Update on the thoracic outlet syndrome and plexus brachial syndrome: Specific clinical examination (for all) and rehabilitation protocol

2021 ◽  
Author(s):  
Serge Couzan ◽  
Jean-Michel Martin ◽  
Éric Chave ◽  
Claire Le Hello
Keyword(s):  
Clinical Examination ◽  
Thoracic Outlet Syndrome ◽  
Rehabilitation Protocol ◽  
Plexus Brachial

scholarly journals Abnormal Anatomical Etiology and the Resultant Bilateral Thoracic Outlet Syndrome

2020 ◽  
Vol 25 (4) ◽  
pp. 157-164
Author(s):  
Jennifer L. Rizzo
Keyword(s):  
Clinical Examination ◽  
Thoracic Outlet Syndrome ◽  
Athletic Trainer ◽  
Clinical Decisions ◽  
Rehabilitation Process ◽  
Anatomical Characteristics

The diagnosis of thoracic outlet syndrome (TOS) is challenging and primarily determined by clinical examination. Symptoms such as numbness and tingling in the arms when raised above the head make the rehabilitation process difficult due to the various manifestations of TOS presented to the athletic trainer (AT). An AT should understand the intricate anatomical characteristics of the thoracic outlet and how various TOS presentations may impact treatment. In this clinical commentary, I provide my own insights for understanding TOS from my perspective as a patient and AT. These insights are valuable when making diagnostic, therapeutic, and prognostic clinical decisions.

scholarly journals Thoracic outlet syndrome: a controversial clinical condition. Part 1: anatomy, and clinical examination/diagnosis

2010 ◽  
Vol 18 (2) ◽  
pp. 74-83 ◽  
Author(s):  
Troy L. Hooper ◽  
Jeff Denton ◽  
Michael K. McGalliard ◽  
Jean-Michel Brismée ◽  
Phillip S. Sizer
Keyword(s):  
Clinical Examination ◽  
Clinical Condition ◽  
Thoracic Outlet Syndrome

scholarly journals THORACIC OUTLET SYNDROME

2018 ◽  
Vol 25 (03) ◽  
pp. 350-354
Author(s):  
Khadija Iqbal ◽  
Aisha Asim ◽  
Ibad-ur- Rehman ◽  
Samra Asif
Keyword(s):  
Clinical Examination ◽  
Nerve Conduction ◽  
Thoracic Outlet Syndrome ◽  
Patient Management ◽  
Surgical Excision ◽  
Cervical Rib ◽  
Diagnosis And Management ◽  
Second Category ◽  
Treatment And Diagnosis

Introduction: Thoracic outlet syndrome represents a variety of symptoms rangingfrom neurogenic to vascular. The thoracic outlet syndrome considered as a disputed disorderand management and diagnosis need special attention. Objective: The present study wasdone with the objective was to observe association of thoracic outlet syndrome with cervical riband the treatment and diagnosis options given to the patients once they present in the OPD.Study Design: Observational. Sampling: Convenience. Duration: January 2015-2017 January.Materials and methods: In this study the cervical rib was present in 3 males out of 58 cases.In females 8 had cervical rib out of 150 cases. Results: Out of eleven patients only six wereadvised surgical excision to relieve symptoms of thoracic outlet syndrome. Analgesics were alsoprescribed to all patients. The second category who did not have cervical rib nerve conductionstudies were advised to only 12 males and 10 females. In our study patients presenting withnumbness or and any vascular complaint only 11 cases had cervical rib. The treatment advisedfor relieving symptoms was surgical in only six patients and analgesics in all cases. Thetreatment for patients without cervical rib was analgesics and nerve conduction was advisedonly in 22 patients. Conclusion: The diagnosis and management of TOS is a combination ofneurophysiological testing and clinical examination outcomes. The use of advanced techniquescan lead to better patient management in our hospitals.

Tumor Diagnosis

1982 ◽  
Vol 40 ◽  
pp. 262-265
Author(s):  
Bruce Mackay
Keyword(s):  
Electron Microscopy ◽  
Transmission Electron Microscopy ◽  
Differential Diagnosis ◽  
Light Microscopy ◽  
Clinical Examination ◽  
Ultrastructural Study ◽  
Diagnostic Procedures ◽  
Specific Diagnosis ◽  
Transmission Electron ◽  
Microscopic Diagnosis

The broadest application of transmission electron microscopy (EM) in diagnostic medicine is the identification of tumors that cannot be classified by routine light microscopy. EM is useful in the evaluation of approximately 10% of human neoplasms, but the extent of its contribution varies considerably. It may provide a specific diagnosis that can not be reached by other means, but in contrast, the information obtained from ultrastructural study of some 10% of tumors does not significantly add to that available from light microscopy. Most cases fall somewhere between these two extremes: EM may correct a light microscopic diagnosis, or serve to narrow a differential diagnosis by excluding some of the possibilities considered by light microscopy. It is particularly important to correlate the EM findings with data from light microscopy, clinical examination, and other diagnostic procedures.

Objective Structured Clinical Examination (OSCE) als kompetenz­orientiertes Prüfungsinstrument in der pflegerischen Erstausbildung

Pflege ◽  
2016 ◽  
Vol 29 (4) ◽  
pp. 193-203 ◽  
Author(s):  
Angelika Beyer ◽  
Adina Dreier ◽  
Stefanie Kirschner ◽  
Wolfgang Hoffmann
Keyword(s):  
Clinical Examination ◽  
Objective Structured Clinical Examination

Zusammenfassung. Hintergrund: Aufgrund der demografischen und epidemiologischen Entwicklung wird die Vermittlung adäquater pflegerischer Kompetenzen in der pflegerischen Ausbildung zunehmend diskutiert. Kompetenzen sind in den Examina angemessen zu überprüfen. Hierfür haben sich international OSCEs bewährt. Ziel: Ziel der vorliegenden Analyse war die Ermittlung von Kompetenzen, die in pflegerischen Erstausbildungen mit OSCEs überprüft werden. Methodik: In internationalen Datenbanken wurden einschlägige Publikationen recherchiert. Analyse-Einschlusskriterium war die Nennung mindestens einer überprüften Kompetenz. Die Kompetenzen wurden – in Anlehnung an den «Fachqualifikationsrahmen Pflege für die hochschulische Bildung» – nach Wissen, Fertigkeiten und Haltung kategorisiert. Ergebnisse: 36 Artikel erfüllten das Einschlusskriterium. Relevante Studien stammen mehrheitlich aus Großbritannien (UK), Kanada und Australien. Es wurden insgesamt n = 166 Kompetenzen in allen Kategorien identifiziert, die anhand verschiedener Methoden gemessen wurden. Am häufigsten wurden Fertigkeiten überprüft. Dabei wurde der sichere Umgang mit Medikamenten am häufigsten thematisiert. Weitere wichtige Themen waren die Kommunikationskompetenz in Bezug auf PatientInnen und die Fähigkeit zur Selbsteinschätzung. Diskussion: Es werden sehr unterschiedliche Kompetenzen mit differenten Formaten per OSCE gemessen. OSCE ermöglichen eine Überprüfung sowohl auf individueller als auch institutioneller Ebene, also sowohl für die Lehre als auch das Gelernte. Weiterer Forschungsbedarf wird festgestellt.

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