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หลักสูตรประกาศนียบัตรบัณฑิตชั้นสูง สาขาวิชาวิทยาศาสตร์การแพทย์คลินิก - page 23 / 66

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1.1 Present history

1.1.1 Presenting complaint : pain, deformity, loss of function

1.1.2 Occupation

1.2 Past history

1.2.1 Past and present medical history

1.2.2 Past and present surgical history

1.3 Family history

1.4 Drug history

2. Physical examination

2.1 General systematic examination : state of health, state of nutrition, skin colour, neurological status

2.2 General orthopaedic examination

The attitude of the patient to his problem

Body size

Generalised limb or joint disease

Fever

2.3 Localize orthopaedic examination

2.3.1 Look : skin texture, shape, position

2.3.2 Feel : skin condition soft tissue condition, bone and joint condition, area of tenderness

2.3.3 Move : active movement, passive movement, unstable movement, provocative movement (apprehension test)

2.3.4 Mansurement : limb length, mass size

2.4 Examination in special situation

In pain or severely disabled

In acute injury

In children

3.  Laboratory investigation

3.1 Hematological investigation CBC, ESR, CRP

3.2 Biochemical tests : Acid phosphatase, Alkaline phosphatase, calcium.  Phosphate,  Protein electrophoresis, urate

3.3 Serological tests : antistreptolysin (ASO) titer, Rheumatoid factor

3.4 Urine : Bence Jones protein

3.5 Synovial analysis

4. Imaging investigations

4.1 Plain radiography

4.2 Tomography, Computed Tomography

4.3 X-rays using contrast media : Angiography, Arthrography, Myelography, Discography

4.4 Sonography : Diagnostic ultrasound

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