The Examination Process
Resultsfrom the historyandfunctional assessment canreduce the number of tests
to be performed
Use a systemic process
The history is the MOSTinformativeportion of an examination
symptoms Gradualonset
No needtoperformacutefracture specialtest
Beefficient
eliminatetimewastedperforming unnecessaryspecialtests
knowthe MOI mechanismof injury
know the anatomy
Makesexaminationmoreaccurate
eliminate falsepositives
HOPS
history Observation palpationSpecial test
History the mostinformative portion of the examination process
GenderandReligious considerations
PastMedical mechanism Instiry
Fivities STLY
previousinjuriesillnesses symptoms
underphysiciancare changes
congenital conditions treatment todate
comorbidities onset of symptoms
medications relevant sounds or sensations
disability or limitations
Observation and Inspection
patientdisposition compareto contralateral side
posture
gait key terms
obviousdeformity Hemathrosis bleedingin the joint cavity
swelling Effusion accumulation ofexcessfluid within
discoloration a joint space
scars openwounds Edema fluid in intercellarspaces
Ecchymosis blue or purpleareaofskincaused
by blood
contralateral oppositesideofbody
Gross visibleor apparenttothe unaided eye
palpation have a purpose and a sequence
deformity Must know anatomy
crepitus no piano players
pointtenderness
Serenity
tissue temperature
Resultsfrom the historyandfunctional assessment canreduce the number of tests
to be performed
Use a systemic process
The history is the MOSTinformativeportion of an examination
symptoms Gradualonset
No needtoperformacutefracture specialtest
Beefficient
eliminatetimewastedperforming unnecessaryspecialtests
knowthe MOI mechanismof injury
know the anatomy
Makesexaminationmoreaccurate
eliminate falsepositives
HOPS
history Observation palpationSpecial test
History the mostinformative portion of the examination process
GenderandReligious considerations
PastMedical mechanism Instiry
Fivities STLY
previousinjuriesillnesses symptoms
underphysiciancare changes
congenital conditions treatment todate
comorbidities onset of symptoms
medications relevant sounds or sensations
disability or limitations
Observation and Inspection
patientdisposition compareto contralateral side
posture
gait key terms
obviousdeformity Hemathrosis bleedingin the joint cavity
swelling Effusion accumulation ofexcessfluid within
discoloration a joint space
scars openwounds Edema fluid in intercellarspaces
Ecchymosis blue or purpleareaofskincaused
by blood
contralateral oppositesideofbody
Gross visibleor apparenttothe unaided eye
palpation have a purpose and a sequence
deformity Must know anatomy
crepitus no piano players
pointtenderness
Serenity
tissue temperature
