Step 3

Question 1

What are we doing at this step?

Answer 1

comparing by feel

Question 2

At this step we are comparing by feel, but where are we feeling?

Answer 2

Palpating the shoulder joint

Palpating from the stereo-clavicular joint across the clavicle to the acromio-clavicular joint.

palpating the coracoid process

palpating down the humerus

Assessing for winging scapula

palpate down cervical spine

check for sensory deficits

Question 3

When palpating the shoulder joints, what are we feeling for? what can this indicate

Answer 3

Heat which can indication inflammation or septic arthritis

Question 4

what are we looking for when palpating from the stereo-clavicular joint to the acromio-clavicular joint

Answer 4

heat, crepitus, pain, tenderness, swelling

Question 5

When palpating the coracoid processes we are feeling for what?

Answer 5

heat, crepitus, pain, tenderness, swelling

Question 6

when palpating down the humerus what are we palpating for ?

Answer 6

heat, crepitus, pain, tenderness, swelling

Question 7

How do we assess for winging scapula ?

Answer 7

Ask the patient to reach there arms out and put there hands on a wall flat.

scapulas will push out if there is winging of the scapula.

Question 8

cause of winging scapula and what can it indicate ?

Answer 8

This is caused by damage or contusion to the long thoracic nerve of the shoulder or weakness to the serrates anterior muscle

Additionally if the long thoracic nerve is damaged or bruised it can cause paralysis of the serrtaus anterior muscle which can lead to winged scapula

Question 9

Palpate down the cervival spine for ?

Answer 9

heat, crepitus, pain, tenderness, swelling

Question 10

where are we checking for sensory deficits?

Answer 10

C4 5 AND 6