Flashcards in Exam #5: Musculoskeletal Exam Deck (90)
What is the purpose of the MSK focused history?
Narrowing of the physical exam
What questions should you ask the patient in regards to the MSK?
- Joint & neurological related
- Function/ ADL
What is the order for the MSK examination?
3) Muscle strength eval
4) Reflexes & neuro
5) Special tests
What is the preliminary step to the MSK exam?
Neurological screening exam
What are joint locking or crepitus associated with?
What is giving-way associated with?
Ligamentous or meniscal injury
What is weakness associated with?
What is clicking, popping, or tearing associated with?
Soft tissue injury
What are tremors, spasms, and weakness associated with?
Neurologic or muscle injury
What is one of the most important things to know in regards to patient's with MSK complaints?
How their ADLs are being affected, and how they're changing
What are the major red flags that should be asked about in regards to MSK complaints?
Night time pain
What is tendonitis?
Acute inflammation of a tendon
What is tendinosis?
Chronic degeneration of a tendon
What is tenosynovitis?
Inflammation of a sheath of a tendon (i.e. DeQuervain's)
What is tendinopathy?
Disease of the tendon--a general term when precise etiology is not know
What is a tremor?
Involuntary rhythmic muscle movement
What is spasticity?
Velocity dependent resistance to muscle stretch
What is a strain?
Trauma to a muscle
What is Arthritis?
What does Arthrosis mean?
What does Arthraliga mean?
What does Arthropathy mean?
Disease of a joint
What is Bursitis?
Inflammation of the bursa
What is the difference between smooth weakness & breakaway?
Breakaway= painful/ MSK weakness
What is a positive babinksi sign? What is this is sign indicative of?
UMN injury in LE
What is Hoffman's sign indicative of?
UMN injury in UE
Outline the 0-5 grading scale of muscle strength.
0= no movement
2= gravity eliminated
3= full ROM against gravity but thats it
4= Full ROM against grav. but weak with DO applied
How are ligaments generally evaluated?
Elongated by pushing or pulling bone away
How are joint surfaces evaluated?
Rub them together