Examination Points

Ask The patients .....

• 1. pain /stiffness of joint ,muscle or bone .
• 2. History of arthritis 
• 3. Dress himself / herself without difficulty 
• 4. can walk up and downstairs 

Look : 

• 1. Any swelling of joint .
• 2. Skin color .
• 3. Active movement : movement of joint by the patient himself or herself .
• 4. Any Deformities .
• 5. Visible muscle wasting 
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  Feel : 

  
  
  • 1. Local Temperature
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  • 2. Tenderness: 
  • Grading of tenderness: 
  • Grade-1:- patient says the joint is tender .
  • Grade-2 : the patient winces/grimace 
  • Grade-3:- the patient winces & withdraw the affected part .
  • Grade-4;- the patient will not allow touching the affected part .
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  • 3. Measuring the muscle wasting .
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  • 4. Joint effusion 
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  • 5.Passive movement of joint ( by eximaner’s hand)
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  • 6. Stability of joint 
  
  
  
  

  • Move :

    
    
    • 1. Examine the range of movement of all joint 
    • 2. Passive movement 
    • 3. Active movement – to see the power of joint