Chapter 16 health assessment
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44 terms
Terms | Definitions |
|---|---|
articular disease | typically involves swellling and tenderness of the entire joint and limits both active and passive range of movement |
Extra-articular disease | Typically involves selected regions of the joint and types of movement |
Ligament | connect bone to bone |
tendons | connect muscles to bone |
bursea | synovial fluid that cushion the movement of tendons and muscles over bone |
examples of Synovial joints | Knee, shoulder |
examples of Cartilaginous joints | vertebrae |
examples of fibrous joints | skull sutures |
What is synovial joints movement? | freely movable |
What is cartilaginous joint movement? | slightly moveable |
What is fibrous joint movement? | Immovable |
example of spheroidal joint | shoulders and hip |
examples of hinge joint | flexion and extension of the digit |
example of condylar joints | knee |
What determines the direction and extent of joint motion? | The shape of the articulating surface of synovial joints |
bursae | roughly disc-shaped synovial sacs that allow adjacent muscles or muscles and tendons to glide over each other during movement. |
What back pain is preferred to as "sprain" or "strain" | idiopathic low back pain |
musculoligamentous injury, disc herniation, vertebral collapse, spinal cord metastases or rarely epidural abcess. | What are conditions that cause midline back pain? |
sacroilitis, trochanteric bursitis, sciatica or hip arthritis | What are conditions that cause pain off the midline |
Leg pain that resolves with rest or lumbar forward flexion | spinal stenosis |
cauda equina syndrome form s2 -4 midline disc or tumor if these symptoms occur | bowel or badder dysfunction |
"Red flags" | older than 50, hx of cancer, unexplained weight loss, pain lasting more than 1 month or not responding to treatment, pain at night or increased by rest, IV drug use or persence of infection |
Joint pain that is localized and involves only one joint. | monoarticular |
pain that migrates from joint to joint or steadily spreads from one joint to multiple joints is a sign of what? | Rheumatic fever or gonococcal arthritis |
severe pain of rapid onset in a red swollen joint is... | acute septic arthritis or gout |
fever, chills, warmth, redness ...l | septic arthritis; also consider gout or rheumatic fever |
lateral hip pain near the greater trochanter | trochanter bursitis |
Generalized "aches and pains" | myalgias if in muscles and arthralgias if there is pain but no evidence of arthritis |
symptoms that lead you to believe pain is articular in origin | swelling, stiffness, or decreased range of motion |
a perceived tightness or resistance to movement | musculoskeletal stiffness |
nonarticular pain | loss of active but not passive motion, tenderness outside the joint, absence of deformity |
articular joint pain | pain, swelling, loss of active and passive motion |
articular structure include | joint capsule and articular cartilage, the synovium and synvial fluid, intra-articular ligament, and juxa-articular bone |
Extra- articular structures include | Periarticular ligament, tendons, bursae, muscle, fascia, bone, nerve and overlaying skin |
What is the most common articular disease? | Osteoarthritis |
The most typical inflammatory articular disease is | Rheumatoid Arthritis |
Typical articular diseases of inflammatory character are, for example | gout |
a chronic, systemic inflammatory disorder that may affect many tissues and organs, but principally attacks synovial joints. | Rheumatoid arthritis (RA) |
what governs emotional behavior and sex drive | hypothalamus |
athetosis | Slow, writhing movements, especially of fingers. Characteristic of basal ganglia lesion. |
chorea | sudden, rapid, jerky, purposeless movement involving limbs, trunk, or face |
synovitis | inflammation of the synovial membrane |
rheumatoid arthritis | A chronic systemic disease characterized by inflammation of the joints, stiffness, pain, and swelling that results in crippling deformities |
arthralgia | joint ache and pain without arthritis |
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