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25 Cards in this Set
- Front
- Back
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types of joints: synovial, cartilaginous, fibrous
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synovial: freely movable, knee, shoulder
cartilaginous: slightly movable, spinal vertebrae fibrous: non-movable, cranial sutures |
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joint complaints
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pain, redness, warmth swelling (s/s inflammation)
stiffness, laxity, weakness, change in shape or size |
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muscle complaints
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pain, weakness, fatigue, paralysis, tremor
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skeletal complaints
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limping, numbness, tingling, pain, deformity
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HPI
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acute v insidious onset, progressive or intermittent, time of day, localized or generalized pain, mono or poly articular
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HPI-quality
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aching, dull-muscle
sharp, shooting, burning-nerve deep, dull-bone severe, intolerable-fracture |
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assess for systemic s/s
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fever, chills, wt loss, rash
abd pain, chest pain, SOB, N/V, pelvic pain, etc. |
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why is it important to assess functional effects of musculoskeletal complaints?
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give clue to degree of impairment (ADLs), workers comp, elderly & children-ability to cope
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rotator cuff muscles
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SITS
supraspinatus, infraspinatus, teres minor, subscapularus |
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cross over test
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tests for DJD in acroclavicular joints, have pt cross arm over, if pain + for DJD
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test for subscapularis injury (RC injury)
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arm flexed 90 behind back pushing out agaist resistance
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test for supraspinatis injury
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drop arm test
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test for teres minor or infraspinatis injury
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arms flexed 90 degrees out in front, external rotation against resistance
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shoulder ROM
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abduction, adduction & internal rotation (arm behind back), abduction & external rotation (arm by head, hand touching shoulder), forward flexion & extension
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Tinnel's sign-elbow
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tapping ulnar nerve, bt medial epicondryl and olecranon, causes pain, ulnar nerve impingement
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Tinnel's sign-wrist
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tapping over median nerve. Carpel tunnel
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Phelan's sign
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holding wrists flexed for 1 min. Carpel tunnel
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finkelstein's test
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thumb across palm, flex & ulnar deviation, causes pain of Dequervain's tenosynovitis
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Dequervain's tendonitis
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pain in tendons of thumb elicited by finkelstein's test
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sciatic nerve pain test
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straight leg test
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valgus
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knock kneed
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varus
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bow-legged (varus-air between)
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Heberdene's nodes
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osteoarthritis
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McMurray's test
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testing for injuries to meniscus, find lateral knee joints, flex and extend knee while feeling for clicks
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gout
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uric acid buildup in joints causes inflammation, swelling, & pain
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