NURS 623 Exam 4 Study Guide Graded To Score A

Acute musculoskeletal injury implies pain of less than 6 weeks’ duration. - Non-articular condition consider: • Trauma/fracture • Fibromyalgia • Polymyalgia rheumatica • Bursitis • Tendinitis - Articular condition consider: • Acute arthritis Infectious arthritis Gout Pseudogout Reactive arthritis • Initial presentation of chronic arthritis - complaint 6 weeks - If the problem is chronic, ask the patient why he or she is addressing it at this particular time. -Consider the following to guide your differentials… Is inflammation present? Is there prolonged morning stiffness? Is there soft tissue swelling? Are there systemic symptoms? Is the ESR or CRP elevated? -Examples of chronic conditions include:  Osteoarthritis  Psoriatic arthritis  Reactive arthritis  Rheumatoid arthritis  SLE  Sclerodema  Polymyositis • Articular or nonarticular in origin Articular Non-Articular -Includes structures like the synovium, synovial fluid, articular cartilage, joint capsules, and juxtaarticular bone. -Articular disorders may be characterized by deep or diffuse pain, pain or limited ROM on active and passive movement, swelling, crepitus. - Crepitus (joint noises or palpable grinding during joint motion) may be due to -Supportive structures such as tendons, bursae, muscles, fascia, bone, nerve, overlying skin. -Tend to be painful on active but not p