《医生诊疗英语会话》每日一听第131期
5EXAMINATION OF THE ARMS
Examinationof the arms
Now we’re moving on to examine your arms and legs neurologically.
Start by putting both arms out in the air in front of you and shut your eyes.Hold the arms still while I look at them. Now wiggle your fingers as though youwere playing the piano. Now let me assess the co-ordination in your arms. Openyour eyes, make a pointer by stretching out your index finger. Now touch myfinger and then touch your nose. Go between my finger and your nose with yourfinger very quickly. Now try this on the other side.
Now I’m going to assess the strength in the muscles of your arms.
1. Stick your arms out on both sides and show me the strength of your shouldermuscles.
2. Now pull the elbows down towards your sides.
3. Now testing each arm in turn, make a fist and pull the fist up towards yourshoulder while I try to stop you.
4. Now straighten your arms out at the elbow while I try to stop you. Do thatagain on the other side.
5. Now holding both arms in front of you, make two fists and cock the wristsbackwards. stop me from moving the wrists. Now cock the wrists downwards whileI try to stop you. Now do the same fingers.
6. Stretch all your fingers out straight and stop me from bending your fingers.
7. Now curl your fingers up tightly into my fingers and make a strong grip.Keep the fingers tightly curled up.
8. Now squeeze my fingers as tightly as you can in both hands.
9. Now spread your fingers wide apart while I test the small muscles in thehand, stop me from pushing the fingers together….. Ok, very good.
Now I’m going to examine the sensation on your skin, keep your eyes closedthroughout the examination.
1. I’m going to touch the skin of your arms in various differentplaces just using a light touch with cotton wool. Say “yes” every time I touchthe skin.
2. Now I’m going to test the same feeling, but using a prick of apin instead of cotton wool. Say ‘yes” every time you feel the touch of the pin.Can you feel the pinprick? Does it feel the same on both sides?
3. Now I’m going to assess whether you can feel vibration, I’llstart with your hand. Tell me if you can feel the vibration of the tuning fork.
4. Finally, I’m going to assess whether you can feel your fingersbeing moved up and down. I’m going to hold your little finger and move it upand down slowly. Shut your eyes, and when you feel the fingers move up say “up”and when it’s down say “down”.
Now I’m going to test the reflexes in your arms. Relax you arms and I’ll tapthe reflexes of the biceps and the triceps muscles, and also the supinatorreflex.
I’m going to test the reflexes in your legs, relax your legs while I tap thereflexes in the knees and at the ankles.
I’m going to scratch the bottom of your foot with a wooden stick.
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