... 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 ... (Figure 7 .5) . A positive test (Tinel’s sign) is the production of tingling on the palmer surface of the thumb, index finger, and a portion of the middle fin...
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 ... volar aspect of the DIP joint and swelling 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....
Ngày tải lên: 10/08/2014, 15:20
Primary Care of Musculoskeletal Problems in the Outpatient Setting - part 6 pot
... 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 increased her running ... 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...
Ngày tải lên: 10/08/2014, 15:20
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 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
Primary Care of Musculoskeletal Problems in the Outpatient Setting - part 9 potx
... start-up pain after sit- ting or when arising in the morning. Examination reveals swelling in between the Achilles tendon and the calcaneus. There is generally a prominence in the area of the ... in patients with pain in the popliteal area (the back of the knee). The popliteus is the pri- mary internal rotator of the tibia. Its origin is the posterior, m...
Ngày tải lên: 10/08/2014, 15:20
Primary Care of Musculoskeletal Problems in the Outpatient Setting - part 1 ppsx
... Musculoskeletal Problems in the Outpatient Setting Edward J. Shahady, MD Tallahassee, FL, USA Editor Primary Care of Musculoskeletal Problems in the Outpatient Setting With 207 Illustrations problems. The ... NO production. 5. Lipids and Exercise Serum lipid levels are influenced by exercise especially in the insulin-resistant state. In the normal non-i...
Ngày tải lên: 10/08/2014, 15:20
Primary Care of Musculoskeletal Problems in the Outpatient Setting - part 3 pptx
... 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 also influences the depth of insertion. ... grade 1 injury. Over 50 % of these patients respond to an injection of lidocaine and a steroid into the joint and the shoulder strengthening exercises de...
Ngày tải lên: 10/08/2014, 15:20
Primary Care of Musculoskeletal Problems in the Outpatient Setting - part 7 ppt
... 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
Electricity Infrastructures in the Global Marketplace Part 5 potx
... result of a legally binding EU target under the Bali Protocol. It is likely to mean a six-fold increase in the amount of onshore wind turbines and a 50 -fold increase in the number of offshore wind ... variations arising from the axis of rotation of the earth being inclined to the planes of orbit of the moon around the earth and the earth around the...
Ngày tải lên: 19/06/2014, 21:20
Electricity Infrastructures in the Global Marketplace Part 5 pot
... result of a legally binding EU target under the Bali Protocol. It is likely to mean a six-fold increase in the amount of onshore wind turbines and a 50 -fold increase in the number of offshore wind ... both fouling of the heat exchangers and scaling of the injection wells. 5. 8.1.3 Enhanced Geothermal Systems The value of the air-cooled ORC is particularly...
Ngày tải lên: 20/06/2014, 05:20