medical report emergency room with a patient that has a musculoskeletal complaint

by Miss Ardith Zulauf 9 min read

Musculoskeletal system assessment in an emergency room

16 hours ago Only 49.2% of patients with a musculoskeletal chief complaint had a specific physical examination registered on the files. Patients with musculoskeletal complaints had lower registrations of abdominal examination (46% versus 62%, P = 0.01) and vital signs (46% versus 66%, P = 0.002), but a higher frequency of musculoskeletal examination registration (49% … >> Go To The Portal


Musculoskeletal complaints are common in emergency medicine. 1 On initial evaluation in the emergency department (ED), clinical assessment of musculoskeletal problems is comprised of history, physical examination, and plain radiography (which is limited in ability to evaluate soft tissue injuries).

Full Answer

Why are musculoskeletal symptoms poorly evaluated in the emergency room?

Musculoskeletal complaints are frequent in a emergency room setting and in spite of that it is suggested that musculoskeletal symptoms are poorly evaluated, which is probably related to an insufficient musculoskeletal education.

What are common chief complaints in outpatient musculoskeletal (MSK) clinic?

Common chief complaints in outpatient musculoskeletal (MSK) clinic • Combined: common (eg, chronic MSK pain with neuropathic components involved) • Disability: restriction or lack of ability to perform an activity ( 1) • Important clues for differential diagnosis and approach to the plan

Are clinicians confident in their own musculoskeletal examination skills?

In spite of that, some clinicians are not confident in their own musculoskeletal examination skills. This study aimed to evaluate the prevalence of musculoskeletal symptoms in an emergency room, and the frequency of musculoskeletal physical examination description on those cases. Methods: This was a cross-sectional study.

How would you assess a patient with a musculoskeletal injury?

Look for swelling, bruising, wounds, and redness. Palpation should be directed at eliciting pain and localising areas of point tenderness in order to identify the problematic area. Palpation should include all bony prominences, joint margins and soft tissues, including muscles ligaments and tendons.

What is a musculoskeletal emergency?

This serious and critical musculoskeletal complication can be caused by direct blow or contusion, crush injury, burns, snake bites, fractures, hematoma, and prolonged pressure from splinting. It is characterized by severe pain especially with stretching, tense compartment, tight and shiny skin.

What are musculoskeletal complaints?

Musculoskeletal disorders (MSD) are injuries or disorders of the muscles, nerves, tendons, joints, cartilage, and spinal discs.

What are 5 signs and symptoms of a serious musculoskeletal injury?

Musculoskeletal pain affects bones, joints, ligaments, tendons or muscles. An injury such as a fracture may cause sudden, severe pain....Common symptoms include:Aching and stiffness.Burning sensations in the muscles.Fatigue.Muscle twitches.Pain that worsens with movement.Sleep disturbances.

When treating a patient with a musculoskeletal injury you should first?

Most minor musculosketetal injuries can be treated by advising the patient to rest the injured area for the first 24–48 hours, to take regular analgesia, to elevate the injured part if possible. Sometimes the application of cold compresses may reduce swelling.

How do you perform a musculoskeletal assessment?

2:1311:09Musculoskeletal Assessment - YouTubeYouTubeStart of suggested clipEnd of suggested clipLook up at the ceiling. And then turn your head side to side side to side and put your ear to yourMoreLook up at the ceiling. And then turn your head side to side side to side and put your ear to your shoulder. And your ear to your shoulder. All right and I'm gonna test strength.

What does a musculoskeletal assessment involve?

Also, a nursing health assessment of the musculoskeletal system involves palpation of the joints. Palpate the joints and assess the temperature of the skin and the muscles. Palpate for warmth, tenderness, swelling or masses. If pain or tenderness are noted, further assess to specify the joint or structure involved.

What is musculoskeletal diagnosis?

Musculoskeletal disorders (MSDs) are conditions that can affect your muscles, bones, and joints. MSDs include: tendinitis. carpal tunnel syndrome. osteoarthritis.

What are 3 types of musculoskeletal injuries?

Strains, Sprains and Dislocations. Injury to a muscle or tendon resulting from over stretching or over exertion.

How do you treat musculoskeletal injuries?

How Is Musculoskeletal Pain Treated?Injections with anesthetic or anti-inflammatory medications in or around the painful sites.Exercise that includes muscle strengthening and stretching.Physical or occupational therapy.Acupuncture or acupressure.Relaxation/biofeedback techniques.More items...•

What are the 4 basic types of musculoskeletal injuries?

They include repetitive strain injuries (RSIs), repetitive motion injuries, cumulative trauma disorders (CTDs), work-related upper limb disorders (WRULDs), and others.

What are common musculoskeletal injuries?

Common musculoskeletal disorders include: Carpal Tunnel Syndrome. Tendonitis. Muscle / Tendon strain. Ligament Sprain.

Case Study 2

John Tuliro, a 32-year-old patient, is admitted to the medical-surgical unit after a gunshot wound of the right lower leg infected with staphylococcus was debrided. The patient is diagnosed with osteomyelitis.

DISCUSS THE DIFFERENCES IN MEDICAL MANAGEMENT FOR PRIMARY BONE TUMORS VERSUS METASTATIC BONE DISEASE

Primary bone tumor’s goal of treatment is to destroy or remove the tumor. It is accomplished by surgical exersion, radiation therapy if the tumor is radiosensitive, and chemotherapy. Limb-sparing procedures are used to remove the tumor and adjacent tissue. Replacement of the affected tissue is very important.

LIST REHABILITATION AND HEALTH EDUCATION STRATEGIES USED FOR PATIENT WITH LOW BACK PAIN

A comprehensive rehabilitation should include a careful evaluation for a specific goal and treatments based on best evidence are exercise, cognitive behavioral treatment, health education and others.

DISCUSS THE INVOLVEMENT OF VITAMIN D IN THE DEVELOPMENT OF OSTEOMALACIA. IDENTIFY TREATMENT RELATED TO CAUSE

Vitamin D deficiency is the most common cause of osteomalacia. Essential for calcium and phosphorus metabolism is Vitamin D, it is the critical elements in mineralization of the bone. The major source of Vitamin D is synthesis in the skin exposed to sunlight.