Musculoskeletal Examination: General Principles and Detailed
Flexion/Extension and Abduction/Adduction •Trace arc while reaching forward with elbow straight (forward flexion) a Should be able to move hand to position over head - normal range 00 to 1800 •Reverse direction & trace arc backwards (extension) a Should be able to position hand behind their back
Range of Joint Motion Evaluation Chart
1 Back 2 Lateral (flexion) Extension 25O Flexion 90O Left 25O Right 25O Degrees Degrees Degrees Degrees 3 Neck 4 Neck (lateral bending) Extension 60O Flexion 50O Left 45O Right 45O Degrees Degrees Degrees Degrees 5 Neck (rotation) 6 Hip (backward extension) Left 80O Right 80O OLeft 30O Right 30 Degrees Degrees Degrees Degrees 7 Hip
Summary of Initial Patient Assessment
1/5 strength in Left arm flexion and extension 2/5 in Left hand grip 1/5 strength in Left knee flexion and extension, Left foot dorsiflexion and plantar flexion 5/5 in strength in the Right arm and leg Cranial Nerves II-XII intact Unable to go from sit to stand on her own Skin: No rash noted 5
Glasgow Coma Scale
• Flexion in response to pain (decorticate posturing) 3 points • Extension response in response to pain (decerebrate posturing) 2 points • No response 1 point References Teasdale G, Jennett B Assessment of coma and impaired consciousness Lancet 1974; 81-84 Teasdale G, Jennett B Assessment and prognosis of coma after head injury Acta
Diabetes Foot Screen - Health Resources and Services
The twelve questions can be answered in the ‘R’ (right foot) or ‘L’ (left foot) blank with a ‘Y’ or ‘N’ to indicate a positive or negative finding Fill in all blanks Question 1: Is there a history of foot ulcer? Question 2: Is there a foot ulcer now? The purpose of these questions is to determine if the patient currently has
Evaluation and Management Documentation Tips
Document your own HPI Reference a nurse, clinical tech, or medical student’s HPI Past Medical, Family, Social History (PFSH) DO DON’T Give pertinent details from each history category • “Patient has previous left ankle fracture ” “Family history of type 2 diabetes ” “Does not smoke or drink alcohol” “Full time nurse ”
VASRD OVERVIEW - US Army Human Resources Command
Example: DC 5252 limitation of thigh flexion, provides a 20 rating when “limited to 30 degrees”; and a 10 rating when “limited to 45 degrees ” A Soldier has thigh flexion limited to 35 degrees The PEB can use 4 7 to support a 20 rating because 35 degrees more nearly approximates 30 degrees vs 45 degrees
Answers for the review questions of fundamentals of
6 • eccentric action-occurs when the torque the muscle group makes is smaller than the torque of a resistance, resulting in muscle lengthening 5 What are the two major sources of muscle tension, and where in the range of
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