NURS 623 MARYVILLE EXAM 4 STUDY GUIDE

Musculoskeletal Think about the following useful approaches to help determine differential diagnoses formusculoskeletal complaints: • Acute or chronic in duration Acute Chronic - Acute musculoskeletal injury impliespain of less than 6 weeks’ duration. - Non-articular condition consider: • Trauma/fracture • Fibromyalgia • Polymyalgia rheumatica • Bursitis • Tendinitis - Articular condition consider: •Acute arthritis Infectious arthritisGout Pseudogout Reactive arthritis •Initial presentation of chronicarthritis - complaint > 6 weeks - If the problem is chronic, ask the patientwhy he or she is addressing it at this particular time. -Consider the following to guide yourdifferentials… 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