NR511 Differential Diagnosis & Primary Care Practicum Final Review
NR511 Differential Diagnosis & Primary Care Practicum Final Review I. Musculoskeletal disorders A. The Musculoskeletal Exam 1. Lachman maneuver: for ACL injury 2. McMurray sign: injury to the meniscus a) Cause is suddenly planting leg on ground and twisting, which can causeimmediate pain in the planted leg and the inability to bear weight. b) It will lock up when trying to straighten. c) Think basketball injury 3. Phalen’s test: Numbness and tingling in the first three digits when pressing thedorsal surface of both hands together in a forced wrist flexion for 1 min 4. Radial head fracture: palpate for tenderness, swelling just distal to the lateralepicondyle. 5. Articularversusnon-articularmusculoskeletalcomplaints a) Thenon-articularcomplaintsinvolveapointoffocal tenderness 6. Bulge Test: use to check for knee going effusion B. Carpal Tunnel Syndrome 1. Inflammation of the medial nerve 2. InitialtreatmentiswristsplintandNSAIDs C. Herniated Disk 1. Most common area is L4-L5 (weakness in the big toe) 2. Evaluation a) Straight leg test: with patient in supine position, elevate affected leg, if this elicitsback and sciatic nerve pain, then the test is positive D. Shoulder Dislocation
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