In these there should be a breakdown of the information in the reference guides including symptoms relevant systems information and specific examination techniques that will be utilised to make the history and physical exam notes. those notes will be skeleton outlines to use. and should contain specific examinations
EZreference
Common conditions
- trauma or injury
- osteoarthritis
- bursitis
- rheumatoid arthritis
- Polymyalgia rheumatica
- temporal arteritis
- psoriatic arthritis
- gout
- septic arthritis
- Neurological conditions that effect limbs
Associated symptoms for MSK
How it feels
-
pain
-
heat
-
stiffness Anatomical
-
deformation
-
joint swelling Function
-
crepitus
-
weakness
-
locking
-
instability
-
altered functional capacity (catch all)
-
extra articular symptoms
- skin rash, discolouration redness, dry mouth, dry eyes mouth ulcers, skin rashed
Special consideration of the MSK history
Pattern of joint involvement
the number of joints affected is important, as well as if the afflixion is symmetrical or not.
Acute or chronic
if less than 6 week duration the illness is acute
Trauma
is there a history of trauma
Surgery
has there been any orthopaedic surgery
Into depth
Common conditions
Trauma or injury
This can affect any aspect of a joint tissue bone or soft tissues, may have short term consequences or long term consequences. may caude significant soft tissue damage tendon laceration, ligament injury, fracture and dislocation.
Osteoarthritis
a Chronic condition in which larger weight bearing joints may feel pain on movement and weight bearing. Short lived morning stiffness lasting fewer then 30 minutes is common, OA can progress, leading to more obstruction of someones daily life
Rheumatoid arthritis
An autoimmune inflammatory arthritis resulting in reaction to joints or joint tissues. it presents as pain and stiffness in the fingers, elbows, shoulders, knees, and ankles. Fatigue is a common symptom. sleep is harder. considerable deformity is seen in the later stages of disease.
Bursitis
inflammation of a joints bursa, it can present as pain on joint movement, swelling, and reduced ROM. Different locations can have different colloquial names
Polymyalgia rheumatica
inflammatory condition which presents as pain of the shoulder and pelvic girdle muscles. Usually occurs in patients over 50. Usually responds well to oral corticosteroids
Gout
crystal arthropathy from precipitation of uric acid crystals in joints. severe inflammaiton swelling and extreme pain are the typical symptoms. often the big toe (metatarsophalangeal joint.)
Septic arthritis
inFection of the joint space, serious condition, acute presentation with very painful and rapidly progressive arthritis, in association with typical signs of infection
Psoriatic arthritis
chronic inflammatory arthritis. can be indistinuighible from RA. associated with nail pitting and rash of psoriasis