Assessment4_Joints

Subjective Data Joints
- ask: problem with joints, muscles, bones
- Hx of injuries
- functional assessment
- mobility aids
when to do a musculoskeletal exam?

when patient has articular (joint) disease
Joints Objective Data 6P's
- pain
- pulselessness
- parasthesia
- puffy
- pallor
- paralasys
Range of Motion movements
- inversion vs eversion
- abduction vs adductino
- extension vs flexion
- rotation vs circumduction
- supination vs pronation
Abnormal spine alignments
- lordosis: normal in toddlers
- kyphosis: loss height
- scoliosis: test ages 10-12
rheumatoid vs osteoarthritis
- Rheumatoid: systemic inflammation
- -ulnar drift
- - swan neck
- Osteo/ degenerative joint disease
- - bouchard's nodes: middle of finger
- - Herberden's nods: tip of fingers
Exams for back pain
- patient lays down, raise leg towards ceiling
- pain = possible herniated disc
Exams for Carpel Tunnel Syndrome
- Phalen's test: back of hands together and point down
- Tinel's sign: tap middle nerve bottom of palm, abnorm = movements
- Thenar atrophy
Joint developmental considerations infants
- Ortoloni maneuver: test for hipdysplasia
- Alli's test: for hip dysplasia, knee alignment
Joint Developmental consideration Older Adults

Gibbus: collapsed vertebra bc of osteoporosis

Author

vanwin

215987

Card Set

Assessment4_Joints

Description

nursing

Updated

2013-04-26T23:21:30Z

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