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Primary Care of Musculoskeletal Problems in the Outpatient Setting - part 5 pptx

Primary Care of Musculoskeletal Problems in the Outpatient Setting - part 5 pptx

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 ... 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 ... over the ulnar side of the MCP. The ulnar side pointstoward the ulna in contrast to the radial side of the joint, which pointstoward the radius (Figure 8.10). Stressing the thumb MCP joint into...
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Primary Care of Musculoskeletal Problems in the Outpatient Setting - part 3 pptx

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-gaugeneedle. Patient bulk also influences the depth of insertion. ... grade 1 injury.Over 50 % of these patients respond to an injection of lidocaine and a steroidinto the joint and the shoulder strengthening exercises described at the end of the chapter. If there ... 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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Primary Care of Musculoskeletal Problems in the Outpatient Setting - part 1 ppsx

Primary Care of Musculoskeletal Problems in the Outpatient Setting - part 1 ppsx

... Musculoskeletal Problems in the Outpatient Setting Edward J. Shahady, MDTallahassee, FL, USAEditor Primary Care of Musculoskeletal Problems in the Outpatient Setting With 207 Illustrations problems. The ... NOproduction. 5. Lipids and ExerciseSerum lipid levels are influenced by exercise especially in the insulin-resistantstate. In the normal non-insulin-resistant individual, insulin activateslipoprotein ... fasciitis. These clinical prob-lems may be prevented or minimized with the use of orthotics. Further discus-sion of the treatment of pronation and use of orthotics is included in Chapter 15. An increased...
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Primary Care of Musculoskeletal Problems in the Outpatient Setting - part 4 pot

Primary Care of Musculoskeletal Problems in the Outpatient Setting - part 4 pot

... 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 finger. Test the strength of the thenarmuscles ... 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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Primary Care of Musculoskeletal Problems in the Outpatient Setting - part 6 pot

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 painstops when she stops running and the pain is not present with walking or atrest. She has increased her running ... 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 ... at 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...
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Primary Care of Musculoskeletal Problems in the Outpatient Setting - part 7 ppt

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

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 ... BursitisThere are several bursas around the knee. Two of them, the pes anserine and the prepatellar, can become inflamed and present to the primary care clini-cian. Being able to differentiate these ... 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...
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Primary Care of Musculoskeletal Problems in the Outpatient Setting - part 9 potx

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 patientswith 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, medial border of the tibia. It inserts ... starteddown the right path. The mechanism of injury will many times pinpoint the anatomy involved in the injury. Questions like the following help put the pieces of the puzzle together. If the problem...
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Care of Musculoskeletal Problems in the Outpatient Setting - part 1 pptx

Care of Musculoskeletal Problems in the Outpatient Setting - part 1 pptx

... benefitis 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 thatincreasing strength ... make the diagnosis.Knowledge of the anatomy helps the clinician perform the examination. Forexample, in Chapter 15 in the case of the 36-year-old man with foot pain,examination revealed pain ... based on the model of acute care rather than chronic care. In the acute care model, patient participation in decision making is minimal to nonexistent. The medical problems in the acute care model...
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Care of Musculoskeletal Problems in the Outpatient Setting - part 5 pot

Care of Musculoskeletal Problems in the Outpatient Setting - part 5 pot

... 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 ... 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 ... hyperextending the MCP joint whilepulling the proximal phalanx forward, maintaining the tension of the pulland flexing the MCP joint. Figure 8.8 demonstrates a simple dorsal disloca-tion with the...
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