Clinic A/P, adults, MUSCULOSKELETAL
-Definition: FM is a syndrome. It is a disorder of pain regulation or central sensitization. -History & Physical, see above. -Confirmed diagnosis with a structured symptom history from the ACR. -Nonpharmacologic tx options discussed. -Pharmacologic tx options...
Hospital A/P, Adults, MUSCULOSKELETAL
– -A positive Lachman’s test suggests that the anterior cruciate ligament may be torn. How to perform a Lachman’s test. Have the patient lie supine and be completely relaxed. Make sure that the patient’s hip muscles, quadriceps, and hamstrings...
Hospital A/P, Adults, MUSCULOSKELETAL
Background The heel apophysis usually closes by the age of 15. Diagnosis H&P: DDx and Etiology: Risk Factors: Common Presentation: Diagnostic studies: X-Ray is usually normal and so doesn’t help in diagnosis. However, when done may show fragmented or...
Clinic A/P, adults, MUSCULOSKELETAL
-Mechanism of injury: results from forced hyperextension of a flexed DIP joint. This ruptures the flexor digitorum profundus (FDP) tendon as a result of a sudden force applied to the distal phalanx while in flexion. -Called Jersey finger b/c this often happens when...
Clinic A/P, adults, MUSCULOSKELETAL
-Definition: A mallet fracture is an “avulsion fracture of the distal phalanx with a bone fragment on the terminal extensor tendon, resulting in unopposed flexion and the inability to actively extend the distal interphalangeal (DIP) joint.” -Will splint...
