Practicals · CIR

Clinical Immunology and Rheumatology

89 practical items from the NBEMS DrNB curriculum and the NMC DM/MCh guidelines, grouped by the curriculum's own sections.

Links point to videos and pages published by others; SolvedPGSS does not host them. Check any technique against your department's protocol before you use it on a patient.

89 items

Clinical skills

Rheumatological history taking

Clinical examinationPerform independently (NMC)
  • VideoHow to Take a Good Patient History - Rheumatology Series23:39
  • VideoArthritis - History Taking - MD/DNB General Medicine17:44
  • +66 more links

Complete rheumatological (musculoskeletal) examination

Clinical examinationPerform independently (NMC)
  • VideoGALS Screen - Gait, Arms, Legs and Spine - GALS Examination Musculoskeletal Screen - Dr Gill5:59
  • VideoGALS examination (Gait, Arms, Legs, Spine) - OSCE Guide | UKMLA | CPSA | PLAB 25:29
  • +66 more links

Regional examination

Hand and wrist examination

Clinical examination
  • VideoHand and Wrist Examination - OSCE Guide (Latest) | UKMLA | CPSA | PLAB 26:04
  • VideoMacleod's examination of the hand6:13
  • +66 more links

Examination for carpal tunnel syndrome

Clinical examination
  • VideoPhalen's Test | Carpal Tunnel Syndrome Diagnosis1:54
  • VideoCarpal tunnel syndrome | Tinel’s sign and Phalen’s sign | Clinical Examination1:51
  • +66 more links

Hip and pelvis examination

Clinical examination
  • PageHip and Pelvis Examination - Alexander Street, a ProQuest Companyvideo.alexanderstreet.com
  • VideoDepartment of Orthopaedics, D.Y. Patil Hospital and Research Centre present Hip : Series - Part 61:04:21
  • +33 more links

Real and apparent leg length measurement

Clinical examination
  • VideoApparent vs True Leg Length1:29
  • VideoDifference between true and apparent leg length discrepancy | measurement of leg length discrepancy6:35
  • +66 more links

Trendelenburg sign

Clinical examination
  • VideoThe Trendelenberg Sign [HD]5:46
  • VideoTrendelenburg Sign | Hip Abductor Weakness1:15
  • +66 more links

Thomas' test

Clinical examination
  • VideoThomas Test | Iliopsoas Tightness1:41
  • VideoHow to do the Modified Thomas Test for the hip flexors1:37
  • +66 more links

Sacroiliac joint examination

Clinical examination
  • VideoSI Joint Provocation Tests6:51
  • VideoDr. William Cross III - The Mayo Clinic SI Joint Exam3:19
  • +66 more links

Ankle and foot examination

Clinical examination
  • VideoAnkle and Foot Examination - OSCE Guide | UKMLA | CPSA | PLAB 24:39
  • VideoAnkle and Foot Clinical Examination - Clinical Skills - Dr Gill7:26
  • +66 more links

Extra-articular features

Raynaud's phenomenon

Clinical examination
  • VideoRaynaud's phenomenon - Raynaud's disease & Raynaud's syndrome12:33
  • VideoRaynaud’s Phenomenon Video – Brigham and Women’s Hospital4:57
  • +66 more links

Vasculitic skin lesions

Clinical examination
  • VideoVasculitis...Explained by a Dermatopathologist47:01
  • VideoLeukocytoclastic Vasculitis - Daily Do's of Dermatology1:56
  • +66 more links

Rheumatoid nodules

Clinical examination
  • VideoUltrasound / MRI Mass Correlation: Rheumatoid Nodule (updated 2020)2:31
  • VideoWhat are Rheumatoid Nodules? - Pathology mini tutorials - YouTube
  • +55 more links

Heberden's and Bouchard's nodes

Clinical examination
  • VideoOsteoarthritis Symptoms, Pathophysiology, Treatment Nursing NCLEX Lecture | Heberden & Bouchard Node21:12
  • VideoHeberden's and Bouchard's nodes1:38
  • +66 more links

Lupus rashes

Clinical examination
  • VideoDiscoid Lupus - Daily Do's of Dermatology2:05
  • VideoCutaneous Lupus Erythematosus: Complete Clinical Overview #lupus5:37
  • +33 more links

Erythema nodosum

Clinical examination
  • VideoErythema Nodosum (Red Lumps on Legs) | Causes, Signs & Symptoms, Diagnosis, Treatment15:35
  • VideoErythema Nodosum - Causes & Treatment2:43
  • +66 more links

Sclerodactyly

Clinical examination
  • PageHand examination demonstrating sclerodactyly with skin ...researchgate.net
  • PageUnderstanding Scleroderma | Stanford Medicine 25med.stanford.edu
  • +33 more links

Tophi

Clinical examination
  • VideoGout Made Easy | Hyperuricemia, Podagra, Tophi, Diagnosis & Treatment | High-Yield USMLE8:52
  • VideoAdvanced Gout & Tophi - Real Patient Exam Stanford Global 25 (Nigeria)
  • +55 more links

Laboratory

Latex agglutination test for rheumatoid factor

Lab technique
  • VideoRF agglutination test | Rheumatoid arthritis test | गठिया रोग का जाँच और लक्षण ।10:03
  • VideoRA(Rheumatoid) factor test.Qualitative and Quantitative method.Step by step explain in Hindi & Urdu.7:36
  • +66 more links

Indirect immunofluorescence for ANA on HEp-2 cells

Lab techniquePerform independently (NMC)
  • VideoAntinuclear Antibodies (ANA) test and their patterns | ANA test | What does ANA test positive mean?6:52
  • VideoAntinuclear Antibodies (ANA) and their patterns 🧪 - Rheumatology - Labs8:08
  • +66 more links

Indirect immunofluorescence for ANCA on neutrophils

Lab techniquePerform independently (NMC)
  • PageNeutrophil fixation protocols suitable for substrates to detect anti-neutrophil cytoplasmic antibodies by indirect immunofluorescence - ScienceDirectsciencedirect.com
  • PageDelineation of a standard procedure for indirect immunofluorescence detection of ANCApubmed.ncbi.nlm.nih.gov
  • +33 more links

Crithidia luciliae assay for anti-dsDNA

Lab technique
  • VideoBio-Rad Kallestad Crithidia Luciliae dsDNA by Indirect Immunofluorescence2:05
  • VideoIIF - Part 10 : Anti-dsDNA IIF using Crithedia Lucilia | Dr. Tamer Soliman15:51
  • +66 more links

Procedures

Joint aspiration (arthrocentesis)

ProcedurePerform independently (NMC)
  • VideoKNEE ASPIRATION / INJECTION - LATERAL APPROACH: Step-By-Step Teaching Simulation3:42
  • VideoKnee Aspiration | Practical clinical skills2:34
  • +66 more links

Intra-articular joint injection

ProcedurePerform independently (NMC)
  • VideoKNEE ASPIRATION / INJECTION - LATERAL APPROACH: Step-By-Step Teaching Simulation3:42
  • VideoKNEE NJECTION - ANTERIOR APPROACH: Step-By-Step Teaching Simulation3:54
  • +66 more links

Joint lavage

Procedure
  • PageHow to perform a joint flush in a dog with septic arthritis | VETgirl Videosvetgirlontherun.com
  • +22 more links

Tennis elbow (lateral epicondylitis) injection

Procedure
  • VideoLATERAL EPICONDYLITIS (TENNIS ELBOW) INJECTION: Step-By-Step Teaching Simulation2:29
  • VideoTennis Elbow Lateral Epicondylitis Injection - Everything You Need To Know - Dr. Nabil Ebraheim3:23
  • +66 more links

Carpal tunnel injection

Procedure
  • VideoCarpal Tunnel Injection - Everything You Need To Know - Dr. Nabil Ebraheim3:42
  • VideoInjection Technique for Carpal Tunnel Syndrome1:25
  • +66 more links

Bursa injection (bursitis)

Procedure
  • VideoShoulder bursitis, Tendonitis Injection Animation - Everything You Need To Know - Dr. Nabil Ebraheim2:37
  • VideoTrochanteric Bursitis Injection - Everything You Need To Know - Dr. Nabil Ebraheim1:53
  • +66 more links

Plantar fascia injection

Procedure
  • VideoPlantar Fascitis Injection Technique6:27
  • VideoPlantar Fasciitis (Post Tibial Block and PRP Injections)3:49
  • +66 more links

Nail fold capillaroscopy

ProcedurePerform independently (NMC)
  • VideoNailfold Capillaroscopy2:01
  • VideoAPLAR 2022 Capillaroscopy2:18:14
  • +66 more links

Salivary gland biopsy

ProcedurePerform independently (NMC)
  • VideoLabial salivary gland biopsy demonstration - YouTube
  • VideoLabial salivary gland biopsy demonstration - YouTube
  • +55 more links

Sural nerve biopsy

Procedure
  • VideoSural Nerve Biopsy - Stepwise Demonstration | SurgeonKishan2:24
  • VideoPursue 7J (Live): Approach to Nerve Biopsy1:01:59
  • +66 more links

Skin biopsy

ProcedurePerform independently (NMC)
  • VideoPunch Biopsy3:52
  • VideoPunch Biopsy of Skin1:12
  • +66 more links

Muscle biopsy

ProcedurePerform independently (NMC)
  • VideoModified Bergstrom Technique for Human Skeletal Muscle Biopsy | Protocol Preview2:01
  • VideoMuscle Biopsy Informational Video4:02
  • +66 more links

Kidney biopsy

ProcedurePerform under supervision (NMC)
  • VideoLive Demonstration of kidney biopsy by Dr. Reeti Sahni13:21
  • VideoWhat is Kidney Biopsy | Renal Biopsy Procedure | Percutaneous Renal Biopsy3:01
  • +66 more links

Synovial biopsy

ProcedurePerform under supervision (NMC)
  • VideoWhat is an Ultrasound Guided Synovial Biopsy?3:49
  • VideoHow Is a Synovial Biopsy Performed?3:19
  • +66 more links

Synovial fluid

Synovial fluid analysis (cell count)

Lab techniquePerform independently (NMC)
  • VideoJoint fluid analysis (Pathology) - Joint Aspiration - Rheumatology10:44
  • VideoSynovial Fluid Analysis Test - Procedure and Result Interpretation3:12
  • +66 more links

Imaging

X-ray interpretation in rheumatology

Interpretation
  • VideoIntroduction to Imaging of Arthritis47:11
  • VideoOsteoarthritis (OA) vs Rheumatoid Arthritis (RA): Explained! (+ X-Ray Examples)9:57
  • +66 more links

Joint MRI interpretation

InterpretationPerform independently (NMC)
  • VideoImaging of the sacroiliac joint - Lecture by Prof. Kay G. Hermann - X-ray, CT, SPECT-CT and MRI17:14
  • VideoHow to recognize a T1 weighted MRI scan and basic anatomy of the sacroiliac joint // THE BASICS2:48
  • +66 more links

DXA bone densitometry interpretation

Interpretation
  • VideoInterpreting a DEXA Bone Scan9:46
  • VideoMistakes in interpretation in bone mineral densitometry (DXA) - Dr David Chandy9:21
  • +55 more links

Immunodeficiency tests

Immunoglobulin estimation (IgG, IgM, IgA, IgE, IgG subclasses)

Lab technique
  • PageVideo: Multianalyte Immunobead Assay: A Flow-Based Immunoassay Technique for Concurrent Detection of Multiple Antibody Subtypes in Human Serum Sample - Experimentjove.com
  • PageDevelopment and validation of a high throughput multiplex immunofluorescence assay to detect all human immunoglobulin isotypes and subclasses in human fluidsexa.ai
  • +33 more links

Lymphocyte proliferation assay

Lab techniqueObservation only; perform under supervision (NMC)
  • VideoProliferation Assay Using CFSE | Use Of CFSE to Monitor Lymphocyte Proliferation |1:41
  • VideoUsing CFSE to Monitor Lymphocyte Proliferation2:01
  • +44 more links

Flow cytometry for lymphocyte subsets

Lab techniquePerform under supervision (NMC)
  • VideoNicole Weit - Advanced flow cytometric analysis of human T cell memory subsets58:25
  • VideoBasic Immunology 8: Microscopy and flow cytometry to see your immune cells15:03
  • +55 more links

Allergy

Outcome assessment

Therapeutics

DMARD, immunosuppressant and biologic therapy use

Procedure
  • VideoUSMLE Step 3 Inflammatory Arthritis: RA, DMARDs, Methotrexate & Biologics Review11:11
  • VideoRheumatoid Arthritis - Treatment - Treat-to-Target, DMARDs, Biologics and JAK Inhibitors31:16
  • +66 more links

IVIG therapy administration

Procedure
  • VideoIVIG Infusion Time (calculation)2:18
  • VideoIVIG Administration Essentials for Nurses: Key Practices and ... - YouTube
  • +55 more links

Stem cell therapy (autoimmune disease)

Procedure
  • VideoWhat's new in hematopoietic stem cell transplantation for autoimmune disease55:10
  • VideoAutologous hematopoietic stem cell transplantation in autoimmune diseases32:44
  • +33 more links

Plasmapheresis

Procedure
  • VideoWhat is Plasmapheresis | How plasmapheresis works | Procedure in detail13:26
  • VideoWebinar : PLEX - (PLASMA EXCHANGE ) - A GAME CHANGER | Yashoda Hospitals Hyderabad1:08:39
  • +66 more links

Rehabilitation

Pain management

Regional nerve blocks for pain

ProcedureIdentify need (DrNB)
  • VideoUltrasound-Guided PENG Block | Anatomy, Sonoanatomy & Technique4:49
  • VideoInterscalene Brachial Plexus Block5:44
  • +66 more links

Manipulative and mobilization techniques

ProcedureIdentify need (DrNB)
  • VideoSpinal Manipulation to the cervico-thoracic spine, thoracic spine, ribs and lumbar spine2:09
  • VideoFrozen Shoulder Treatment : 7 Stage Shoulder Mobilization Technique | Spencer's Technique.16:25
  • +66 more links

Practical examination

Professionalism

Management and communication

Audit

Clinical audit

Communication / admin
  • VideoHow to write an AUDIT - Medical edition14:43
  • VideoClinical Audit - What You Need to Know to ACE Your Interview or Exam5:13
  • +66 more links

Allied posting

Joint replacement surgery (observation)

ProcedureObserve (NMC elective)
  • VideoTotal Knee Replacement Surgery Demonstration - Dr. Eric W. Janssen7:45
  • VideoJoint Replacement Surgery Orientation 2024
  • +33 more links