Intro + Vitals + General

1) Inspection: SEADS

2) Palpation:

• Temperature

• Olecranon + medial & lateral epicondyles + Cubital fossa for tenderness

• Joint line (90 degrees flexed) for tenderness or swelling

3) ROM: Active, Passive & Power

• Flexion, extension, pronation and supination

4) Neuro exam of hand:

• Motor: Thumb abduction (Median nerve), Wrist extension (radial nerve), Finger abduction (Ulnar nerve)

• Sensory: Median, ulnar and radial

5) Special tests:

• Tennis elbow: Pain in the lateral epicondyle with extension against resistance

• Golfer’s elbow: Pain in the medial epicondyle with flexion against resistance

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6) Thank the Patient!

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7) Say: "to complete my exam, I would like to do":

• Check the pulses of the upper limb (radial / ulnar / brachial)

• UL brief neuro exam

• One joint above and one joint below examination (shoulder / wrist)

• Examine the other elbow.