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arthritis, infection or ligamentous injury - ✔✔localized tenderness on examination of
the ankle joint
Bone spurs - ✔✔may be present on the calcaneus as bony projections and may cause
numbness, tenderness or pain
plantar faciitis - ✔✔focal heel tenderness on palpation of the plantar fascia
rheumatoid arthritis - ✔✔complaints of pain in the joints of the hands accompanied by
stiffness, especially in the morning with tenderness and warmth to the touch
Baker's cyst - ✔✔arises from distention of the gastrocnemius semimembranous bursa
from underlying arthritis or trauma
Osteopenia - ✔✔condition of bone that makes it slightly less dense but not as severe as
osteoporosis
Gelling - ✔✔Stiffness in a joint and limited motion after inactivity. Typically seen in
degenerative joint disease
Diffuse idiopathic hyperostosis (DISH) - ✔✔an inflammatory polyarthritic condition
causing back stiffness and affecting men older than 50 years old
Synovitis - ✔✔palpable bogginess or droughiness over a joint's adjoining soft tissue
Finkelstein's test - ✔✔the NP would test thumb movement by instructing the patient to
place his thumb in the palm and then move the wrist toward the midline in ulnar
deviation
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, Tinel's test - ✔✔assesses medial nerve compression. Examiner would tap lightly over
the median nerve of the carpal tunnel
Thenar atrophy - ✔✔Suggestive of a median nerve disorder such as carpal tunnel.
Evidenced by muscle wasting in the palm of the hand
Dupuytren's contracture - ✔✔a thickened nodule overlying a flexor tendon of the finger
especially near the distal palmar crease
Subacromial bursitis - ✔✔Tenderness noted just below the top of the acromion with
pain n abduction and rotation and loss of smooth movement
Murray test - ✔✔Have patient in dorsal decubitus position and slowly extend the knee
while maintaining various stress and external rotation, a snap is palpated on the medial
side if positive
Subluxation - ✔✔Tenderness at C1-2 in a patient with RA suggests this and high CSP
compression. Emergent treatment is necessary
Genu Varum - ✔✔bow leggedness
Talipes equinovarus - ✔✔clubfoot
Tibial torsion - ✔✔toeing inward or outward of the feet
Median nerve - ✔✔the nerve that provides sensation to the palm and palmar surface of
most of the thumb, second and third fingers and half of the fourth digit
Medial meniscus (Mcmurray test) - ✔✔Passive flexion, valgus stress and internal
rotation of the lower leg evaluates the:
Osteoporosis - ✔✔a decrease in the degree of density that results in fragile bones
Rheumatoid arthritis - ✔✔erythematous to salmon-colored rash to the trunk and
vasculitis on the extremities could be indicative of
Prepatellar bursitis - ✔✔excessive kneeling can cause "Housemaid's knee"
Osteoarthritis - ✔✔Restricted abduction of the hip is a common finding in a patient
with this
Ankylosing spondylitis - ✔✔tenderness over the SI joint
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