What was the patient's name and date of birth provided at the start of the examination?

The patient's name is Grace Farrington, and her date of birth is January 26, 1990.

What were the initial steps taken when inspecting and palpating the hands?

The process started with looking at the hands, then checking the temperature of both sides, and checking for any existing pain in the hands.

How was the patient's sensation tested during the examination?

Sensation was tested by gently touching the hands while the patient kept her eyes closed, requiring her to verbally confirm when she felt the touch.

What action was performed to test fine motor coordination involving the thumbs?

The patient was asked to turn her hands over, place her thumbs toward the ceiling, and then pinch the examiner's finger with her thumb and index finger.

What test was conducted to assess grip strength?

Grip strength was tested by asking the patient to squeeze the examiner's fingers on both sides as tightly as she could.

What was the final finding regarding the patient's hand examination?

The examination concluded that it was a normal hand examination, showing a normal appearance, normal temperature, no joint tenderness, intact sensation, and a normal range of movement.

Hand and Wrist Examination - OSCE Guide (Latest) | UKMLA | CPSA

Patient Information and Consent
📌 The practitioner confirmed the patient's name as Grace Farrington and date of birth as January 26, 1990.
🖐️ The examination procedure involved looking, feeling, and moving the patient's hands, which were placed on a pillow.

Hand Examination Steps
🔍 The assessment began with visual inspection of the hands, followed by palpation to check temperature and for any pain in the joints.
👆 Sensation testing was performed by gently touching the hands while the patient kept their eyes closed, requiring confirmation ("yes") upon feeling the touch.
💪 Range of motion and strength tests included making a fist, testing wrist flexion/extension, spreading fingers against resistance, thumb movement, and the ability to pinch and pick up a coin.
⏱️ The examination concluded with holding the hands together for 60 seconds (Phalen's maneuver or similar test for nerve compression).

Examination Findings and Conclusion
👍 On inspection, the hands appeared normal with no signs of scars, deformities, or muscle wasting.
🌡️ Palpation revealed normal temperature and no tenderness in any of the hand joints.
✅ Sensation was intact, and the range of movement in the hand was normal, leading to the summary conclusion of a normal hand examination.
🩺 The next steps included a full neurovascular examination of the upper limb and examination of the elbow.

Key Points & Insights
➡️ A systematic approach to a physical examination involves visual inspection, followed by palpation (temperature/tenderness), sensation testing, and assessment of movement/strength.
➡️ Checking for pain during passive joint movement and specific maneuvers like holding hands together for 60 seconds are crucial components of a thorough hand assessment.
➡️ Normal findings included no visible abnormalities, normal temperature, no joint tenderness, intact sensation, and a normal range of movement.

📸 Video summarized with SummaryTube.com on Feb 24, 2026, 08:27 UTC

Hand and Wrist Examination - OSCE Guide (Latest) | UKMLA | CPSA | PLAB 2

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