In this series of educational videos for clinicians, physicians from Children's Hospital of Philadelphia (CHOP) demonstrate how to perform specific evaluations on children and teens.
Orthopaedics: back, bones, joints, extremities
Back: Orthopaedic Surgeon Jennifer Winell, MD, demonstrates how to perform a back exam on a pediatric patient, including a full assessment of the patient's range of motion, muscle strength, and sensory/reflex. She also demonstrates effective use of a scoliometer and discusses when scoliosis findings warrant consultation with a specialist.
Foot and Ankle: Orthopaedic Surgeon David Horn, MD, demonstrates how to perform a foot and ankle exam on a pediatric patient, including assessment for tarsal coalition, neurological conditions, calcaneal apophysitis (Sever's disease), high ankle sprains and other injuries to the ligaments, distal fibula fractures and other fractures, and more.
Hand and Wrist: Robert B. Carrigan, MD, an Orthopaedic Surgeon who specializes in hand and upper extremity surgery, demonstrates how to perform a hand and wrist exam on a pediatric patient, including assessment for congenital anomaly, joint contractures, disruption of the flexor or extensor tendons, scaphoid fractures, carpal instability and ulnar-sided injury.
Hip: Orthopaedic Surgeon Wudbhav Sankar, MD, demonstrates a pediatric hip exam, including assessment for Legg-Calve-Perthes disease, slipped capital femoral epiphysis (SCFE), femoroacetabular impingement (FAI), femoral anteversion, developmental dysplasia of the hip (DDH), snapping hip syndrome or other psoas tendon problems, hip flexion contractures, iliotibial band tendonitis and greater trochanteric bursitis.
Knee: Theodore Ganley, MD, Orthopaedic Surgeon and sports medicine specialist, demonstrates how to perform a knee exam on a pediatric patient, which includes assessment for varus and valgus deformities, Osgood-Schlatter disease, stress fractures, medial tibial periostitis (shin splints), infrapatellar tendonitis, injuries to the anterior cruciate ligament (ACL) and other ligaments, and more.
Upper Extremities: Lawrence Wells, MD, Orthopaedic Surgeon and sports medicine specialist, demonstrates how to perform an exam of the upper extremities on a pediatric patient. Dr. Wells provides guidance on effectively evaluating patients for rotator cuff injuries, fractures of the proximal humerus and clavicle, overuse injuries, and more.
Concussion evaluation: Christina Master, MD, a sports medicine pediatrician and concussion expert, demonstrates how to perform a concussion evaluation on a child or teen. She reviews how to take a history, elicit information about the incident, and perform a physical exam in patients who may have a concussion.
Abdominal exam: Henry Lin, MD, a Pediatric Gastroenterologist, reviews how to evaluate the spleen, liver and bowel through the four stages of an abdominal exam in a pediatric patient. He also demonstrates an exam in a patient with ascites.
Stroke exam: Rebecca Ichord, MD, Director of the Pediatric Stroke Program, reviews signs and symptoms of pediatric stroke and demonstrates a clinical exam. Signs can include weakness or numbness; trouble walking, speaking or understanding simple directions; severe headaches; loss of vision or double vision; and severe dizziness.
Thyroid exam: Andrew Bauer, MD, an Endocrinologist and Medical Director of the Pediatric Thyroid Center at CHOP, demonstrates technique for the pediatric thyroid exam. In addition to performing an exam on a teenager with a normal, healthy thyroid, Dr. Bauer shows what to look for during exams on children with abnormal thyroids.