Learning path · 3rd year, final year & interns
Clinical Reasoning Starter
Think like a clinician: read test results honestly, localise lesions and talk about pain the right way.
7 steps · about 75 minutes in total
By the end you'll be able to:
- Use SnNout and SpPin without falling into the classic trap
- Separate UMN from LMN lesions in seconds
- Explain pain to patients in simple, safe words
- Practise the full reasoning cycle on real cases
Step 1 · Lesson with PNA Teacher · 11 minNext up
Sensitivity, Specificity, SnNout & SpPin
A positive test doesn't always mean 'yes'. Learn what a result really tells you.
Step 2 · Mission · 10 min
MSK Special Tests library
Pick any two knee tests. For each, ask yourself: would I use this to rule a condition OUT, or IN? Write one sentence explaining why.
Step 3 · Lesson with PNA Teacher · 11 min
Red Flags — When NOT to Treat (and What to Do Instead)
Most back and neck pain is harmless. Learn to spot the few cases that aren't — and refer at the right speed.
Step 4 · Lesson with PNA Teacher · 10 min
UMN vs LMN Lesions — Never Confuse Them Again
Replace two long lists of signs with one picture and one question.
Step 5 · Lesson with PNA Teacher · 10 min
Pain Science Basics — Why Hurt ≠ Harm
Pain is always real — but it isn't a damage meter. Learn to explain this to any patient.
Step 6 · Mission · 10 min
Clinical Challenge Arena
Solve one Arena case. Before choosing an answer, say out loud: which finding rules something IN, and which rules something OUT?
Step 7 · Mission · 12 min
Clinical Case Lab
Read one published case report. Find three things: what was tested, what was ruled out, and what the clinicians did when the patient didn't improve.