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Assessing Muscoskeletal Pain
The body is constantly sending signals about its health. One of the most easily recognized signals is pain. Musculoskeletal conditions comprise one of the leading causes of severe long-term pain in patients. The musculoskeletal system is an elaborate system of interconnected levers that provide the body with support and mobility. Because of the interconnectedness of the musculoskeletal system, identifying the causes of pain can be challenging. Accurately interpreting the cause of musculoskeletal pain requires an assessment process informed by patient history and physical exams.
Case 1: Back Pain
A 42-year-old male reports pain in his lower back for the past month. The pain sometimes radiates to his left leg. In determining the cause of the back pain, based on your knowledge of anatomy, what nerve roots might be involved? How would you test for each of them? What other symptoms need to be explored? What are your differential diagnoses for acute low back pain? Consider the possible origins using the Agency for Healthcare Research and Quality (AHRQ) guidelines as a framework. What physical examination will you perform? What special maneuvers will you perform?
A description of the health history you would need to collect from the patient in the case study to which you were assigned. Explain what physical exams and diagnostic tests would be appropriate and how the results would be used to make a diagnosis. List five different possible conditions for the patient's differential diagnosis, and justify why you selected each. Include how the patient X-ray helped you to refine the differential diagnosis.Use the image attached as a guide. Answer must be IN SOAP format.
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The paper is the related to the patient case and medical history assessment.This paper also highlights the requirement of such highlighting attributes of the medical case. This paper has been prepared in Microsoft Word Document.
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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)” (pp. 288-300) 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. (2012). Guide to clinical documentation (2nd ed.). Philadelphia, PA: F. A. Davis. • Chapter 2, "The Comprehensive History and Physical Exam" ("Muscle Strength Grading"; p. 26)
References Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2015). Seidel's guide to physical examination (8th ed.). St. Louis, MO: Elsevier Mosby. • Review of Chapter 4, “Vital Signs and Pain Assessment” (pp. 50-63) • Chapter 21, “Musculoskeletal System” (pp. 501-543) 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. (2016). Advanced health assessment and clinical diagnosis in primary care (5th ed.). St. Louis, MO: Elsevier Mosby. • Chapter 22, “Limb Pain” (pp. 356-374)
i forgot to give references • Review of Chapter 4, “Vital Signs and Pain Assessment” (pp. 50-63) • Chapter 21, “Musculoskeletal System” (pp. 501-543) This chapter describes the process of assessing the musculoskeletal system. In addition, the authors explore the anatomy and physiology of the musculoskeletal system. • Chapter 22, “Limb Pain” (pp. 356-374) 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)” (pp. 288-300) • Chapter 2, "The Comprehensive History and Physical Exam" ("Muscle Strength Grading"; p. 26)
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