Station Progress:

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[/ultimate_heading][vc_empty_space image_repeat=”no-repeat”][vc_video link=”https://vimeo.com/149496586″][vc_empty_space image_repeat=”no-repeat”][vc_row_inner row_type=”row” type=”full_width” use_row_as_full_screen_section_slide=”no” text_align=”left” css_animation=””][vc_column_inner width=”1/4″][stat_counter icon_size=”32″ counter_title=”Station time” counter_value=”20″ counter_suffix=” minutes” speed=”3″][/vc_column_inner][vc_column_inner width=”1/4″][stat_counter icon_size=”32″ counter_title=”Time for this encounter” counter_value=”10″ counter_suffix=” minutes” speed=”3″][/vc_column_inner][vc_column_inner width=”1/4″][stat_counter icon_size=”32″ counter_title=”Maximum time to examine your patient” counter_value=”8″ counter_suffix=” minutes” speed=”3″][/vc_column_inner][vc_column_inner width=”1/4″][stat_counter icon_size=”32″ counter_title=”Minimum time for discussion and questions” counter_value=”2″ counter_suffix=” minutes” speed=”3″][/vc_column_inner][/vc_row_inner][vc_row_inner row_type=”row” type=”full_width” use_row_as_full_screen_section_slide=”no” text_align=”left” css_animation=””][vc_column_inner width=”1/4″][no_counter type=”zero” box=”no” position=”center” underline_digit=”no” separator=”yes” digit=”20″ title=”Minutes” text=”Station time”][/vc_column_inner][vc_column_inner width=”1/4″][no_counter type=”zero” box=”no” position=”center” separator=”yes” digit=”10″ title=”Minutes” text=”Time for this encounter”][/vc_column_inner][vc_column_inner width=”1/4″][no_counter type=”zero” position=”center” separator=”yes” digit=”8″ title=”Minutes” text=”Maximum time to examine your patient”][/vc_column_inner][vc_column_inner width=”1/4″][no_counter type=”zero” position=”center” separator=”yes” digit=”2″ title=”Minutes” text=”Minimum time for discussion and questions”][/vc_column_inner][/vc_row_inner][vc_empty_space image_repeat=”no-repeat”][/vc_column][/vc_row][vc_row row_type=”row” use_row_as_full_screen_section=”no” type=”full_width” oblique_section=”no” text_align=”left” css_animation=””][vc_column][vc_accordion style=”accordion”][vc_accordion_tab title=”Common examiner questions”][vc_column_text]Common examiner questions include the following:

  1. What do you think this patient has?
  2. How would you like to investigate this patient next?
  3. What do you think the underlying cause of this patient’s signs is?

[/vc_column_text][/vc_accordion_tab][vc_accordion_tab title=”Diagnosis and clinical signs”][vc_column_text]This patient has normal hips.[/vc_column_text][/vc_accordion_tab][vc_accordion_tab title=”Discussion”][vc_column_text]

Clinical examination of the hip

  1. Wash your hands;
  2. Introduce yourself to the patient;
  3. Enquire about pain or discomfort;
  4. Offer a chaperone;
  5. Observe the patient mobilising and inspect their gait;
  6. Check for Trendelenburg sign:
    1. Stand behind the patient and palpate the pelvis;
    2. Ask them to alternately stand on each leg;
    3. The pelvis should remain level or rise slightly on the side of the raised leg.
  7. Ask the patient to lie on the couch and inspect their legs;
  8. Measure both true and apparent leg lengths:
    1. True leg length is from the anterior superior iliac spine to the medial malleolus;
    2. Apparent leg length runs from the umbilicus or xiphisternum to the medial malleolus.
  9. Palpate over the greater trochanter for warmth or swelling;
  10. Assess all movements of the hip joint:
    1. Flexion;
    2. Extension;
    3. Internal rotation;
    4. External rotation.
  11. Perform Thomas’ test:
    1. This is a test for fixed flexion deformity of the hip;
    2. Place one hand under the patient’s lumbar spine;
    3. Fully flex one hip;
    4. Observe the other hip Рthis should remain in contact with the examination couch.  Lifting suggests a fixed flexion deformity of that hip.

[/vc_column_text][/vc_accordion_tab][vc_accordion_tab title=”Specimen case presentation”][vc_column_text]”This patient has normal hips.”[/vc_column_text][/vc_accordion_tab][/vc_accordion][/vc_column][/vc_row]