- \n
- (C)<\/strong>Character<\/em>: sharp or dull pain<\/li>\n
- (L)<\/strong>Location<\/em>: region (joint) of origin<\/li>\n
- (O)<\/strong>Onset<\/em>: sudden vs. gradual<\/li>\n
- (R)<\/strong>Radiation<\/em><\/li>\n
- (I)<\/strong>Intensity<\/em>: how severe (scale 1-10), impact on ADLs (activities of daily living), is it getting better, worse or staying the same?<\/li>\n
- (D)<\/strong>Duration<\/em>: acute vs. chronic<\/li>\n
- (E)<\/strong>Events associated<\/em>: falls, morning stiffness, swelling, redness, joint clicking or locking, muscle cramps, muscle wasting, movement limitation, weakness, numbness or tingling, fever, chills, trauma (mechanism of injury), occupation activities, sports, repetitive movements<\/li>\n
- (F)<\/strong>Frequency<\/em>: intermittent vs. constant, have you ever had this pain before?<\/li>\n
- (P)<\/strong>Palliative factors<\/em>: is there anything that makes it better? (rest, activity, meds, heat, cold)<\/li>\n
- (P)<\/strong>Provocative factors<\/em>: is there anything that makes it worse? (rest, activity, etc.)\n<\/li>\n<\/ul>\n<\/li>\n
- PMHx<\/strong>: arthritis, gout, osteoporosis, connective tissue disease, past injuries, previous intervention in area of concern (surgery, injections, physiotherapy, etc.), other medical problems<\/li>\n
- Meds<\/strong>: NSAIDs, acetaminophen, narcotics, steroids, immunosuppressants, ASA, anticoagulants, etc.<\/li>\n
- Allergies<\/strong>: antibiotics, anti-inflammatories, anesthetics, etc.<\/li>\n
- FHx<\/strong>: arthritis, osteoporosis, connective tissue disease, malignant hypothermia, etc.<\/li>\n
- SHx<\/strong>: smoking, EtOH, occupation, activity level\/exercise, use of mobility aids (cane, walker, wheelchair, etc.)<\/li>\n
- O\/E<\/strong>: VITALS, general appearance, ROS (cardiac, resp., neuro, etc.)<\/li>\n<\/ul>\n
1.) Inspection<\/strong>: SEADS, gait, posture<\/p>\n
- \n
- Swelling<\/li>\n
- Erythema, Ecchymosis<\/li>\n
- Atrophy<\/li>\n
- Deformity<\/li>\n
- Symmetry<\/li>\n<\/ul>\n
2.) Palpation<\/strong>: TEST CA<\/p>\n
- \n
- Tenderness<\/li>\n
- Effusion<\/li>\n
- Swelling<\/li>\n
- Temperature<\/li>\n
- Crepitus<\/li>\n
- Atrophy<\/li>\n<\/ul>\n
3.) Range of Motion (ROM)<\/strong><\/p>\n
- \n
- Active ROM<\/em>: joint proximal to the joint being examined is immobilized while the pt. moves the joint in question<\/li>\n
- Passive ROM<\/em>: examiner performs the maneuvers<\/li>\n<\/ul>\n
4.) Neurovascular Assessment<\/strong>: distal pulses & capillary refill, skin colour\/temp., sensation & muscle power<\/p>\n
5.) Special Tests<\/strong>: joint specific<\/p>\n
\n
\n \n <\/colgroup>\n \n ![\"\"](\"http:\/\/www.orthopaedicsone.com\/clerkship\/wp-content\/uploads\/sites\/6\/2024\/06\/warning.png\")
<\/td>\nPEARL<\/b><\/p>\n : always examine the joint above & below the area of concern (referred pain) and compare each step of the exam with the contralateral joint\/side <\/p>\n<\/td>\n<\/tr>\n<\/table>\n","protected":false},"excerpt":{"rendered":"
ID: age, sex, hand dominance + occupation (if relevant) CC: (chief complaint) HPI: (ChLORIDE FPP) (C)Character: sharp or dull pain (L)Location: region (joint) of origin (O)Onset: sudden vs. gradual (R)Radiation (I)Intensity: how severe (scale 1-10), impact on ADLs (activities of daily living), is it getting better, worse or staying the same? (D)Duration: acute vs. chronic […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"class_list":["post-81","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.orthopaedicsone.com\/clerkship\/wp-json\/wp\/v2\/pages\/81","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.orthopaedicsone.com\/clerkship\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.orthopaedicsone.com\/clerkship\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.orthopaedicsone.com\/clerkship\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.orthopaedicsone.com\/clerkship\/wp-json\/wp\/v2\/comments?post=81"}],"version-history":[{"count":1,"href":"https:\/\/www.orthopaedicsone.com\/clerkship\/wp-json\/wp\/v2\/pages\/81\/revisions"}],"predecessor-version":[{"id":381,"href":"https:\/\/www.orthopaedicsone.com\/clerkship\/wp-json\/wp\/v2\/pages\/81\/revisions\/381"}],"wp:attachment":[{"href":"https:\/\/www.orthopaedicsone.com\/clerkship\/wp-json\/wp\/v2\/media?parent=81"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
- Passive ROM<\/em>: examiner performs the maneuvers<\/li>\n<\/ul>\n
- Active ROM<\/em>: joint proximal to the joint being examined is immobilized while the pt. moves the joint in question<\/li>\n
- (L)<\/strong>Location<\/em>: region (joint) of origin<\/li>\n