MUSCULOSKELETAL WORKSHEET (NUR 230/231/254)
Condition Presentation (notes) Interventions:
Assess, Monitor, Medicate, Educate
TALIPES EQUINOVARUS Prenatal U/S or visible at birth – inverted feet Premedicated then Serial Casting; Surgery
(clubfoot) Bilateral/unilateral
OSTEOMYELITIS Pain, guarding, limping, redness, edema Bone Scan/MRI; Long term antibiotics (IV then po)
- Serious infection
JUVENILLE IDIOPATHIC Joint pain/swelling/morning stiffness NSAIDs, DMARDs, Corticosteroids
ARTHRITIS (JIA) ↑ESR/CRP/ANA/RF PT & splinting, Cold vs Heat
SCOLIOSIS Lateral curvature (mild, mod, severe) Posture, exercises, brace (teen concerns)
Unequal shoulder/hip height Surgery – rod placement; transfusion
Pain mgmt; logroll, tortoise shell brace
DEVELOPMENTAL DYSPLASIA Unequal Gluteal folds Pavlik harness (worn 23h/d) vs spica cast
HIP (DDH) + Ortolani/Barlow's (infant) Bryant’s traction
Trendelenburg test (children)
Condition Presentation (notes) Interventions:
Assess, Monitor, Medicate, Educate
TALIPES EQUINOVARUS Prenatal U/S or visible at birth – inverted feet Premedicated then Serial Casting; Surgery
(clubfoot) Bilateral/unilateral
OSTEOMYELITIS Pain, guarding, limping, redness, edema Bone Scan/MRI; Long term antibiotics (IV then po)
- Serious infection
JUVENILLE IDIOPATHIC Joint pain/swelling/morning stiffness NSAIDs, DMARDs, Corticosteroids
ARTHRITIS (JIA) ↑ESR/CRP/ANA/RF PT & splinting, Cold vs Heat
SCOLIOSIS Lateral curvature (mild, mod, severe) Posture, exercises, brace (teen concerns)
Unequal shoulder/hip height Surgery – rod placement; transfusion
Pain mgmt; logroll, tortoise shell brace
DEVELOPMENTAL DYSPLASIA Unequal Gluteal folds Pavlik harness (worn 23h/d) vs spica cast
HIP (DDH) + Ortolani/Barlow's (infant) Bryant’s traction
Trendelenburg test (children)
