MSK ROS Flashcards
joint ROS
- pain/stiffness
- swelling/redness
- instability
- decreased ROM
muscle ROS
- pain
- weakness
- atrophy
hx of . .
- arthritis
- gout
misc
- gait changes
- use of assistive devices
- back pain
Pain Complaint
Character: dull vs. sharp, aching, radiating
Location: uni- or bilateral, get the PMT
Associated sxs: fatigue weakness?
Timing: frequency, time of day, worse in am, progressive, constant or intermittent, injury, related to activity
Know your pain diagrams!!!
Joint Complaint
Swelling Subjective stiffness vs. true ↓ROM, Warmth/erythema Instability or “giving way” Mechanical sx (click, catching, locking, etc) Morning or activity related pain Loss of function Crepitus Deformity
Back complaint
Onset: abrupt or gradual Location:
midline vs. paravertebral Unilateral vs. bilateral Radiation to leg
Associated/Aggravating:
Worse with cough/strain Postural changes? Night pain? Paresthesias Bowel or bladder changes
PMHx
Prior orthopedic surgeries? • History of prior fractures? • History of osteoporosis? • Childhood MSK issues? • Any issues with healing? • Risks for falling?• Hypercoaguable states?
Social hx
Employment
• Exercise • Functional abilities – housework, bathing, toileting, etc • Recent weight gain/loss • Nutrition – calcium, vit D, calories, protein • Cigarette smoking delays healing • ETOH use can contribute to accidents and injuries
fam hx
Osteoarthritis • Rheumatoid Arthritis • Family member with history of total joint replacements • Fractured hips • Osteoporosis • Congenital abnormalities of hip or foot • Scoliosis or back problems • Ankylosing spondylitis, gout • Genetic disorders – osteogenesis imperfecta, Ehlers-Danlos, Charcot
Neuro ROS
- syncope
- fainting
- seizures
- weakness
- paralysis
- numbness
- tingling
- tremors
- involuntary movements
- ataxia
- dysphonia
- bowel or bladder dysfunction
- hx of stroke
General ROS
fever, chills, night sweats, fatigue, weakness, weight change
