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16380051
MSK Focused Hx
Description
system mind maps FOCM4 Mind Map on MSK Focused Hx, created by shaikha Alzaabi on 02/01/2019.
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focm4
system mind maps
Mind Map by
shaikha Alzaabi
, updated more than 1 year ago
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Created by
shaikha Alzaabi
over 5 years ago
304
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Resource summary
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
FMH
Autoimmune conditions ( RA/OA/IBD/AS/Reiters/ similar symptoms experienced by family memebers
SUH
joint/back surgery/replacement
SOH
nature of occupation (active/sedentary)/ consumption of purine rich food/IV drug abuse
medication
analgesia (type & frequency)/ diuretics, Ca supplements, antidepressants, immunosuppressants
Ddx- specific HPI:
Rheumatoid--> worse in the morning
Septic --> Fever/acute onset/ trauma
Gout: excruciating pain
Ddx specific HPI
Ankylosing spondylitis: low bk pain, improvement with exercise
Polymyalgia Rheumatica: confined to neck/shoulder/pelvic girdle
Ddx specific HPI:
Osteoarthritis: asymmetry
SLE: Fever/fatigue/photosensitivity
Sjogrens: dry eyes/mouth
Joint Swelling
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