Study sets, textbooks, questions
Upgrade to remove ads
Dains Ch. 23
Upper Extremity Limb Pain
Terms in this set (25)
History of repetitive trauma activities, pain with movement with physical finding of swelling over tendon and crepitus
History of overuse; aching pain over affected bursae that radiates along limb with physical findings of local tenderness, swelling, muscle weakness, and limited ROM
A patient presents with complaints of joint stiffness, disturbed sleep, and pain in trigger sites. Physical findings result in fatty, fibrous nodules in muscles and diagnostic test show an elevated creatine kinase level. What would be the diagnosis?
Diagnosis where history reveals history of infection, trauma, penetration, or invasive procedure of affected location and constant pain where physical findings may reveal a soft tissue injury or abscess and localized that has gotten progressively worse.
A diagnosis that is seen in older adults with asymmetrical joint pain and stiffness that improves throughout the day. History may reveal repetitive joint trauma and obesity. Physical findings reveal enlarged DIP, PIP joints, and Heberden nodes.
Diagnosis where history reveals morning stiffness of small joints with symmetrical involvement. Physical findings include fever, rheumatoid nodules and ulnar deviation of the wrists.
Diagnosis where history reveals systemic infection, malaise, and diaphoresis. Physical findings reveal fever; red, swollen joint, limited ROM
A patient presents to the clinic with complaints of right anterior shoulder joint pain, muscle spasms, anxiety, and limited movement of the right arm. Upon assessment it is noted that the patient has limited rotation. What would be the diagnosis for this patient?
A patients presents to the clinic with an obvious deformity of the left shoulder. The patient complains of left shoulder pain and states that their shoulder began hurting after falling off of his motorcycle. Limited shoulder movement is found upon assessment. What would be an appropriate diagnosis?
Acromioclavicular joint injury
A nurse practitioner has a patient supinate their forearm against resistance and pain was produced in the bicipital groove. What is this test and what do the results indicate?
Yergason test; bicipital tendititis
History and physical findings associated with acute rotator cuff tear
Younger people, history of trauma, severe pain, inability to raise arm laterally or shrug shoulders
History and physical findings associated with chronic rotator cuff tear
Older, pain worse with overhead movement, sleep disturbance, tenderness of AC joint, crepitus, weakness in external shoulder rotation
A tennis player presents with complaints of pain over the lateral portion of his elbow. Upon assessment it is noted that supination against resistance with the elbow flexed at 90 degrees worsen the pain. What diagnosis would you give?
Lateral humeral epicondylitis (tennis elbow)
A mother is concerned that she has broken her childs arm. The mother states that she pulled her daughters hand as she caught her beginning to fall out of a chair. Assessment of the arm shows the elbow flexed and pronated. The child cries and refuses to move their arm. What is the appropriate diagnosis?
Subluxation of radial head
A patient presents to the clinic with complaints of right wrist pain. The patient states that the pain began after falling on her outstretched hand. Upon assessment of the wrist, pain is increased with palpation of the snuffbox and wrist swelling is noted. What diagnosis would be appropriate?
What does a Colles fracture look like on a lateral view xray?
History related to a bennett fracture
Fall with direct impact of the thumb, pain, swelling, and limited movement
What type of radiograph is needed for a finger fracture?
What is the diagnosis for a noticeable lump on the dorsal surface of the wrist with a gelatinous filled nodule on examination?
How to test for a rotator cuff tear
Ask patient to externally rotate and abduct shoulder
reproduces pain associated with de Quervians tenosynovitis
-flex fingers over a clenched thumb, passibely deviate wrist ulnarly.
direct percussion of the median nerve at the wrist produces no symptoms in the normal hand. If positive test, percussion produces tingling and burning along distribution.
-Sign of carpal tunnel syndrome
Diagnosis where there is a gradual thickening of tissue of the ring and pinky fingers
A patient comes to the clinic with complaints of tingling and pain in their left shoulder after sleeping with their arm extended a couple of nights before. Upon assessment pallor of the left arm is noted along with a decreased pulse. Upon auscultation a bruit is noted over the supraclavicular fossa. What diagnosis would be most appropriate?
Thoracic outlet syndrome
A retired receptionist presents to the clinic with complaints of a dull achy pain and weakness in her hands that is worse at night. The Tinel sign and Phalen test are performed which yield positive results. What is the appropriate diagnosis?
Carpal tunnel syndrome
Sets with similar terms
204 - Orthorheumatology - Progress checks
PC 617 Exam 4
Sets found in the same folder
Dains Ch. 22
Dains Ch. 20 Heartburn & Indigestion
Dains Ch. 23
Dains Ch. 24
Other sets by this creator
Healthcare and Policy Final-Quiz questions
Dains Ch. 29 Rectal pain, itching, and bleeding
Dains Ch. 12 Diarrhea
Dains Ch. 10 Constipation
Recommended textbook solutions
Clinical Reasoning Cases in Nursing
Julie S Snyder, Mariann M Harding
Pharmacology and the Nursing Process
Julie S Snyder, Linda Lilley, Shelly Collins
Integrated Electronic Health Records
Amy Ensign, M Beth Shanholtzer
Medical Assisting Review: Passing The CMA, RMA, and CCMA Exams
Other Quizlet sets
negotiations part 1 & 2
business communication final