mymrcgp
Physical Examination
Painful Knee
Common Examination Components:
(You are likely to be expected to examine the common components in each case)
Introduction:
Inspection:
(inspect gait, expose the knee, look for deformity, swelling, effusion)
Palpation:
Limit palpation to the affected side only
Range of Movement:
Compare range of movement on either side
Joint Stability:
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Additional Examination Components:
(Examine an additional component If the specified indication is present)
Indication: History suggestive of meniscal tear (twisting knee injury)
Components: Meniscal testing - either McMurray or Thessaly tests.
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What CSA Examiners and Trainers Expect - A Typical Scenario
(Study by N.Boeckx: Data from 300 GP Trainers and 16 CSA examiners)
Case Details: A 48 year old man presents with knee pain. The cause is a meniscal tear. The history and examination is consistent with a medial meniscal tear. Choose the examinations you would expect from a safe GP in a 10 minute consultation.
Case Discussion: If you get a knee exam you should rejoice because the knee examination is a relatively straight forward one. Why? Because the number of components are relatively few, little selection of components is required and each examination component is brief and simple to interpret.
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