ATRG 5303 Orthopedic Assessment: Upper Extremity

(Effective Fall 2019)

This course emphasizes evaluation, diagnosis, and treatment of sports-related head, neck, abdomen, and upper extremity injuries and conditions. Special attention will be given to inspection, palpation, and special testing of bony, neurological, vascular, muscular, and inert soft tissues.

Credits

3

Prerequisite

ATRG 5120 and ATRG 5125

Typically Offered

Demorest Campus: fall

Student Learning Outcomes

Alignment	Current Objective
new	Evaluate and manage patients with acute conditions, including triaging conditions that are life threatening or otherwise emergent. These include (but are not limited to) the following conditions: Testicular injury
AC-36	Identify the signs, symptoms, interventions and, when appropriate, the return-to-participation criteria for specific conditions.
CIP-5	Perform a comprehensive clinical examination of a patient with a common illness/condition that includes appropriate clinical reasoning in the selection of assessment procedures and interpretation of history and physical examination findings in order to formulate a differential diagnosis and/or diagnosis. Based on the history, physical examination, and patient goals, implement the appropriate treatment strategy to include medications (with physician involvement as necessary). Determine whether patient referral is needed, and identify potential restrictions in activities and participation. Formulate and communicate the appropriate return to activity protocol.
EBP-13 EBP-14	Students will apply and interpret clinical outcomes to assess therapeutic intervention efficacy, patient status, progress toward goals, using psychometrically sound outcome instruments and develop a relevant clinical question (e.g., PICO, PIO, or CAT) based on desired outcome (patient-based or clinician-based) and available evidence (patient-oriented or disease-oriented).
CE-7	Students will assess and interpret findings from a physical examination (including posture, gait, and movement patterns) that is based on the patient’s clinical presentation to identify participation restrictions (disabilities), activity limitations (functional limitations), and overall impact of the condition on the patient’s life and goals.
CE-21b CE-21c CE-21i CE-21l CE-21j CE-21k CE-21m CE-21n CE-21o CE-21p	Students will collect, assess, and interpret findings from a physical examination that includes: Observation/inspection, palpation, muscle function assessment, osteokinematic joint motion, cardiovascular function, pulmonary function, gastrointestinal function, genitourinary function, ocular function, EENT function, and dermatological function.
CE-15	Students will demonstrate the ability to modify the diagnostic examination process and return-to-play decision according to the demands of the situation and patient responses and current status.
CE-1	Students will describe body systems' structures, their functional inter-relation, and how they change through the lifespan.
CE-6	Students will describe the basic principles of diagnostic imaging and testing and their role in the diagnostic process.
HA-30	Students will describe the role and functions of various healthcare providers and protocols that govern the referral of patients to these professionals.
CE-14	Students will differentiate between an initial injury evaluation and follow-up/reassessment as a means to evaluate the efficacy of the patient’s treatment/rehabilitation program, and make modifications to the patient’s program as needed.
PHP-17c PHP-17h	Students will explain and discuss the etiology and prevention guidelines associated with the leading causes of sudden death during physical activity, including but not limited to: Cardiac arrhythmia or arrest, Asthma, Traumatic brain injury, exertional heat stroke, hyponatremia, exertional sickling, anaphylactic shock, cervical spine injury, and lightning strike.
CE-11 CE-12	Students will explain the creation of clinical prediction rules and apply them in the diagnosis and prognosis of various clinical conditions.
AC-36k AC-36l	Students will identify the signs, symptoms, interventions, and when appropriate, the return-to-participation criteria for: sudden cardiac arrest, environmental illnesses, exertional sickling, rhabdomyolysis, internal bleeding, diabetic emergencies, asthma, anaphylaxis, local allergic reactions, epilepsy and other seizure disorders, shock, and toxic drug overdoses.
AC-5 CE-13	Students will obtain a thorough medical history that includes the pertinent past medical history, underlying systemic disease, use of medications, the patient’s perceived pain, and the history and course of the present condition appropriate for the patient's ability to respond.
AC-34 AC-36b CE-16	Students will recognize the signs and symptoms of catastrophic and emergent conditions and demonstrate appropriate referral and physician return-to-play clearance following traumatic and brain injuries (concussion, subdural and epidural hematomas, second impact syndrome, and skull fracture).
CE-17 CE-18	Students will use clinical reasoning skills to formulate an appropriate differential diagnosis for common illness/disease and orthopedic injuries/conditions.
CE-20j	Students will use otoscopes, urinalysis strips, glucometers, peak flow meters, and ophthalmoscopes as part of a clinical examination and determine if observed results are within normal limits or require referral.
CE-20a CE-20c CE-20d CE-21e CE-21f CE-21g CE-21h CE-22 PD-9	Students will use standard techniques and procedures (history taking, inspection/observation, palpation, functional assessment, special tests, neurological assessments, capsular and ligamentous stress testing, and joint play assessment) to complete a clinical examination for a common injury, condition, illness, or disease and interpret their findings to determine when referral is necessary.
CE-20f	Students will use standard techniques to assess neurological function and differentiate between normal and abnormal findings to discern any associated pathophysiology.
AC-6 AC-7 CE-20g CE-20h CE-20i	Students will use standard techniques to measure vital signs and other physiologic functions (pulse, blood pressure, respiration, oxygen saturation, pain, core temperature, heart/lung/abdominal sounds, peak flow) and differentiate between normal and abnormal findings to discern any associated pathophysiology.