Enter
Greet the Examiner
Sanitize your hands
Introduce yourself to the examiner
JUST INSPECT AROUND, SEE THE PATIENT MANY WILL HAVE THE TYPICAL QUESTION MARK
POSTURE, LUMBAR LORDOSIS WILL BE LOST AND THORACIC KYPHOSIS WITH
HYPEREXTENDED NECK WILL BE SEEN.
CHECK FOR ANY ARHTIRITIC CHANGES, CLUBBING, LOOK FOR ANY RHEUMATOID CHANGES, PALPATE FOR THE PULSE, CHECK FOR COLLAPSING PULSE
CHECK FOR ANTERIOR UVEITIS, PALLOR, ICTERUS
ASK THE PATIENT TO TRY FORWARD, BACKWARD AND LATERAL MOVEMENTS IT WILL BE RESTRICTED
ASK THE PATIENT TO TRY FORWARD, BACKWARD AND LATERAL MOVEMENTS IT WILL BE RESTRICTED. PALPATE SPINE.
Specific Tests:
WALL TO OCCIPUT : ASK THE PATIENT TO BEND DOWN AND TOUCH THE TOES.
DO SHOBERS TEST (DO NOT JUST OFFER, IF YOU FIND A TAPE DO IT, IN PREVIOUS PACES FORMAT WE HAVE JUST 3 MINUTES FOR EXAMINATION SO WE DO OFFER, HERE WE ARE EXPECTED TO DO)
SHOBERS: FROM DIMPLE OF VENUS MARK 5 CM ABOVE AND 10 CM BELOW AND CHECK THE EXPANSION IF IT IS LESS THAN 5 CM IT IS POSITIVE.
LOOK FOR CHEST EXPANSION, PALPATE APEX AUSCULTATE FOR APICAL CREPS, AR MURMUR.
CHECK FOR ACHILES TENDINITIS
