16380051
Description
Mind Map by shaikha Alzaabi, updated more than 1 year ago
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Created by shaikha Alzaabi
almost 6 years ago
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MSK Focused Hx
- Joint Pain
- Joint Stiffness
- HPI
- SOCRATES
- - N. of joints
involved -
Symmetry -
Size of joints -
Sequence of
involvement -
Progression -
Chronicity -
Range of
motion
- other Histories
- PMH
- - Similar previous episodes -H/O
trauma/sprain - H/O
thyroid/inflammatory bowel disease
- - Similar previous episodes -H/O
trauma/sprain - H/O
thyroid/inflammatory bowel disease
- FMH
- Autoimmune conditions ( RA/OA/IBD/AS/Reiters/
similar symptoms experienced by family
memebers
- Autoimmune conditions ( RA/OA/IBD/AS/Reiters/
similar symptoms experienced by family
memebers
- SUH
- joint/back surgery/replacement
- joint/back surgery/replacement
- SOH
- nature of occupation (active/sedentary)/
consumption of purine rich food/IV drug abuse
- nature of occupation (active/sedentary)/
consumption of purine rich food/IV drug abuse
- medication
- analgesia (type & frequency)/ diuretics, Ca supplements,
antidepressants, immunosuppressants
- analgesia (type & frequency)/ diuretics, Ca supplements,
antidepressants, immunosuppressants
- PMH
- other Histories
- Ddx- specific HPI:
- Rheumatoid--> worse in the morning
- Septic --> Fever/acute onset/ trauma
- Gout: excruciating pain
- Rheumatoid--> worse in the morning
- Ddx specific HPI
- Ankylosing spondylitis: low bk pain, improvement with exercise
- Polymyalgia Rheumatica: confined to neck/shoulder/pelvic girdle
- Ankylosing spondylitis: low bk pain, improvement with exercise
- Ddx specific HPI:
- Osteoarthritis: asymmetry
- SLE: Fever/fatigue/photosensitivity
- Sjogrens: dry eyes/mouth
- Osteoarthritis: asymmetry
- SOCRATES
- HPI
- Joint Swelling
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