Medicare Annual Wellness Visit (AWV)

Clinic A/P, adults

The following 11 points are elements of Medicare annual wellness visit per CMS.gov from August 2018: Perform a Health Risk Assessment (HRA). This is a form that the patient completes before the provider sees the patient. See the Medicare link below for what should be...

atlantoaxial subluxation

Clinic A/P, adults, MUSCULOSKELETAL

If rheumatoid arthritis patient is seen for Preop, imaging of the patient’s cervical spine to detect atlantoaxial subluxation is important for preventing a catastrophic spinal cord injury during intubation. In many cases cervical fusion must be performed before other...

Subacromium Bursitis, Acute

Clinic A/P, adults, MUSCULOSKELETAL

Acute subacromial bursitis / Subacromium Bursitis -Is often associated with calcific deposits in the supraspinatus tendon, pain on abduction, and local tenderness.  

drug-induced myopathy / Statin-induced myopathy

Clinic A/P, adults, MUSCULOSKELETAL

-Will order Creatine Kinase- which is associated with elevated creatine kinase. -ESR / CRP to eval PMR in this pt > 50 DDx Polymyalgia rheumatica is usually associated with an elevated erythrocyte sedimentation rate. Guillain-Barré syndrome is associated with...

Clavicular fractures (Clavicle Fractures)

Clinic A/P, adults, Clinic A/P, Peds, MUSCULOSKELETAL

80% of clavicular fractures are mid-shaft fractures (occur in the mid-clavicle). Nondisplaced -Treat with a sling for 2–6 weeks. -Passive range of motion of the shoulder is indicated as soon as the pain allows. -Physical therapy may be started at 4 weeks after the...

Benign nocturnal limb pains of childhood (growing pains)

Clinic A/P, adults, MUSCULOSKELETAL

“-occur in as many as one-third of children, most often between 4 and 6 years of age. -“The etiology is unknown, but the course does not parallel pubescent growth, as would be expected if bone growth were the source of the pain. -Pain often awakens the...