Describe a patient with musculoskeletal symptom or group of symptoms
This topic discusses musculoskeletal pain. The patient displayed the following symptoms:
- Serve pain in joints, ligaments, and tendons.
- Sleep disorders.
- Stiffness.
- Fatigue.
The musculoskeletal disorder affects joints and ligaments. The disease associated with musculoskeletal pain includes lower back pain, tendonitis, fractures, myalgia, and spasm (D’Amico & Barbarito, 2012). The symptoms of a musculoskeletal patient include pain, sleep disorders, and fatigue. I will start the examination with the following questions:
- What is the duration of pain?
- What is the location of pain?
- Do you have sleep disorders?
- Do you experience weakness?
- What is the migration pattern of the pain?
The risk factors of MS disorders include personal factors, work-related factors, and off-work factors. Personal factors include age, gender, obesity, heredity, and physical conditions. Work-related factors include depression, emotional distress, anxiety hobbies, sports, and physical demands of work.
Physical examination includes observation, physical screening, and detailed examination. A goniometer, stethoscope, and non-elastic tape can be used for physical examination of a musculoskeletal patient. Physical examination techniques used for inspection include observation, physical assessment, body screening, and percussion.
Hand/wrist: Finger, wrist, and thumb flexion. The examiner will inspect joints deformity and enlargement.
Shoulders and cervical spine: The patient will extend, flex, and rotate the cervical spine for deformity.
Subjective information: Male, 45 years old, fine movement over 3 years. No skeletal or joint diseases. Dislocation of the ligament at age 30 with slow movement, no history of family musculoskeletal diseases. The patient works outdoor and walks to the office for 15 to 25 minutes. The patient’s combined diet includes vitamins, jams, garlic, and calcium. The patient is not overweight. Prefer aspirin for body pain. No trace of weakness, gilt is unchanged. No trace of joint disorder or tremor. No sign of muscle swell. Stable hip and symmetrical muscle.
Describe a patient with hand tremors or paralysis
This topic discusses hand tremors and paralysis. The patient displayed the following symptoms:
- Weak limb.
- Facial paralysis.
- Numbness.
- Weak muscle tissues.
Diseases of the brain, nerve, and spine are called neurological disorders. The breakdown between the brain and spine can affect the central nervous system (D’Amico & Barbarito, 2012). I will begin the assessment with a detailed examination of the patient’s history and body signs. The assessment can reduce the severity of neurological disorders. Doctors should know the difference between symptoms and diseases. The presence of a disorder will induce a particular symptom. The risk factors for neurological disorders include sleep disorders and obesity.
What physical examination techniques would you use?
A detailed examination of the neurological system will improve the quality of services rendered to the patient. Clinical examination will examine the history of the patient. The examination will describe the symptoms, location, duration, causative factors, and the point of incidence. The examiner must differentiate other features of neurological disorders such as numbness, weakness, vomiting, impaired disturbance, and performance assessment. Weight loss or gain may indicate a neurological disorder Social history includes smoking and drinking habit of the patient, drug use, marital status, and sexual orientation. The cranial nerve examination includes the vagus nerve, accessory nerve, glossopharyngeal nerve, facial nerve, and abducent nerve (D’Amico & Barbarito, 2012).
Narrative note
Female, 38 years, receives the command, dry skin, and good sight. Does not eat meat, responds to stimulus. Spines and nerves respond to touch. Differentiates smell, diet includes vegetables, vitamins and juice. No history of family diseases. High sodium, difficulty in swallowing, experience weight loss. Grandparents suffered a stroke at age 75 years. Recommend a balanced diet, another nerve x-ray. Repeat medical check after 3 days.
Reference
D’Amico, D., & Barbarito, C. (2012). Health & physical assessment in nursing (2nd ed.). Upper Saddle River, NJ: Prentice Hall.