Upper Extremities

Front 1

UPPER EXTREMITIES #1

Inspect upper extremities for (2) symmetry, color, & lesions

Back 1

UPPER EXTREMITIES #1

You need to re-drape your patient. Roll the sleeves up on the gown, or males can take arm out of the sleeves. Females can take arm out of sleeve and tuck gown into the bra.

When you inspect look at patient from 360 degrees. Inspect everything.

Front 2

UPPER EXTREMITIES #2

Palpate upper extremities for (2) temperature, texture, turgor, & edema

Back 2

UPPER EXTREMITIES #2

Front 3

UPPER EXTREMITIES #3

Inspect shoulders for (2) swelling, deformity, muscle atrophy, abnormal positioning

Back 3

UPPER EXTREMITIES #3

Front 4

UPPER EXTREMITIES #4

Palpate shoulders for (2) swelling, heat, tenderness, pain

Back 4

UPPER EXTREMITIES #4

Front 5

UPPER EXTREMITIES #5

Test ROM of shoulders for pain, crepitation, limited movement (flexion, extension, adduction, abduction, external rotation,
internal rotation)

Back 5

UPPER EXTREMITIES #5

Make sure you state what the motion is as the patient is doing it.

Front 6

UPPER EXTREMITIES #6

Test muscle strength of shoulders (shrug against resistance)

Back 6

UPPER EXTREMITIES #6

Front 7

UPPER EXTREMITIES #7

Inspect elbows for swelling, deformity

Back 7

UPPER EXTREMITIES #7

Front 8

UPPER EXTREMITIES #8

Palpate elbows for (2) swelling, nodules, tenderness, pain

Back 8

UPPER EXTREMITIES #8

Front 9

UPPER EXTREMITIES #9

Test ROM of elbows for pain, crepitation, loimited movement(flexion, extension, supination, pronation);

Back 9

UPPER EXTREMITIES #9

For flexion of the elbows make sure the patient brings their hands out and not down on their lap.

Front 10

UPPER EXTREMITIES #10

Test muscle strength of elbows (flexion & extension against resistance)

Back 10

UPPER EXTREMITIES #10

Front 11

UPPER EXTEREMITIES #11

Inspect wrists & hands for (2) swelling, redness, nodules, deformities, thenar atrophy

Back 11

UPPER EXTEREMITIES #11

Front 12

UPPER EXTEREMITIES #12

Palpate wrists & hands for (2) swelling, nodules, tenderness, pain

Back 12

UPPER EXTEREMITIES #12

Front 13

UPPER EXTEREMITIES #13

Inspect fingers clubbing

Back 13

UPPER EXTEREMITIES #13

Front 14

UPPER EXTEREMITIES #14

Palpate fingers nails for capillary refill (test least two-three fingers nails on each
hand)

Back 14

UPPER EXTEREMITIES #14

Front 15

UPPER EXTEREMITIES #15

Test ROM of wrists for pain, crepitation, limitied movement (flexion, extension, radial & ulnar deviation); of fingers
(flexion, extension, abduction, adduction); of thumb; (flexion, extension,
abduction, adduction, opposition)

Back 15

UPPER EXTEREMITIES #15

Make sure patient's arms are on the same plane. So have them put their hands on the lap with their elbows tucked in.

Front 16

UPPER EXTEREMITIES #16

Test ROM of hands for pain, crepitation, limited movement : fingers (flexion, extension, abduction, adduction)

Back 16

UPPER EXTEREMITIES #16

When palpating the fingers, palpate on the sides of the joints with your fingers.

Front 17

UPPER EXTEREMITIES #17

Test ROM of thumb; (opposition) for pain, crepitation, limited movement

Back 17

UPPER EXTEREMITIES #17

For flexion of the fingers and thumb, make sure you make a fist and make sure your thumb is also curled in.

Front 18

UPPER EXTEREMITIES #18

Test muscle strength of wrists (flexion & extension against resistance)

Back 18

UPPER EXTEREMITIES #18

Front 19

UPPER EXTEREMITIES #19

Test hand grip strength

Back 19

UPPER EXTEREMITIES #19

Front 20

UPPER EXTEREMITIES #20

Demonstrate appropriate interaction and draping

Back 20

UPPER EXTEREMITIES #20