1. Working Hypothesis
2. Plan & Consent
3. Look :
3.1. General Obs
3.2. Acute Obs
4. Neurological screen
5. Feel - Palpation
6. Move :
6.1. A.P.R
6.2. specialised tests
6.3. functional tests
7. Review
detail
1. working hypothesis - based on subjective exam....
2. advice and consent - given and obtained
3. look
1. general obs watch patient walk in and sit down
2. acute obs s.s.d.a.b.s
symmetry/posture swelling discolouration
atrophy/muscle bulk bone defects/deformity
scars
5. feel - palpation
everything from s.s.d.a.b.s plus
temperature
tenderness ( indurated or weak areas )
crepitus
6. move
active
passive
resisted
background to a.p.r. compare - be aware of fixed joints - be aware of paralysis
specialised tests
functional tests
review - have i got all info - have i made comparisons - have i got divergent measurements - can i report findings