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 thenar muscles 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. Nu...

Ngày tải lên: 11/08/2014, 13:20

... 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 thenar muscles 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. Nu...

Ngày tải lên: 10/08/2014, 15:20

... location. The depth of the insertion is usually about half the depth of a 1.5 -in. 22-gauge needle. 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...

Ngày tải lên: 11/08/2014, 13:20

... 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 lines is 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...

Ngày tải lên: 11/08/2014, 13:20

... USA Editor Primary 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 that increasing strength and flexibility help decre...

Ngày tải lên: 10/08/2014, 15:20

... History A 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 acute trauma. 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-gauge needle. Patient bulk...

Ngày tải lên: 10/08/2014, 15:20

... or indication of tissue in the joint. Magnetic resonance imaging 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 dislocat...

Ngày tải lên: 10/08/2014, 15:20

... guide the content of the remaining examination. 3. Case 3.1. History A 22-year-old female runner comes to your office with complaints of right groin 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 pain stops when she stops running and the pain is not present with walking or at rest. She has incr...

Ngày tải lên: 10/08/2014, 15:20

... and the degree of disability is determined by 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 initiating RICE ... injuries. They usually feel an immediate pull or pain in the groin. They will present with a limp and groin pain on the involved side. Examination will reveal te...

Ngày tải lên: 10/08/2014, 15:20

... present. The remaining parts of the history and physical in this patient are consistent with 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 to place the fluid-filled tube in front of some newsprint. In OA you should be able to read t...

Ngày tải lên: 10/08/2014, 15:20