orthopedics notes

Apr 16th, 2015
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Benjamin Mukulu NdelevaM.Med (Ortho) FCS ECSA Focused history Attentive & Systematic physicalexamination Thoughtfully ordered tests/studies2Your goal should be to learn astandardized, systematic, evidencebased history and physical examination3 Target Remain focused in history and exam Professionalism Interpersonaland communication skills Medical knowledgemechanisms Systematicefficiencybase Anatomy, injurypractice Accuracy, completeness, time-4The patient tells a story,You construct a history.5 Name Age Sex?? Race/County Profession Formsbackground against which the restof the Hx hingesPainSwellingDeformityStiffnessLocking Instability Weakness AbnSensation Loss ofFunction7 Onsetof Pain Date of onset Sudden or insidious Onset Spontaneous or after traumaof pain ask pt to point Radiation of Pain Characteristics Sharp injury Location Dull ache - Tumor Throbbing - Infection8Severity- Grade I Mild can be ignored-Grade II - Moderate Cant be ignored. Requires Rxon&off-Grade III Severe Present most of the time (reqsconstantattention)-Grade IV Excruciating Totally incapacitatingAggravating Factors Activities, changing positions, stairs, kneelingRelieving Factors/treatments tried Ice, medications, crutches

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