Nursing 1160A/B Lecture Notes - Lecture 7: Erythema, Muscle Tone, Lumbar Vertebrae
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Spasticity: hypertonic, so the muscles are stiff and movements awkward. Spasm: sudden violent involuntary contraction of a muscle. Possible areas of focus for the physical examination (joints): Thoracic and lumbar spine: inspect (gait, posture) In addition to assessing comfort, orientation, etc : range of motion (passive holding limb. You do the movement, active raising: function how does this affect your adls limbs but not past pain etc. , strength and iadls. Head and neck msk assessment: observe posture and gait as client enters room, determine presenting problem, take complete hx, palpate area, observe rom, assess function. *assess for symmetry: observe posture and gait as client enters room, determine presenting problem, take complete hx, palpate area temp, inflammation, watch face for grimaces to indicate pain, observe rom, test strength, assess function. Common musculoskeletal symptoms/signs: pain or discomfort (arthralgia, myalgia, weakness, stiffness or limited movement, deformity, swelling, lack of balance and coordination, bruising.