Clinical Examination - GALS Screen - Gait, Arms, Legs, Spine - (OLD VIDEO) - Dr Gill
The GALS screen is a core part of the MSK examinations, for when you are trying to identify an underlying limb problem
It’s crucial to note that the GALS screen is technically this, a screening tool, rather than an examination, so the “GALS examination“ is thus a misnomer.
A GALS screen would be indicated if a patient answered “Yes“ to any of the initial three screening questions:
- Do they have pain or stiffness in the limbs, joints, or back
- Do they have difficulty going up and down stairs due to pain
- Do they have difficulty dressing due to pain
The GALS screen systematically looks over a patient’s gait, arms, legs, and spine.
It should be noted that there are several variations to what is contained within the GALS screen. Personally, I prefer to assess the spine after having reviewed a patient’s gait.
Remember the core of the examination is finding areas of pain, or discomfort which would then trigger the clinician to do a full in-depth examination of that particular joint or body part
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Watch further orthopaedic examinations for your OSCE revision:
The Elbow Examination
The Spine Examination:
The Knee examination
The Hip examination
The GALS examination
- Gait, Arms, Legs, Spine - GALS screen
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Please note that there is no ABSOLUTE way to perform a clinical examination. Different institutions and even clinicians will have differing degrees of variations - the aim is the effectively identify medically relevant signs.
However during OSCE assessments. Different medical schools, nursing colleges and other health professional courses will have their own preferred approach to a clinical evaluation - you should concentrate on THEIR marks schemes for your assessments.
The examination demonstrated here is derived from Macleods Clinical Examination - a recognised standard textbook for clinical skills.
Some people viewing this medical examination video may experience an ASMR effect
#Gals #DrGill #Clinicalskills
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