FASH 162 Lecture Notes - Osteoarthritis, Adhesive Capsulitis Of Shoulder, Tendinitis

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Purpose assess possible cause(s) of problem: examination. Need to assess whether neurological or musculoskeletal. Peri-articular: diffuse, not well-localised, around joint. Does patient use any devices? i. e. walking-stick/splints. General: fatigue, fever, weight loss, enlarged lymph nodes. Previous episodes of same problem remissions & relapses or persistent predisposition i. e. gout, previous factures osteoporosis. Previous episodes of other musculoskeletal problems i. e. back problems/various joints (same/different) Previous relevant problems to cause/treatment: rash due to psoriasis, history of alcohol/iv drug abuse, previous surgery/accidents, heart attack/lung disease/hepatitis/kidney disease . Inherited gene disorders i. e. enzyme defect inherited gout (autosomal dominant) Determine if 1st degree relatives have had relevant conditions. Primarily affect joints, periarticular tissues & bones: osteoarthritis degenerative, gout form of crystal arthritis, tendonitis tennis elbow", frozen shoulder capsulitis, bone tumour rare. Multisystem diseases, predominantly affect musculoskeletal system, other extra-articular manifestation: rheumatoid arthritis, ankylosing spondylitis, systemic lupus erythematosus.

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