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Physical diagnosis test 2 > Musculoskeletal > Flashcards

Flashcards in Musculoskeletal Deck (18):
1

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

2

What is extra-articular discomfort?

- ligaments, tendons, bursae, muscle fascia, bone, nerve, overlying skin
- limited active ROM

3

What is ankylosing spondylitis?

IT is chronic, progressive stiffness in the back

4

What is sciatica?

radicular (S1) low back pain, shooting pain below the knee that is worse with bending, sneezing, coughing straining

5

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

6

What is the order you want to follow for physical exam?

- inspection
- palpation
- ROM

7

What are the types of arthritis?

- Rheumatoid Arthritis
- Osteoarthritis
- Gouty Arthritis

8

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

9

What are sx of Osteoarthritis?

- may involve one joint with bony enlargement
- crepitus

10

What are sx of Gouty arthritis?

- often at base of big toe
- hot, tender, red joint

11

What are sx of rotator cuff tear?

- chronic shoulder pain with overhead movement, limited forward flexion and abduction
- passive ROM usually preserved

12

What are sx of adhesive capsulitis?

- pain with passive and active shoulder ROM, especially external rotation

13

What are signs of olecranon bursitis?

- swelling and inflammation of olecranon bursa

14

What are sx of Epicondylitis?

- lateral: pain with wrist extension, tenderness near lateral epicondyle
- medial: pain with wrist flexion, tenderness at medial epicondyle

15

What are sx of osteoarthritis?

- hard, painless nodes at DIP (Heberden's nodes)

16

What are sx of RA?

- tender, painful stiff joints
- DIP and MCP
- Ulnar deviation of fingers

17

What do you suspect if you have problems with flexion, abduction, external rotation on the hip exam?

- Questionable labral tear and intra-articular pathology

18

What do yo suspect if pt has point tenderness on the joint line of the knee?

- medial meniscus tear