Musckuloskeletal NUR 623 (2021/2022)
Articular Structures Synovium/Synovial, articular cartilage, joint capsule, juxta-articular bone, intra-articular ligaments Nonarticular structures supportive extra-articular ligaments, bone, nerve, skin, muscle, tendons, fascia 00:03 01:29 Inflammatory disorders infectious, crystal induced, immune related, idiopathic (RA, SLE) Non-inflammatory ineffective repair (OA), trauma, fibromyalgia, Neoplasm muscle grading 5-normal- complete ROM with full resistance 4- good-ncomplete ROM with some resistance 3- fair- complete ROM against gravity 2- poor- complete ROM with gravity eliminated 1- trace- muscle contraction but little motion 0- zero- no evidence of muscle function Normal Synovial Fluid Clear, straw colored normal viscosity 30-150 WBC 20 PMN (polymorphonuclear leukocytes) 1-4 protein Grade I: Noninflammatory Synovial fluid clear or slightly bloody and turbid decreased viscosity 2,500 WBC 20-50 PMN 1-5 protein Ex: OA, SLE, derangement Grade II: Inflammatory synovial fluid Turbid decreased viscosity 2,500-25,000 WBC 50-70 PMN 3-6 protein EX: RA, gonococcal arthritis, gout, rheumatic fever, reiters syndrome Grade III: Infectious synovial fluid turbid, gray or yellow decreased viscosity 50,000 WBC 70-90 PMN 3-7 protein Ex: septic arthritis, tuberculosis Grade I sprain partial tear, no instability, treat symptoms Grade II sprain partial tear with some instability, Immobilize Grade III sprain complete tear, complete opening of joint: Immobilize and possible sx repair
Document information
- Uploaded on
- June 20, 2022
- Number of pages
- 5
- Written in
- 2021/2022
- Type
- Exam (elaborations)
- Contains
- Questions & answers
