Week 2 Day 2

Thoughts and feelings?
Starting to get the hang of taking a subjective. Felt that I was able to get the details I needed to give my self an idea of what was happening prior to getting into the objective. This plus the fact that the pt was suffering a shoulder injury and we have just covered it in class meant that I felt pretty comfortable throughout the session.

How do you think you performed with the pt?
This is probably best Ive done with a pt to date. I was able to rule out possible source of symptoms with my subjective and objective until there was only a few possibilities that it could be. Still need to work on my objective, in that I had limited it down to the posterior capsule or infraspinatus as the source of symptoms put I didn't perform the isometric tests in the appropriate range to confirm infraspinatus as the issue.

What changes would you make?
When a pt complains of pain in a particular range it is important to tests the structures in that range I made the mistake of testing external rotation in neutral and even though I got a positive test I would have got a stronger positive had I tested it in 90 degrees abduction.

Overall thoughts and feelings?
Can feel myself improving and feel like I'm start to the hang of differential diagnosis.

What strategies can I implement?
Take the time to think about the mechanism of injury and what that would tend to injure, have a handful of the possible source of symptoms and then structure the objective so that it rules out those that aren't and a diagnosis can be made.

I would like to ask my supervisor more on the structure of the menisci in the knee and how they can cause locking.