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  1. Osteoarthritis aka Degenerative Joint disease (DJD)
    • Noninflammatory, localized, progressive disorder involving degenration of articular cartilage and subchondral bone and formation of new bone (osteophytes) at bone surface.
    • Assymetrical joint involvement, stiffness, swelling, bony protuberances, pain with motion and decreased ROM
  2. Rheumatoid Arthritis
    • Autoimmune, chronic, systemic inflammatory disease of joints surrounding connective tissue
    • Inflammation of synocial membrane leads to thickening, then fibrosis, whcih decreases ROM, and finally bony ankylosis
    • Symmetric joint involvement, hear, redness, swelling, painful motion, fatigue, weakness, anorexia, weight loss, low grade fever, lymphadenopathy
  3. Osteoporosis
    • Can come after osteopenia (decreased bone)
    • Decrease in skeletal bone mass when rate of bone resorption is greater than bone formation
    • Increased risk for stress fractures (wrist, hip,vertebrae are most common)
    • Loss of height frequently first clinical sign of osteoporosis (due to vertebral fracture and collapse)
  4. Kyphosis
    Hump back
  5. Lordosis
    Sway back
  6. Scoliosis
    crooked back
  7. Shoulder
    • ROM- forward flexion, hyperextension, internal/external rotation, abduction/adduction
    • strength- against resistance have pt shrug, flex shoulders forward, and abduct
  8. Elbow
    • ROM- Flexion/extension, supination/pronation
    • Strength- Against resistance have pt flex and extend
  9. Wrist/Hand/Fingers
    • ROM- Wrist Flexion/extension, radial deviation, ulnar deviation, finger flexion/hyperextension/abduction, make a fist, and finger opposition
    • Strength- Position pts forearm palm up resting on a table. Hold mid forearm and ask pt to flex wrist against your resistance
  10. Bouchard's nodes
    Osteoarthritis nodes in Proximal finger joints
  11. Heberden's nodes
    Osteoarthritis nodes in distal finger joints
  12. Phalen's test for carpal tunnel
    • Have pt hold both hands back to back while flexing wrists 90 degrees
    • Normal: no symptoms in habnds after 60 sec
    • Abnormal: burning and tingling along median nerve distribution
  13. Tinel's test for carpal tunnel
    • Directly percuss over median nerve at wrist
    • Normal: no symptoms with percussion
    • Abnormal: burning and tingling alongl median nerve distribution
  14. Hip
    ROM- Flexion-hyperextension, internal/external rotation, abduction/adduction
  15. Genu varum
  16. Genu valgum
    knock knee
  17. genu recurvatum
    hyperextended knees due to weak quads
  18. Knee
    • ROM- flexion/extension, some hyperextension
    • Strength- against resistance have pt flex knee, extend knee
  19. Ankle/Feet
    • ROM- plantar/dorsi flexion, eversion/inversion, toe flexion/extension
    • Strength-Against resistance have pt dorsiflex and plantarflexion
  20. Spine
    • ROM- cervical-flexion,hyperextension, lateral bend, roation; lumbar- flexion, hyperextension, lateral bend, rotation
    • Strength- cervical (flexion, extension, rotation) lumbar (asess L5 & S1 nerve root by having pt walk on toes and heels)
  21. Crossed leg raise diagnoses:
    disk injury
  22. Straight leg raise diagnoses:
    herniated disc if there is a pain when leg is raised 30-60 degrees
  23. Ms. Lieu shares with the nurse that she often experiences knee pain. The nurse asks Ms. Lieu about other common joint symptoms. On which symptoms should the nurse focus:
    Stiffness, swelling, and warmth
  24. To check for scoliosis, the nurse provides which client instruction?
    Stand with arm straigh at your sides and your feet together
  25. Ms. Lieu follows the nurse's instructions to swing her arms forward and up in a wide arc, then back. This action allows the nurse to observe what shoulder range of motion?
    Flexion and hyperextension
  26. Ms. Lieu is able to move her upper extremities through complete range of motion. In documenting full range of motion of the upper extremeties, the nurse is able to note the absence of which abnormality?
  27. Ms. Lieu lies down on the exam table in a supine position. The nurse assesses adduction and abduction of the hip by instructing the client to take what action?
    Swing the entire leg laterally and then medially, keeping the knee straight while moving
Card Set:
2011-12-11 22:59:21
Health Assessment

Final Quiz
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