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Kim's examination findings

Essential component Findings
Musculoskeletal screening examination, e.g. GALS screen

Gait: walks slowly, not limping


  • Shoulder/elbow – movements normal, painful
  • Wrists – full range of movement but painful on active and passive movement
  • Hands – unable to form a tight fist
Examine joints reported as painful Wrists tender to palpation.

Knee examination identifies a small effusion
MTPJ/MCPJ squeeze test and ability to form a complete fist (ability to completely cover fingernails in fist position) to test for possible inflammatory arthritis MCPJ squeeze test painful
Examine for finger/toenail abnormalities, skin rashes, psoriasis, alopecia, petechiae Normal, no rashes
Possible component Findings
Examine any other systems identified in history Not indicated
Neurological examination, particularly looking for weakness or upper motor-neurone signs Not indicated
Palpate for lymphadenopathy, take temperature Normal

Find out more about our suggested examination technique.

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Back to Case study – Kim

Examination for musculoskeletal pain

man and a physiotherapist

Patients expect a physical examination and it provides crucial information about where the pain is coming from.

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