Feb 7, 2024 Assignment: Lab Assignment (Optional): Practice Assessment: Musculoskeletal Examination NURS 6512N-32
Assignment: Lab Assignment (Optional): Practice Assessment: Musculoskeletal Examination NURS 6512N-32
Assignment: Lab Assignment (Optional): Practice Assessment: Musculoskeletal Examination NURS 6512N-32
Assignment: Lab Assignment (Optional): Practice Assessment: Musculoskeletal Examination NURS 6512N-32
Your post is well thought out and very informative. The conditions for consideration in CO’s case are patellofemoral pain syndrome, Osgood-Schlatter disease, patellar tendonitis, chondromalacia patella, and meniscal injury. Patellofemoral pain syndrome causes anterior knee pain. The pain is usually dull and worsened by exerting more pressure on the patellofemoral’s joint. Patel and Villalobos (2017) reveal that Osgood-Schlatter disease affects the growth plate of the tibia. They also show that chondromalacia patella hurts the cartilage below the kneecap (Patel & Villalobos, 2017). Then, the researchers denote patellar tendonitis to be an overuse injury that inflames the patellar tendon. Lastly, a meniscal injury is a tear to the meniscus. These conditions are synonymous with athletes who participate in sports that involve repetitive jumping or running.
Osgood-Schlatter disease and meniscal injury can be rejected as possible diagnoses. This is because the symptoms do not match the typical presentation of these conditions. According to Sanchez et al. (2022), Osgood-Schlatter disease usually causes pain and swelling below the knee joint, while meniscal injury typically causes joint line tenderness and locking or catching sensations.
Patellofemoral pain syndrome is the most probable condition here. The symptoms exhibited (bilateral anterior knee pain, clicking and catching under the patella, and aggravation of pain during running) are consistent with this condition. Also, the fact that the patient is a young male who participates in soccer and experiences relief with rest, ice application, and ibuprofen use supports this diagnosis. The physical examination findings, such as reduced range of motion and tenderness, also back this diagnosis. However, further imaging tests, such as X-rays or MRI, can be done to rule out other possible conditions and confirm the diagnosis of patellofemoral pain syndrome.
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References:
Patel, D. R., & Villalobos, A. (2017). Evaluation and management of knee pain in young athletes: Overuse injuries of the knee. Translational Pediatrics, 6(3), 190-198. https://doi.org/10.21037/tp.2017.04.05Links to an external site.
Sanchez, S., Arlata, T., Arshad, S., Cheng, S., & Saunders, A. (2022, September 16). Knee injuries. The University of Texas Medical Branch. https://www.utmb.edu/pedi_ed/CoreV2/Musculoskeletal/Musculoskeletal5.htmlLinks to an external site.
Assignment: Lab Assignment (Optional): Practice Assessment: Musculoskeletal
Examination
A description of symptoms alone is not enough to form an accurate diagnosis of
musculoskeletal conditions. Before forming a diagnosis, advanced practice nurses need
to perform a physical examination. Although the musculoskeletal examination is
relatively simple, it still needs to be performed multiple times before it can be mastered.
In preparation for the Comprehensive (Head-to-Toe) Physical Assessment due in Week
9, it is recommended that you practice performing a musculoskeletal examination this
week.
Note: This is an optional practice physical assessment.
To Prepare
Arrange an appropriate time and setting with your volunteer "patient" to perform a
musculoskeletal examination.
Download and review the Musculoskeletal Checklist provided in this week's Learning
Resources as well as review the Seidel’s Guide to Physical Examination online media.
The Lab Assignment
Perform the musculoskeletal examination. Be sure to cover all of the areas listed in the
checklist.
What's Coming Up in Week 9?
Photo Credit: [BrianAJackson]/[iStock / Getty Images Plus]/Getty Images
Next week, you will examine appropriate methods for assessing the cognition and the
neurologic systems during your Discussion. You also will complete the last assessment,
Comprehensive (Head-to-Toe) Physical Assessment. Once again, you will conduct this
assessment in the Digital Clinical Experience using the simulation tool, Shadow Health.
Make sure to plan your time accordingly.
Week 9 Required Media
Photo Credit: [fergregory]/[iStock / Getty Images Plus]/Getty Images
Next week, you will need to view several videos and animations in the Seidel’s Guide to
Physical Examination as well as other media, as required, prior to completing your
Discussion. There are several videos of various lengths. Please plan ahead to ensure
you have time to view these media programs to complete your Discussion on time.
Next Week
To go to the next week:
Week 9
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Learning Resources
Required Readings (click to expand/reduce)
Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W.
(2019). Seidel's guide to physical examination: An interprofessional
approach (9th ed.). St. Louis, MO: Elsevier Mosby.
Chapter 4, “Vital Signs and Pain Assessment” (Previously read in Week 6)
Chapter 22, “Musculoskeletal System”
This chapter describes the process of assessing the musculoskeletal
system. In addition, the authors explore the anatomy and physiology of the
musculoskeletal system.
Dains, J. E., Baumann, L. C., & Scheibel, P. (2019). Advanced health
assessment and clinical diagnosis in primary care (6th ed.). St. Louis, MO:
Elsevier Mosby.
Credit Line: Advanced Health Assessment and Clinical Diagnosis in Primary Care, 6th Edition by Dains, J.E., Baumann, L. C., &
Scheibel, P. Copyright 2019 by Mosby. Reprinted by permission of Mosby via the Copyright Clearance Center.
Chapter 22, “Lower Extremity Limb Pain”
This chapter outlines how to take a focused history and perform a physical
exam to determine the cause of limb pain. It includes a discussion of the
most common tests used to assess musculoskeletal disorders.
Chapter 24, “Low Back Pain (Acute)”
The focus of this chapter is the identification of the causes of lower back
pain. It includes suggested physical exams and potential diagnoses.
Sullivan, D. D. (2019). Guide to clinical documentation (3rd ed.).
Philadelphia, PA: F. A. Davis.
Chapter 2, "The Comprehensive History and Physical Exam" ("Muscle
Strength Grading") (Previously read in Weeks 1, 2, 3, 4, and 5)
Chapter 3, "SOAP Notes"
This section explains the procedural knowledge needed to perform
musculoskeletal procedures.
Note: Download this Student Checklist and Abdomen Key Points to use
during your practice abdominal examination.
Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W.
(2019). Musculoskeletal system: Student checklist. In Seidel's guide to
physical examination: An interprofessional approach (9th ed.). St. Louis,
MO: Elsevier Mosby.
Credit Line: Seidel's Guide to Physical Examination, 9th Edition by Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., &
Stewart, R. W. Copyright 2019 by Elsevier Health Sciences. Reprinted by permission of Elsevier Health Sciences via the
Copyright Clearance Center.
Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W.
(2019). Musculoskeletal system: Key points. In Seidel's guide to physical
examination: An interprofessional approach (9th ed.). St. Louis, MO:
Elsevier Mosby.
Credit Line: Seidel's Guide to Physical Examination, 9th Edition by Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., &
Stewart, R. W. Copyright 2019 by Elsevier Health Sciences. Reprinted by permission of Elsevier Health Sciences via the
Copyright Clearance Center.
Katz, J. N., Lyons, N., Wolff, L. S., Silverman, J., Emrani, P., Holt, H. L., …
Losina, E. (2011). Medical decision-making among Hispanics and non-
Hispanic Whites with chronic back and knee pain: A qualitative study.
BMC Musculoskeletal Disorders, 12(1), 78–85.
This study examines the medical decision making among
Hispanics and non-Hispanic whites. The authors also analyze
the preferred information sources used for making decisions in
these populations.
Smuck, M., Kao, M., Brar, N., Martinez-Ith, A., Choi, J., & Tomkins-Lane,
C. C. (2014). Does physical activity influence the relationship between low
back pain and obesity? The Spine Journal, 14(2), 209–216.
doi:10.1016/j.spinee.2013.11.010
Shiri, R., Solovieva, S., Husgafvel-Pursiainen, K., Telama, R., Yang, X.,
Viikari, J., Raitakari, O. T., & Viikari-Juntura, E. (2013). The role of obesity
and physical activity in non-specific and radiating low back pain: The
Young Finns study. Seminars in Arthritis & Rheumatism, 42(6), 640–650.
doi:10.1016/j.semarthrit.2012.09.002
Document: Episodic/Focused SOAP Note Exemplar (Word document)
Document: Episodic/Focused SOAP Note Template (Word document)
Optional Resource
LeBlond, R. F., Brown, D. D., & DeGowin, R. L. (2014). DeGowin’s
diagnostic examination (10th ed.). New York, NY: McGraw Hill Medical.
Chapter 13, “The Spine, Pelvis, and Extremities” (pp. 585–682)
In this chapter, the authors explain the physiology of the spine, pelvis, and
extremities. The chapter also describes how to examine the spine, pelvis,
and extremities.
Required Media (click to expand/reduce)
Online media for Seidel's Guide to Physical Examination
In addition to this week's resources, it is highly recommended that you access
and view the resources included with the course text, Seidel's Guide to Physical
Examination. Focus on the videos and animations in Chapter 21 that relate to the
assessment of the musculoskeletal system. Refer to the Week 4 Learning
Resources area for access instructions on https://evolve.elsevier.com/
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