MSK examination Flashcards

1
Q

What important locomotor problems do you need to consider with MSK problems

A

Pain

Tenderness

Swelling

Stiffness

Deformity

Weakness

Wasting

Loss of function

Extra-articular features

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2
Q

Cardinal symptoms of joint problems

A

Joint pain

Joint stiffness

Weakness

Hot/red joints

Loss of function

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3
Q

How would you quickly screen the musculoskeletal system

A

Gait : Observe

Arms:
Elbow & forearm movement
Hand behind head (external rotation)
Inspect hands
Palpate MCPs
Pinch grip

Legs:
Inspect
Passive knee & hip movement
Inspect feet
Palpate MTPs

Spine:
Stand patient
Observe from posterior & lateral
Lateral flexion
Touch toes

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4
Q

How should joints be systematically examined?

A

Look:
general body appearance
compare left and right
Scars/trauma
Vertebral column alignment
Regional deformity and contours
Skin changes (red, bruises, swelling)
Wasting or fasiculations

Feel:
Temperature
Swellings
Tenderness
Lymphadenopathy
Contours of the bones

Move:
Passive and active movements

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5
Q

What could cause limited movement at a joint?

A

Pain

Muscle spasm

Contractures

Inflammation

Swelling

Bony outgrowths

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6
Q

DDx of shoulder pain

A

Rotator cuff tear

Adhesive capsulitis

Biceps tendinitis

Nerve entrampment

Referred pain from gall stones/MI

Infection

Arthritis

Glenoid labrum tear

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7
Q

Sprengels shoulder

A

high riding scapula

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8
Q

Scale for assessing muscle power

A

0 - no visible contraction

1 - visible contraction, no joint movement

2 - moves with gravity

3 - moves against gravity

4 - reduced power against resistance

5 - full power against resistance

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