Flashcards in Musculoskeletal Deck (18):
What is articular discomfort?
- swelling and tenderness of entire joint, crepitus, instability, locking, deformity
- will have limited active and passive ROM from either stiffness or pain
What is extra-articular discomfort?
- ligaments, tendons, bursae, muscle fascia, bone, nerve, overlying skin
- limited active ROM
What is ankylosing spondylitis?
IT is chronic, progressive stiffness in the back
What is sciatica?
radicular (S1) low back pain, shooting pain below the knee that is worse with bending, sneezing, coughing straining
What are some red flags for low back pain?
- less 20 y/o or greater than 50 y/o
- hx of cancer
- unexplained weight loss, fever, etc
- pain more than 1 M or no response to tx
- pain at night or at rest
- hx of IV drug use, addiction, immunisuppression
- long term steroid therapy
- CAUDA EQUINA SYNDROME: bowel/bladder dysfunction (urinary retention and overflow incontinence, saddle anesthesia, perineal numbness)
- neurologic sx
What is the order you want to follow for physical exam?
What are the types of arthritis?
- Rheumatoid Arthritis
- Gouty Arthritis
What are sx of rheumatoid arthritis?
- chronic inflammation
- symmetric and progressive
- tenderness and inflammation of PIP, MCP, MTP, wrists, knees, elbows. Commonly low grade fever and weight loss
What are sx of Osteoarthritis?
- may involve one joint with bony enlargement
What are sx of Gouty arthritis?
- often at base of big toe
- hot, tender, red joint
What are sx of rotator cuff tear?
- chronic shoulder pain with overhead movement, limited forward flexion and abduction
- passive ROM usually preserved
What are sx of adhesive capsulitis?
- pain with passive and active shoulder ROM, especially external rotation
What are signs of olecranon bursitis?
- swelling and inflammation of olecranon bursa
What are sx of Epicondylitis?
- lateral: pain with wrist extension, tenderness near lateral epicondyle
- medial: pain with wrist flexion, tenderness at medial epicondyle
What are sx of osteoarthritis?
- hard, painless nodes at DIP (Heberden's nodes)
What are sx of RA?
- tender, painful stiff joints
- DIP and MCP
- Ulnar deviation of fingers
What do you suspect if you have problems with flexion, abduction, external rotation on the hip exam?
- Questionable labral tear and intra-articular pathology