orthopedics notes

Apr 16th, 2015
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History & Physical Examination ofthe Orthopaedic PatientBenjamin Mukulu NdelevaM.Med (Ortho) FCS ECSAAssessing any Pt Should Involve Focused history Attentive & Systematic physical examination Thoughtfully ordered tests/studies2GOALYour goal should be to learn astandardized, systematic, evidence-basedhistory and physical examination3Competency-Based Objectives Target Remain focused in history and exam Professionalism Interpersonal and communication skills Medical knowledge base Anatomy, injury mechanisms Systematic practice Accuracy, completeness, time-efficiency4HISTORYThe patient tells a story,You construct a history.5Bio-dataNameAgeSex? ? Race/CountyProfession Forms background against which the rest ofthe Hx hingesCommon Presenting ComplaintsPainSwellingDeformityStiffnessLockingInstabilityWeaknessAbn SensationLoss ofFunction7Focused History Questions - Pain Onset of Pain Date of onset Sudden or insidious Onset Spontaneous or after trauma Location of pain ask pt to point Radiation of Pain Characteristics Sharp injury Dull ache - Tumor Throbbing - Infection8Focused History Questions - Pain Severity- Grade I Mild can be ignored-Grade II - Moderate Cant be ignored. Requires Rx on&off-Grade III Severe Present most of the time (reqs

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