Primary Care of Musculoskeletal Problems in the Outpatient Setting - part 3 pptx
Primary Care of Musculoskeletal Problems in the Outpatient Setting - part 3 pptx
... 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 ... 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. ... activities of daily living (ADL) such as eating and dressing as well as participating in throwing sports and certain occupations. Activities of daily living are ade-quately performed in the range of 30 °...
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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 ... 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 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 ... Immobilization and inac-tivity lead to muscle shortening. The shortening results in a decrease in the range of motion and a disruption of the shock-absorbing capability. Bed restor other forms of inactivity ... to problems. The most importantrole for the primary care clinician is prevention and early recognition of these problems. If the primary care clinician practices in an area where these prob-lems...
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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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Primary Care of Musculoskeletal Problems in the Outpatient Setting - part 6 pot
... your office with complaints of rightgroin 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 painstops ... ignorance10. Back Problems 189 the other. Use a goniometer to assess degrees of motion. The focused historywill guide the content of the remaining examination. 3. Case 3. 1. HistoryA 22-year-old female ... X-ray of the hip is negative. 3. 2. Thinking ProcessComplaints of thigh and groin pain make hip pathology likely. Finding limi-tation of both internal and external rotation on physical examination...
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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 ... one of the most common disorders of the knee and is seen frequently in the primary care setting. Women areaffected more than men, and it is thought to occur because of abnormaltracking of the...
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Primary Care of Musculoskeletal Problems in the Outpatient Setting - part 8 potx
... 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 ... 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 ... 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...
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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
... DriveTallahassee, FL 32 309USALibrary of Congress Control Number: 2006920784ISBN-10: 0 -3 8 7 -3 064 6 -3 ISBN- 13: 97 8-0 38 7 -3 064 6-9 Printed on acid-free paper.© 2006 Springer Science+Business Media, LLCAll ... 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...
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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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