Care of Musculoskeletal Problems in the Outpatient Setting - part 4 docx
Care of Musculoskeletal Problems in the Outpatient Setting - part 4 docx
... test(Tinel’s sign) is the production of tingling on the palmer surface of the thumb,index finger, and a portion of the middle finger. Test the strength of the thenarmuscles by assessing the ability ... flexion. They also usually complain that the pain is located on the palm of the hand in the thenar area (thumb side). The pain may radiate the elbow.Numbness and tingling in that area of the palm ... considered in a young athlete with elbow pain. The age of the patient and the location of the pain help start the process of differentiating the three enti-ties. Panner’s disease and OCD are problems...
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Primary Care of Musculoskeletal Problems in the Outpatient Setting - part 4 pot
... test(Tinel’s sign) is the production of tingling on the palmer surface of the thumb,index finger, and a portion of the middle finger. Test the strength of the thenarmuscles by assessing the ability ... flexion. They also usually complain that the pain is located on the palm of the hand in the thenar area (thumb side). The pain may radiate the elbow.Numbness and tingling in that area of the palm ... ligaments of the floor of the snuffbox. All these land-marks are noted in Figure 7.8. The examination in SLLD is positive for discomfort in the snuffbox andpain in the midportion of the wrist....
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Care of Musculoskeletal Problems in the Outpatient Setting - part 3 docx
... location. The depth of the insertion is usually about half the depth of a 1.5 -in. 22-gaugeneedle. Patient bulk also influences the depth of insertion. With AC, the injection into the glenohumeral joint ... with distention of the glenohumeral joint using up to 50 cc of fluid. The fluid is a mixture of 3 cc of lidocaine and the rest is normal saline.Injecting the bursa or the joint can be accomplished ... differ depending on the degree of intervention.13.1. Examination The examination will differ depending on the phase of AC. Initially the patient may be holding the involved arm to the side and...
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Care of Musculoskeletal Problems in the Outpatient Setting - part 8 docx
... crest through the mid-point of the patella. Draw another line from the tibial tuberosity through the midpoint of the patella. The angle formed at the intersection of the two linesis the Q angle ... describe the compart-ments and the contents of the compartments. Knowledge of the structures in these compartments aids in the diagnosis and treatment of lower leg prob-lems. The anterior compartment ... present. The remaining parts of the history and physical in this patient are consistentwith OSD.12.3. Imaging The lateral radiograph of the knee outlines the tibial tubercle. In an adoles-cent...
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Primary Care of Musculoskeletal Problems in the Outpatient Setting - part 1 ppsx
... USAEditorPrimary Care of Musculoskeletal Problems in the Outpatient Setting With 207 Illustrations problems. The most important role for the primary care clinician is pre-vention and early recognition of these ... the primary care setting. Include resistance training and stretching in the plan. Emphasize thatincreasing strength and flexibility help decrease the chances of falls and frac-tures as well as help in ... of the area but the key anatomy most often involved in the diagnosis andtreatment of MS problems. For example, Chapter 5 describes the impor-tance of the difference between the shoulder joint...
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Primary Care of Musculoskeletal Problems in the Outpatient Setting - part 3 pptx
... HistoryA 43 -year-old right-handed male painter presents to your office with a 4- month history of right lateral elbow pain. He has no history of acutetrauma. The pain is increasing in intensity ... border of the humeral head places it in the correct location. The depth of the insertion is usually about half the depth of a 1.5 -in. 22-gaugeneedle. Patient bulk also influences the depth of insertion. ... with the other by measuring howfar up the back the hand can reach to scratch the back. There usually is a lit-tle difference with the dominating arm lagging behind the other arm. Thistests the...
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Primary Care of Musculoskeletal Problems in the Outpatient Setting - part 5 pptx
... or indication of tissue in the joint. Magnetic resonanceimaging may be indicated to access the amount of tissue that has been dis-placed into the joint. Save the ordering of the MRI for the ... surrounding soft tissues are there-fore more critical in maintaining the stability of the joint. Dislocations of the MCP joint are not that common and dorsal dislocation (top of the knuckle) 142 E.J. ... volar aspect of the DIP joint andswelling and tenderness over the volar surface at the MCP joint and a feel-ing of a lump on the volar surface of the MCP joint. Extension of all the joints is normal...
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Primary Care of Musculoskeletal Problems in the Outpatient Setting - part 6 pot
... guide the content of the remaining examination.3. Case3.1. HistoryA 22-year-old female runner comes to your office with complaints of rightgroin and thigh pain for the past 3 weeks. The pain ... 25 min of running but now it starts within minutes of beginning her run. The painstops when she stops running and the pain is not present with walking or atrest. She has increased her running ... 35°.Examination of her shoes reveals no excessive wear. A plain film X-ray of the hip is negative.3.2. Thinking ProcessComplaints of thigh and groin pain make hip pathology likely. Finding limi-tation...
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Primary Care of Musculoskeletal Problems in the Outpatient Setting - part 7 ppt
... and the degree of disability is determinedby the degree of injury. The symptoms are pain over the iliac crest, point ten-derness, and pain with stretching of the abdominal muscles. Treat by initiatingRICE ... injuries. They usually feel an immediate pullor pain in the groin. They will present with a limp and groin pain on the involved side. Examination will reveal tenderness in the groin and pain withhip ... patients the hamstrings are only 40 % to 45 % as strong as the quadriceps and this imbalance increases the risk of hamstring injury. Manyhamstring injuries can be prevented if the hamstring strength in...
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Primary Care of Musculoskeletal Problems in the Outpatient Setting - part 8 potx
... present. The remaining parts of the history and physical in this patient are consistentwith OSD.12.3. Imaging The lateral radiograph of the knee outlines the tibial tubercle. In an adoles-cent ... 60,000. One quick way of deciding on the turbidity of the fluid is toplace the fluid-filled tube in front of some newsprint. In OA you should beable to read the print. With other inflammatory arthritis ... is doing well.11.3. ImagingWhen OA is suspected, recommended radiographs include weight-bearingand non-weight-bearing views. Some of the classical findings include jointspace narrowing, subchondral...
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