Monday, October 20, 2008

Week One A

One of my patients on the first day presented with medial knee pain. He was a trunk driver and he thought that the pain was muscular. When he first came in I was just trying to think of structures that could be causing his pain. eg meniscal pain, MCL, nerve, VMO, patella tracking. i knew a bit about the knee such as anatomy and assessment of the knee so i felt fairly confident with what i was getting out of the subjective and objective history. My supervisor did all the talking so i didn't have to get to far out of my comfort zone but he just asked me what i thought it was. I thought it was MCL due to laxity in the ligament with the stress test and negative to all other Passive accessory tests. We were unable to do McMurrys test properly due to a decrease in knee flexion. In the next appointment we decided that we would assess the ability to flex his knee and re-do mcmurrys test.
i didnt have much input in to the management of this client but i was thinking most of the things that my supervisor said i just wouldn't have been able to think it all on the spot as well and i wouldnt have been able to flow the assessment as well as he did and i think i need to improve on this.
i think that my approach in my thinking was well i just need to keep learning the best way to actually put together an assessment. i just need a bit more confidence and more time viewing assessments and treatments of patients to be able to improve.

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