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Examinations part 2 - Coggle Diagram

- - - - Central cyanosis
      - Dentition
      - ulceration
      - dehydration
  - - - Right Hypochondrium
      - Epigastrium
      - Left Hypochondrium
      - Right Flank
      - Umbilical
      - Left Flank
      - Right Iliac Fossa
      - Suprapubic region
      - Left Iliac Fossa
    - - Assess rebound tenderness
      - Assess guarding
- - - - Scars
      - Muscle wasting
    - - Dorsal aspect
        
        Posture
        
        Scars
        
        Swelling
        
        Nodes
        
        Deformities
        
        Colour/ bruising
        
        Nails
      - Palmar aspect
        
        Posture
        
        Scars
        
        Swelling
        
        Thenar/ hypothenar wasting
        
        elbows
    - - Palms up
        
        Temperature
        
        Radial and ulnar pulse
        
        Thenar and hypothenar eminence bulk
        
        Palmar thickening
        
        Median and ulnar nerve sensitivity
      - Palms down
  - - - Do you have any pain or stiffness in any joints?
      - Can you get yourself dressed without ant problems?
      - Do you have any problem going up or down stairs?
    - - Ask the patient to walk across the room, turn around and come back
        
        Gait cycle abnormalities
        
        Range of movement
        
        Limping
        
        Leg length
        
        Turning
        
        Trendelenburg's gait
        
        Footwear
    - - Body habitus
      - Scars
      - Muscle wasting
      - Psoriasis
    - - Posture
      - Joint swelling/ arethema
      - Elbow extension: Cubitus valgus, Cubitus varus
      - Muscle bulk
      - Pelvic tilt
      - Foot deformities
    - - Cervical lordosis
      - Thoracic kyphosis
      - Lumbar lordosis
      - Knee joint hyperextension
      - Foot arch
    - - Muscle bulk
      - Spinal alignment
      - Swelling
      - Valgus or varus joint deformity
    - - Hands behind head (Tests shoulder abduction and external rotation
      - Hands out with palms down (Shoulder flexion, elbow, wrist and finger extension
        
        Inspect dorsum for swelling/ erythema
        
        Inspect nails
      - Turn hands over (tests supination of wrists and elbows)
        
        musle wasting
      - Make fist (Flexion of hand joints)
      - Grip strength - ask them to squeeze fingers
      - Precision grip - touch each finger in turn with same thumb
      - Metacarpophalangeal joint squeeze
    - - Passive movement
        
        Knee flexion
        
        Knee extension
        
        Internal hip rotation
      - Metatarsophalangeal joint squeeze
      - Patellar tap
    - - Cervical lateral flexion
      - Lumbar flexion