Care of Musculoskeletal Problems in the Outpatient Setting - part 6 ppt

... 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: 11/08/2014, 13:20

... 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. ... 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...

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

... your office with complaints of right groin and thigh pain for the past 3 weeks. The pain first began after 25 min of running but now it starts within minutes of beginning her run. The pain stops ... often minimal owing to the depth of soft tissue overlying the femoral neck. The above factors of (1) increased risk for osteoporosis (eating disorder), (2) history of recen...

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 ... patient’s history of acute onset of pain after starting to run, difficulty in walking, and the appearance of an ecchymosis is suggestive of a tear of one...

Ngày tải lên: 10/08/2014, 15:20

... benefit is obtained by increasing the rate beyond 75% for the average patient in the primary care setting. Include resistance training and stretching in the plan. Emphasize that increasing strength ... make the diagnosis. Knowledge of the anatomy helps the clinician perform the examination. For example, in Chapter 15 in the case of the 3 6- year-old man wit...

Ngày tải lên: 11/08/2014, 13:20

... AC joint separation. The movements that recreate the pain help pinpoint the anatomic structures involved in the injury. Abducting the arm to 90° impinges the supraspinatus muscle under the corocoacromial ... the joint and the acromioclavicular and coricoclavicular ligaments. There are five grades of injury but in the primary care office setting only three grades...

Ngày tải lên: 11/08/2014, 13:20

... are often vague and intermittent. Symptoms include nighttime calf pain and activity-related pain in the heel or sole of the foot. The pain is accompanied by tingling and burning on the bottom of ... band of connective tissue that originates at the bot- tom of the heel and progresses forward toward the ball of the foot. It helps maintain the arch of the foot....

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 ... Immobilization and inac- tivity lead to muscle shortening. The shortening results in a decrease in the range of motion and a disruption of t...

Ngày tải lên: 10/08/2014, 15:20

... 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