How to present a case
- 1. HOW TO PRESENT A CASE Dr. G. V. S. Moorthy Professor & HOD of Orthopaedics Osmania Medical College
- 7. SPOKEN ENGLISH - ABC
- 8. SPOKEN ENGLISH - CHINESE
- 9. SPOKEN ENGLISH - BUTTLER
- 10. INDIAN ENGLISH North Indian East West Indian Indian South Indian
- 11. COMMUNICABLE ENGLISH • CLARITY • SPACING • FLUENCY AND FLOW • AUDIBLE • SIMPLE WORDS • SINGLE SENTENCES • GRAMMATIC
- 12. GADGETS
- 13. GADGETS
- 14. BROAD HEADINGS • HISTORY • GENERAL EXAMINATION • REGIONAL EXAMINATION • PROVISIONAL DIAGNOSIS • INVESTIGATIONS • DEFINITIVE DIAGNOSIS • MANAGEMENT • PROGNOSIS
- 15. HISTORY • HISTORY OF PRESENT ILLNESS • PAST HISTORY • PERSONAL HISTORY • FAMILY HISTORY • TREATMENT HISTORY • MENSTRUAL HISTORY • BIRTH HISTORY • RETROSPECTIVE HISTORY
- 16. COMPLAINTS & PRESENT ILLNESS • PAIN • SWELLING • DEFORMITY • DISABILITY • SHORTENING • LOSS OF FUNCTION • FEVER • TRAUMA
- 17. PAIN • SITE – PRESENT AND IN PAST • RADIATION • CHARACTER • SEVERITY • TIME COURSE • AGGREVATING, RELEIVING FACTORS • ASSOCIATED SYMPTOMS
- 18. PROGRESS OF SYMPTOMS • PROGRESSIVE DETERIORATION • PROGRESSIVE BETTERMENT • AGGREVATION AND RELEIF • REMISSIONS AND RELAPSES • MODIFICATION WITH MEDICATION ETC. • DIURNAL AND SEASONAL VARIATION • REST PAIN
- 19. GENERAL EXAMINATION • PERIPHERAL PULSES • PERIPHERAL NERVES • SKIN PATCHES AND PIGMENTATION • LYMPHADENOPATHY • SOFT TISSUE LAXITY, SKIN TURGOR • ORGANOMEGALY • BUILT, ANAEMIA, JAUNDICE. CLUBBING ETC.
- 20. REGIONAL EXAMINATION • GAIT • ATTITUDE AND DEFORMITY • INSPECTION • PALPATION • (PERCUSSION AND AUSCULTATION) • MOVEMENTS • MEASUREMENTS • SPECIAL TESTS • LYMPH NODES, DISTAL N.V. STATUS • SPINE AND OTHER JOINTS
- 21. GAIT OBSERVED AS THE PATIENT WALKS IN TO AVOID PATIENT BIASS / RECHECKED AT THE END OF EXAMINATION • STABLE, PAINLESS, ASYMMETRIC • STABLE, PAINFUL • UNSTABLE, PAINLESS • UNSTABLE AND PAINFUL
- 22. GAIT – SPECIFIC TYPES • TRENDLENBERG GAIT (PAINLESS, UNSTABLE) • SHORT LIMB GAIT (PAINLESS, STABLE) • ANTALGIC GAIT (PAINFUL, STABLE) • NON WEIGHT BEARING ( PAINFUL, UNSTABLE) • HIGH STEPPING GAIT ( FOOT DROP ) • WADDLING GAIT (BILATERAL PAINLESS,UNSTABLE) • STIFF HIP GAIT (PAINLESS, STABLE) • CIRCUMDUCTION GAIT (SPASTIC LOWER LIMB) • SCISCORING GAIT (SPASTICITY BOTH LEGS) • MINCING IN CHOREA, FESTINANT IN PARKINSONISM
- 23. INSPECTION SEE ALL SIDES: • HOLLOWS • SWELLINGS • BONY LAND MARKS • MUSCLE SPASM AND WASTING • SKIN CREASES, SCARS, SINUSES • VESSELS
- 24. PALPATION • TEMPERATURE • TENDERNESS – DIRECT / INDIRECT - BONE, JOINT, TENDON, LIGAMENT, CARTILAGE • NORMAL BONY LAND MARKS • ABNORMAL MASSES • SWELLING – ARTICULAR / EXTRA ARTICULAR – FLUID / SOLID • VESSELS, SKIN, SOFT TISSUE, MUSCLE TONE
- 25. MOVEMENTS • FIXED DEFORMITIES • MOVEMENTS – ACTIVE / PASSIVE • MOVEMENTS – POSITION OF LIMB • CREPITUS, PAIN • DEVIATIONS – AXIS DEVIATION • ABNORMAL MOVEMENTS / INSTABILITY • TRANSMITTED MOVEMENTS
- 26. MEASUREMENTS • LENGTH • BREADTH • CIRCUMFERENCE • APPARENT AND REAL • LINES • ANGLES
- 27. THANK YOU • KNOWLEDGE MAKES A MAN WISE, • PRACTICE MAKES HIM PERFECT, • RESULTS MAKE ALL REJOICE!