The Jobe Test is used to test the supraspinatus muscle, an abductor of the shoulder, in isolation. The patient is examined in the seated or standing posture with the arm in extension. The examiner passively abducts, flexes, and internally rotates the patient's arm at the shoulder joint (similar to the action of emptying a can). This posture eliminates the contribution of the deltoid muscle to shoulder abduction. The patient is asked to hold this position, which should be possible if there is no
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The lift-off test is used to test the subscapularis muscle, an internal rotator of the shoulder, in isolation. The patient is asked to place the dorsum of the hand on the small of the back, which causes an internal rotation of the shoulder joint. The patient is now asked to lift the dorsum of the hand off of the back to increase the internal rotation, which should be possible if there is pathology of the subscapularis muscle. The patient is asked to repeat this maneuver against resistance. . The
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Clinical examination of the lymph nodes includes inspection and palpation of all clinically relevant major lymph node groups. Clinically relevant lymph nodes are located in the head and neck, the axillae, and the inguinal area. Palpable lymph nodes should be assessed for size, tenderness, mobility, and erythema. A complete examination of the lymph nodes also includes the palpation of the spleen, which is considered a major lymphatic organ. . Watch the full examination video and read more over on
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