Page 47 - Master Blueprint 2018 - 2019
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CLINICAL               5        PATIENT PRESENTATIONS RELATED
          PRESENTATION
                                          TO THE MUSCULOSKELETAL SYSTEM




             Patient presentations span all relevant age                              The Guide to clinical presentations in this category may
             categories, special populations, and varied                              include, but is not limited to, the following ways in which
             clinical settings.                                                       patients present for osteopathic medical care:


             5.1    POSTURAL ABNORMALITIES AND SPINAL DEFORMITIES                     ankle injuries and conditions, including sprains, Achilles tendinosis • ankylosing
                                                                                      spondylitis, Reiter syndrome, degenerative disc disease, spinal stenosis •
             5.2    BACK PAIN AND SOMATIC DYSFUNCTION OF THE PELVIS,
                 SACRUM, AND LUMBAR AND THORACIC SPINE                                apophysitis, calcaneal or tibialis • articular somatic dysfunction and counterstrain
             5.3    NECK PAIN AND SOMATIC DYSFUNCTION OF THE CERVICAL                 tender points • benign arthralgias of childhood • benign hypermobility • bursitis
                 SPINE                                                                • cauda equina syndrome • cervical spine segmental somatic dysfunction (ie,
             5.4    GAIT DISTURBANCES                                                 occipitoatlantal, C1, C2-7) • cervical spondylosis, cervical disc herniation, whiplash
                                                                                      syndromes • Chapman reflexes • costochondritis • counterstrain tender points •
             5.5    JOINT PAIN, STIFFNESS, AND SWELLING
                                                                                      cranial somatic dysfunction • crush injuries, compartment syndrome • cysts
             5.6    MUSCLE SYMPTOMS
                                                                                      and tumors, bone and musculoskeletal • dermatomyositis • drug-induced
             5.7    CHEST WALL PAIN AND SOMATIC DYSFUNCTION OF THE                    myopathies • early-morning stiffness • Ehlers-Danlos syndrome • elbow-
                 RIBS
                                                                                      humero-ulnar, radioulnar, and radiohumeral somatic dysfunction • entrapment
             5.8    HEAD, OROFACIAL, AND TEMPOROMANDIBULAR JOINT PAIN
                 AND SOMATIC DYSFUNCTION OF THE HEAD                                  neuropathies • extremity somatic dysfunction • fascial symptoms • fasciitis,
                                                                                      iliotibial band syndrome • fibromyalgia, chronic fatigue syndrome • foot
             5.9    PAIN AND SOMATIC DYSFUNCTION OF THE EXTREMITIES
                                                                                      deformities, somatic dysfunctions of the foot– talocalcaneal, tarsotalar,
             5.10 MUSCULOSKELETAL TRAUMA, FRACTURES, AND                              tarsometatarsal, metatarsophalangeal • fracture care,  fracture healing, stress
                 DISLOCATIONS
                                                                                      fracture • genu varus/valgus, severe physiologic bowing, Blount disease, intoeing,
             5.11 SCIATICA AND RADICULAR SYMPTOMS
                                                                                      metatarsus adductus, medial (internal) tibial torsion, femoral anteversion (medial
             5.12 MUSCULOSKELETAL MASSES                                              femoral torsion), developmental dysplasia of the hip • giant cell arteritis • gout

             5.13 SOMATIC MANIFESTATIONS OF SYSTEMIC DISEASE                          and pseudogout • hemarthrosis • herniated intervertebral discs, spinal stenosis •
                                                                                      humeral (lateral and medial) epicondylitis • idiopathic inflammatory myopathies
             5.14 VISCEROSOMATIC AND RELATED REFLEXES
                                                                                      (eg, polymyositis) • infectious joint pain, septic arthritis • inflammatory joint pain
             5.15 PHYSICAL EXAM FINDINGS RELATED TO THE
                 MUSCULOSKELETAL SYSTEM                                               (eg, monoarticular, oligoarticular, polyarticular) • intra-articular conditions
                                                                                      (eg, osteoarthritis, Baker cyst, ganglion cyst, adhesive capsulitis, Charcot joint) •
             5.16 LABORATORY TEST FINDINGS AND DIAGNOSTIC IMAGING
                 RELATED TO THE MUSCULOSKELETAL SYSTEM                                kyphosis, adult and juvenile • Lhermitte phenomenon or sign • ligamentous injury
                                                                                      • lordosis • lumbar somatic dysfunction • Lyme disease • mallet finger • 


        COMLEX-USA MASTER BLUEPRINT                                                                DIMENSION 2     CLINICAL PRESENTATION 5    PAGE 46
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