CLIN MSK Hx

Question 1

Process of MSK Hx

Answer 1

• Pain – Do you have any pain in that joint? Do you have pain in any other joints?
• Swelling – Check for heat, colour change (e.g., redness). Is there any swelling in any other joints?
• Morning stiffness – How long does it last for? Where?
• Joint stiffness after inactivity – How long does it last for? Where?
• Loss of motion – gauge range compared to normal/other side of body & specific movement affected (e.g., flexion, abduction)
• Loss of function – How is this impacting your daily life?
• Deformity – Does your joint look different to how it normally does?
• Weakness – Have you noticed any changes in the strength/weakness in this part of the body?
• Instability – Have you had any problems weight-bearing? Have you had any falls? Have you felt unstable? How is this impacting your daily life?
• Changes in sensation – Have you experienced any numbness/tingling or any temperature changes?
• Systemic features – Have you had a fever? Fatigue? Weight-loss/gain? Loss of appetite?

Also remember to ask dominant hand…

If ‘yes’ to any of the above – follow with WWQQAAA

Question 2

Feeling of RA nodules

Answer 2

Hard

Question 3

Feeling of gout

Answer 3

Yellow & firm