Posted in Videos on January 8th, 2009
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IMPORTANT :: YOU MUST SAVE THE FILE AS ".FLV"
Change the file name from "get_video" to "video.flv"
I know this semester some doctors have been helping us students out a bit more, but here's a video I took at my PMC to make sure you can start learning this stuff early and also so you won't miss anything when it comes to the final exam. Next week I will be posting a lower extremity tutorial and also vertebral column. Below is a written description in the order you will be tested on. I hope this helps!!
1) INSPECTION
-make sure gown is uncovering the arm.
(also make sure it is tied in the back)
-check symmetry of each arm by putting patients hands together in front in a "praying" position
2)CAPILLARY REFILL
-as you press fingertips, should return to normal color within 5 seconds
3) TEMPERATURE
-use back of hand, comparative
4) PULSES
a)radial
b) ulnar
c) brachial
d) axillary
5) MASSES
-ask "hay dolor" as you go up arm
6) REFLEXES
-for biceps, ask "cierre la mano y azfuerza (to find tendon), mire a otro lado (for all reflexes, so they won't be able to control reflex movement), y relaje (when you have already found tendon)"
a) brachioradialis
b) biceps
c) triceps
7) MEASUREMENTS OF THE ARM
-measure length of entire arm, then measure to mark midpoints of arm and forearm on one side
-measure the other arm and do the same
-measure circumference of fore/arm at points marked
8) MOVEMENTS
-say "Imite lo que yo ago" (so patient can follow what you are doing)
-fingers: flex, ext, abd, add, opposition, fist
-wrist (hold patients wrists): flex, ext, hyperext, abd, add
-elbow (tell pt. to keep elbows to sides during movements): flex, ext, pronation, supination
-shoulder: flex, ext, hyperext, abd, add, cirumcumduc, inv rot, ext rot, depr, anteropulsion, retropulsion
Y ES TODO PARA SEGUNDO SEMESTRE! :o) --and of course everything we learned from first semester!--
*Sensibility and movements against resistance are for 3rd semester
Don't forget to practice proper technique and GOOD LUCK!
Words that may help for us non-native Spanish speakers:
shoulders=hombros
wrist= muneca or canilla
elbow= codo
if telling patient to make circles with hands or arms= aga circulos
Hope this helps.
~*Kristen*~
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