What are doctors looking for when they look at your hands?
Examination of the Hand (The Hand in Diagnosis) The examination of the hand and nails can lead to a number of diagnoses. Some of these include liver disease (Terry’s nails), kidney disease (Lindsay’s nails), lung disease (nail clubbing), endocarditis and many others.
How do you perform a hand examination?
Palpate the patient’s arm along the ulnar border to the elbow and note any tenderness, rheumatoid nodules or psoriatic plaques.
- Assess radial nerve sensation.
- Assess temperature over the MCP joints.
- Perform MCP joint squeeze.
- Palpate the MCP joints.
- Palpate the PIP joints.
- Palpate the DIP joints.
- Palpate the CMC joints.
Why do doctors tell you to say Ahh?
The red neurons will become the glossopharyngeal nerve, which lets parts of the tongue and upper throat feel and move. Damage to either nerve can spell trouble, but when you open your mouth, stick out your tongue, and say “ahh,” your doctor knows they’re working properly.
How do you test hand muscles?
In summary, to test the intrinsic muscles of the hand:
- Touch small finger to the thumb so the nails are parallel.
- Pinch paper between thumb and radial side of index finger in the first webspace.
- Flex MCP and straighten PIP.
- Place hand flat on table, hyperextend at MCP, adduct and abduct each finger.
How do you test motor hand function?
When assessing the distal peripheral nerve motor functions of the hand, try using this mnemonic: “Rock, Paper, Scissors”. The combinations of movements by muscles innervated by the three peripheral nerves make up the gestures of “Rock, Paper, Scissors”.
How is a hand tendon injury diagnosed?
Symptoms
- An open injury, such as a cut, on the palm side of your hand, often where the skin folds as the finger bends.
- An inability to bend one or more joints of your finger.
- Pain when your finger is bent.
- Tenderness along your finger on the palm side of your hand.
- Numbness in your fingertip.
What does the Froment’s sign on a hand exam mean?
Froment’s Sign Ask patient to hold a piece of paper between thumb and index finger. If the examiner can pull paper away (a positive Froment’s sign), it suggests that an ulnar palsy has weakened the thumbs strength of opposition.
What do you need to know about hand and wrist examination?
Hand and wrist examination frequently appear in OSCEs and you’ll be expected to identify the relevant clinical signs using your examination skills. This hand and wrist examination OSCE guide provides a clear step-by-step approach to examining the hand and wrist, with an included video demonstration.
What should I ask my patient for hand examination?
1. Ask the patient to splay their fingers and stop you from pushing their fingers together – “Splay your fingers outwards and don’t let me push them together.” 2. Apply resistance to the patient’s index finger using your own index finger to assess abduction.
What does clunk mean on a hand exam?
dorsal wrist pain or “clunk” may indicate instability. lunotriquetral ballottement tests for lunotriquetral ligament tear. examiner secures the pisotriquetral unit with the thumb and index finger of one hand and the lunate with the other hand. anterior and posterior stresses are placed on the LT joint.
