2nd semester PMC Video tutorial- Upper Extremities

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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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