Chapter 16 health assessment

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genya  on November 22, 2010

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bates musculoskeletal system

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Chapter 16 health assessment

articular disease
typically involves swellling and tenderness of the entire joint and limits both active and passive range of movement
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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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