Physio Charlie

Yesterday I took supervision with my junior on Cx clinical reasoning.

We looked at two sets of notes then did some practical:

Notes 1.  26 yr old female, RTA 3/12 ago when she fell of her motorbike. Injury to L sh and bilat wrists.

Sx: RTA details need to expand ie. speed? any LOC? to A+E in ambulance? wearing helmet? X-rays of wrists, sh, Cx? where was RTA in UK or Poland?

Body Chart: Need Constant or I/M defining ie. 0-8/10 or 8-10/10.  24 hr; which pain has a pattern? 5 D's, 3 N's

Ox: AROM Sh: Flx FROM Pa @ EOR or T/O ROM. PROM L rot if decreased = capsular pattern, Sp tests: VBI/ Alar/ Transverse Lig// NAD.  Palpn: Trp's in upper traps, get position correct for Cx palpn.  Passive sh girdle elevation with and without Cx L or RSF = ? upper traps or Cx origin of pain