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
... 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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Primary Care of Musculoskeletal Problems in the Outpatient Setting - part 1 ppsx
... FL, USAEditor 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 ... 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 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. ... 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 ... not so frequent problems are usually the ones we hear aboutbecause they are missed in the primary care setting. Having a good workingknowledge of the characteristics of common problems provides...
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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 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 ... 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 ... 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...
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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 ... 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 recentincrease in running ... functioning, and act like they care. Keep the follow-ing words of wisdom in mind: The patient does not care how much you knowuntil they know how much you care. Simply stated, caring for the patient...
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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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Care of Musculoskeletal Problems in the Outpatient Setting - part 8 docx
... 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 linesis 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 of lower leg prob-lems. The anterior compartment ... 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...
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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 ... 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 ... 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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