Document Detail


Examination of the hands: an insight into the health of a Welsh population.
MedLine Citation:
PMID:  14612603     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
When asked to examine a patient in a clinical examination, undergraduates and postgraduates characteristically begin with a painstaking observation of the hands. It was of concern that this is done mainly for the benefit of the examiners and that, in routine clinical practice, examination of the hands receives scant attention. The case notes of 70 general medical and surgical inpatients were reviewed and it was found that in only seven was there any mention of physical examination of the hands; in three of these "no clubbing" was the only entry. However, when the authors carefully examined the hands of 197 patients, at least one clinical sign was found in 87 (44%) cases. Heberden's nodes, cigarette tar staining, and the spectrum of Dupuytren's contractures were the most common findings. In this population in the South Wales valleys, coal deposits were also commonly seen in men.
Authors:
H A White; R Alcolado; J C Alcolado
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Postgraduate medical journal     Volume:  79     ISSN:  0032-5473     ISO Abbreviation:  Postgrad Med J     Publication Date:  2003 Oct 
Date Detail:
Created Date:  2003-11-12     Completed Date:  2004-02-24     Revised Date:  2009-10-22    
Medline Journal Info:
Nlm Unique ID:  0234135     Medline TA:  Postgrad Med J     Country:  England    
Other Details:
Languages:  eng     Pagination:  588-9     Citation Subset:  IM    
Affiliation:
Department of Medicine, University of Wales College of Medicine, Cardiff, UK.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Clinical Competence / standards
Female
Hand*
Health Status Indicators
Humans
Male
Medical Staff, Hospital / standards
Middle Aged
Physical Examination / standards*
Wales

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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