Care of Musculoskeletal Problems in the Outpatient Setting - part 2 ppt
Care of Musculoskeletal Problems in the Outpatient Setting - part 2 ppt
... applied to the joint to dis-rupt the joint proper or the surrounding ligaments that hold the joint in itsanatomical position. The AC joint lies between the acromial end of the clav-icle and the acromion. ... recreate the pain helppinpoint the anatomic structures involved in the injury. Abducting the arm to90° impinges the supraspinatus muscle under the corocoacromial ligament. In addition, pain produced ... amount of trauma that occurs to the joint and the acromioclavicular and coricoclavicular ligaments. There are fivegrades of injury but in the primary care office setting only three grades of injury...
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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 ... the back the hand can reach to scratch the back. There usually is a lit-tle difference with the dominating arm lagging behind the other arm. Thistests the limit of internal rotation and in a patient...
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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 ... contractures make reinsertion more diffi-1 52 E.J. Shahady3 .2. Thinking Process The unusual position of the finger in the flexed palm indicates malrotation of the bone. If a fracture of the metacarpal ... surrounding soft tissues are there-fore more critical in maintaining the stability of the joint. Dislocations of the MCP joint are not that common and dorsal dislocation (top of the knuckle)1 42 E.J....
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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 ... positive on the left side.10 .2. Thinking ProcessOsteoarthritis of the hip is the first thing that comes to mind given the patient’s age and chronicity of the problem. There is no doubt the problem ... 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 of his muscle groups. Being in the posterior...
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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 ... DriveTallahassee, FL 323 09USALibrary of Congress Control Number: 20 06 920 784ISBN-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.© 20 06 Springer Science+Business Media, LLCAll...
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Care of Musculoskeletal Problems in the Outpatient Setting - part 6 ppt
... 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 ... 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 first began ... weakness in the lower extremity and aggravation of the pain by sitting, coughing, sneezing, straining, and defecation. Difficulty void-ing and involuntary loss of stool are indications of central...
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Care of Musculoskeletal Problems in the Outpatient Setting - part 10 pptx
... lesions, 75Hindfoot injuries, a case study, 320 – 322 Hip, 4Hip and thigh problems, case histories, 20 8 21 0, 21 8 22 0, 22 2, 22 3focused history, 20 4focused physical examination, 20 4 20 8organizational ... content, 29 Low-density lipoprotein (LDL), 9Lower leg, anatomy of, 26 9 27 1exercises, 28 7, 28 8pain, 26 8case study of left, 27 2 27 4focused history of, 27 1focused physical examination of, 27 1medical ... anatomy, 28 9 29 1exercises, 303–309fractures, 3 02 injection, 303Ankle problems, a case study, 29 6, 29 7examination, 29 2 29 5test, 29 5Ankle sprains, 29 7, 29 8classification, 29 7, 29 8evaluation, 29 8,...
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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, USAEditorPrimary Care of Musculoskeletal Problems in the Outpatient Setting With 20 7 Illustrations problems. The ... the anatomy in action. 2. Principle 2 The history helps the clinician not only make the diagnosis but better under-stand the risks for injury and the mechanism that led to the injury. Many of the cases ... of VO 2 requires sophisticatedinstrumentation that is not practical in the usual office setting. The following is a simple formula for estimating VO 2 max. Subtract the patient’s age from 22 0....
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Primary Care of Musculoskeletal Problems in the Outpatient Setting - part 4 pot
... 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. ... of the thumb,index finger, and a portion of the middle finger. Test the strength of the thenarmuscles by assessing the ability of the thumb to move toward the little fingeragainst resistance ... considered in a young athlete with elbow pain. The age of the patient and the location of the pain help start the process of differentiating the three enti-ties. Panner’s disease and OCD are problems...
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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 ... 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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