Spine Medical Examination - Spine OSCE - Medicine Explained - Clinical Skills - Dr Gill

Spine Medical Examination - OSCE Explained - Clinical Skills - Dr Gill

This Spine Exam Deep Dive looks at the details of the examination of a patient with back issues, highlighting what is being checked for during special tests and examination findings

In this video, we demonstrate how to perform a clinical examination of the spine for your medical school Clinical Skills OSCE. As orthopaedic exams are core skills when it comes to examining patients, students should assume that a spinal assessment is a high yield station for any clinical exams or clinical assessments.

For a passing grade in your Clinical Skills OSCE, in a spine exam follow the approach of:
- Look
- Feel
- Move

We will also address why in the UK the auscultation is placed higher on the examination approach

HOWEVER, a spine examination OSCE station does not just involve pressing around the back, this video also demonstrates some of the specialised examination techniques required in examining patients such as Schober's test for ankylosing spondylitis, and checking sciatic nerve stretch

Reduction in movement, pain and general concerns about the back is a common reason for patients to see a doctor, and in general practice is probably the most commonly performed patient examination

This video has two other spine demonstration videos associated with it:

https://youtu.be/pJxMHa6SCgU - Spine assessment Demo

https://youtu.be/5qJaf7gW-B0 - Gait, Arms, Legs, Spine - GALS screen

https://www.youtube.com/watch?v=nBrBJjqNcNE&t=8s - How to perform a DRE


Please note that there is no ABSOLUTE way to perform a clinical examination. Different institutions and even clinicians will have differing degrees of variations - the aim is the effectively identify medically relevant signs.

However during OSCE assessments. Different medical schools, nursing colleges and other health professional courses will have their own preferred approach to a clinical assessment - you should concentrate on THEIR marks schemes for your assessments.

The examination demonstrated here is derived from Macleods Clinical Examination - a recognised standard textbook for clinical skills.

Kayser-Fleischer ring - Herbert L. Fred, MD, Hendrik A. van Dijk - https://commons.wikimedia.org/wiki/File:Kayser-Fleischer_ring.jpg

Map - https://commons.wikimedia.org/wiki/File:United_Kingdom_location_map.svg

Ascites - James Heilman, MD - Own work

Angular stomatitis - https://en.wikipedia.org/wiki/Angular_cheilitis#/media/File:Angular_Cheilitis.JPG

Cold Sore - https://en.wikipedia.org/wiki/Herpes_simplex#/media/File:Herpes(PHIL_1573_lores).jpg

B12 - https://www.health.harvard.edu/staying-healthy/the-a-list-of-b12-foods

Glottis - https://en.wikipedia.org/wiki/Glossitis#/media/File:Scharlach.JPG

Gynaecomastia - https://en.wikipedia.org/wiki/Gynecomastia#/media/File:GynecomastiaFrontalAsymSevere.jpg

Spleen - https://en.wikipedia.org/wiki/Spleen

#clinicalskills #abdominalexamination #DrGill
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