GALS examination

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Author:
jaz_walker
ID:
189940
Filename:
GALS examination
Updated:
2012-12-17 14:03:22
Tags:
osce medicine
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Description:
osce medicine
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  1. 0. Prepare the patient. (3)
    • strip to underwear.
    • consent
    • perform appropriate hand hygeine.
  2. 1. Screening questions (3)
    • pain or stiffness in your muscles, joints or back?
    • difficulty dressing yourself?
    • difficulty walking up and down stairs?
  3. 2. Gait (1)
    • walk barefoot then turn
    • Assess smoothness and symmetry
    • Antalgic gait
    • pelvic tilting
    • ¬†trendelenburg gait ¬†
    • foot drop + high stepping
    • crouch gait
  4. 3. Spine (looking from behind) (5)
    • Straightness,
    • muscle bulk,
    • symmetry of legs and trunk.
    • assymmetry at iliac clest level
    • Achilles tendons and hindfoot regions for swelling or deformity
  5. 3a. Spine actions (6)
    • bend down and touch toes.
    • Turn from side to side
    • Slide hand down leg to knee
    • Ear to shoulder
    • Look at ceiling and floor
    • Let jaw drop open and move side to side
  6. 4. Arms (from in front of patient) (12)
    • press midpoint of supraspinatus
    • Hands behind head
    • Hands in blood taking position,
    • palm up and down
    • Bend arms to touch shoulders
    • Prayer sign
    • Inverse prayer sign
    • Hands straight out
    • Clench fist,
    • then hands flat, outspread
    • Squeeze metacarpals softly
    • Power grip your fingers
    • Touch each finger to thumb
  7. 5. Legs (supine on couch) (6)
    • Thomas' test
    • Flex each hip and knee.
    • Feel for crepitus, warmth, swelling in patellofemoral joint
    • Flex knee and rotate hip internally and externally.
    • Inspect feet for calluses, ulcers
    • Gently squeeze metatarsal heads for tenderness

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