Class notes
Musculoskeletal Exam 4 Health Assessment
- Institution
- Denver School Of Nursing
In depth Musculoskeletal Study Guide!
[Show more]
Seller
Follow
Content preview
MusculoskeletalInversion:Moving the sole of the foot inward at the ankle
Eversion:Moving the sole of the foot outward at the ankle
Rotation:Moving the head around a central axis
Protraction:Moving a body part forward and parallel to the ground
Retraction:Moving a body part backward and parallel to the ground
ElevationRaising a body part
DepressionLowering a body part
Circumduction: circular motionPronation: palms down
Supination:palms up
Flexion: Bending limb at joint
Extension: straightening limb at joint
Hyperextension: past straight line
Abduction: moving away from midline
Adduction: moving toward midline
Internal/medial rotation : rotating toward midline
External/lateral rotation: rotating away from midline
Dorsiflexion: ankle/toes up
Plantar flexion: point toes down
Health History
PMH
●previous/chronic musculoskeletal conditions?
●Trauma? Injuries? Surgeries? ●Medications? Smoker? ○Corticosteroids: muscle weakness, myopathy, osteoporosis, pathologic fracture
○Pain meds: chronic pain? Acute
○Potassium-depleting diuretics: Muscle cramping and weakness
○Cholesterol-lowering agents: generalized muscle soreness
●Arthroplasty= joint replacement Review of Systems
●Myalgia: muscle cramping
●Ostealgia: bone paint
●Arthralgia: joint pain ●Changes in muscle strength? ●Health promotion (Calcium/Vitamin D, exercise)
Functional Assessment
●Limitations in ADLs? - bathing, toileting, dressing, grooming, eating, mobility, communicating
●Sports, hobbies, work?
●Mobility aids?
●Check Temperature (sign of joint pain)
●Baby Delivery trauma: use of vacuum or forceps (aid in deliver that not progressing) Any resuscitation needed. Musculoskeletal Examination
Screening Exam: everyone gets (inspection and palpation of joints each body region Complete Musculoskeletal Exam: Pts with diseases of changes in functional ability) use cephalocaudal approach with bilateral comparisons
Active ROM: me doing circumduction at the wrist Passive ROM: guided range of motion Muscle Strength Head and Neck ●Inspect and Palpate: cervical spine and TMJ ●Assess ROM: lateral bending, rotation, flex/extend ○Laterally: 40° ○Extension: 55°(Flexion: 45°) ○Rotation: 70°
●Test Muscle Strength: turn head against resistance (CN XI) Spinal Curvatures ●Inspect profile: first, normal is double S shape
●Inspect posteriorly: have patient bend at waist ●Assess ROM: flex/extend, rotation, lateral bend
○Extend: 30°(Flexion: 90°) ○Lateral: 36°
○Rotation: 30° ●Scoliosis (bilateral curvature) ○Lateral curvature ○Back Pain ○Uneven shoulder, hip levels
○Rib and flank asymmetry ●Kyphosis ○Excessive outward curvature of thoracic spine
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller lealopus53. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $15.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
84146 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now