerstner, Laura R.]

Hi everyone!  As we have mentioned since the beginning of the block, on May 4th 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:


  *   These will take place in Smith Hall OSCEs.
  *   Students are assigned in pairs and each pair will have 25 minutes total (10 minutes per student with 2-4 minutes in between to change roles).
  *   For round 1:
     *   Student 1: PA
     *   Student 2: patient
  *   For round 2:
     *   Student 1: patient
     *   Student 2: PA
  *   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 for your faculty evaluator to give you points for these items.

The schedule is attached.  I recommend studying from your lab sheets as in general inspection, palpation, ROM/strength testing will be consistent regardless of the patient HPI given, and then you will need to know which special tests need to be performed given the patient's history.  You will not have points deducted by doing MORE than you need to, but I also want you to critically think through which tests are necessary based on your DDX.  I will also answer any questions about this assessment when I teach joint injections lecture a few days prior.

Thanks!
Mrs. G

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