Introduction Mnemonic: WIPER General information Mnemonic: DNA SORAN Presenting Complaint (PC) A good opening question might be “What seems to be the problem today?”. It must be recorded: It can be recorded as: History of Presenting Complaint (HPC) Start in the order of PC, i.e. reverse chronological order. The HPC…
Tag: Clinical examination
Clinical Skills and Approaches 
Glasgow Coma Scale
Best eye opening Mnemonic: ESPN Best verbal response Mnemonic: ASWGN Best motor response Mnemonic: OLD BEN Important points Question and Example A 20 year old man is hit over the head with a mallet. On arrival in the accident and emergency department he opens his eyes to pain and groans…
Clinical Skills and Approaches 
Clarke’s test
Synonyms: Patellofemoral grind test, Patella hold test, Zohler’s sign Tests for: Patellofemoral dysfunction Patient position: Lying down with knees extended and relaxed (heels on table) Technique: 1. Place the webspace of thumb on the upper pole of patella and push it inferiorly. 2. Ask the patient to contract his/her quadriceps…
PGMEE, MRCS, USMLE, MBBS, MD/MS 
Spinal segments vs Vertebral level
Spinal segment: The part of spinal cord to which a pair of spinal nerves (right and left) is attached. Cause of mismatch between spinal segments and vertebral level: General rule: Vertebral level Add Spinal segment Cervical + 0 Same C7-T1 C8 T1-T3 +1 T1-T4 T3-T6 +2 T5-T8 T7-T8 +3 T9-T11…
Clinical Skills and Approaches 
Orthopedic Examination Made Easy
Orthopedic examination is a fundamental aspect of assessing musculoskeletal conditions, injuries, and disorders. This comprehensive guide aims to provide healthcare professionals, students, and practitioners with a thorough understanding of the principles, techniques, and best practices involved in conducting orthopedic examinations. By examining the mechanics behind the tests, readers will gain…
Clinical Skills and Approaches 
Eliciting Primitive Neonatal Reflexes
Neonatal reflexes are the reflexes which are present at birth and have a predictable course of appearance and disappearance. A normally developing newborn should respond to certain stimuli with these reflexes, which eventually become inhibited as the child matures. The list of reflexes that can be elicited in normal newborn…
Clinical Skills and Approaches 
Diet Assessment in Pediatrics: History taking skill
As a part of history taking, Dietary assessment becomes an important part of pediatric history. As childhood is the age of rapid growth and development, any lag in diet and nutrition will manifest with long-term effects if not addressed in time. One of the common nutritional manifestations is Stunting, which…
Clinical Skills and Approaches 
Inverted Reflexes
An inverted tendon reflex refers to the elicitation of the movement opposite to that normally seen when the reflex is elicited. Mechanism of Inverted Reflexes A lesion which simultaneously affects: This leads to 2 components: Mechanisms of hyperactive response: Types of Inverted Reflexes 1. Inverted supinator reflex: 2. Paradoxical triceps…