General appearance
Palpate for: Crepitus, deformity, joint tenderness, rotation deformity, snuffbox tenderness
Bilateral grip strength
Have patient make a clenched fist
Observe orientation and rotation of middle and distal phalanxes
Assess for scissoring (overlapping of digits)
All phalanges should be oriented parallel to each other with nails in same plane
Have patient draw fingertips together so tip of thumb touches tips of the other 4 digits
Gross estimation of intact median, ulnar, and radial nerve motor function
Pincer function test
Weakness suggests median nerve or ulnar collateral ligament disruption
Observe orientation and rotation of middle and distal phalanxes
Assess for scissoring (overlapping of digits)
All phalanges should be oriented parallel to each other with nails in same plane
Gross estimation of intact median, ulnar, and radial nerve motor function
Weakness suggests median nerve or ulnar collateral ligament disruption
Must test with resistance
Pain along course of tendon during resistance testing suggests partial rupture
Flexor digitorum profundus (FDP)
Flex DIP against resistance while MCP and PIP joints are held in extension
Flexor digitorum superficialis (FDS) + Flexor pollicis longus (FPL)
Flex PIP against resistance while remaining fingers are held in extension
Extensor tendons<unk>  flat an surface and lift fingers individually
Flex DIP against resistance while MCP and PIP joints are held in extension
Flex PIP against resistance while remaining fingers are held in extension<unk>  flat an surface and lift fingers individually
Assess via cap refill and radial pulse
Allen test
Median
Controls thumb opposition and 1st and 2nd lumbricals
Have patient touch tip of thumb to tip of little finger with a paper in between.  Pull paper away.
Sensation to distal 2nd digit
Controls thumb opposition and 1st and 2nd lumbricals
Have patient touch tip of thumb to tip of little finger with a paper in between.  Pull paper away.
Sensation to distal 2nd digit
Ulnar
Controls thumb adduction and 3 and 4th lumbricals
Have patient spread the fingers apart against resistance
Interpose a tongue deppressor between thumb and index finger and try to pull radially
Sensation to distal 5th digit
Controls thumb adduction and 3 and 4th lumbricals
Have patient spread the fingers apart against resistance
Interpose a tongue deppressor between thumb and index finger and try to pull radially
Sensation to distal 5th digit
Radial
Controls thumb and wrist extension
Have patient make "thumbs up" while<unk>  is
Sensation over the dorsal web space between the 1st and 2nd digits
Controls thumb and wrist extension
Have patient make "thumbs up" while<unk>  is
Sensation over the dorsal web space between the 1st and 2nd digits
Hand exam
Eye exam
Neurologic exam
Labs Checklist
Apgar score
Microbiology 
Fundoscopic exam
Urine analysis