Page 48 - 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                     Marfan syndrome • meniscal injury • metabolic bone diseases • muscle
                                                                                      conditions, including spasm, myalgia, atrophy, soreness, myositis, and muscular
             5.2    BACK PAIN AND SOMATIC DYSFUNCTION OF THE PELVIS,
                 SACRUM, AND LUMBAR AND THORACIC SPINE                                dystrophies • musculoskeletal pelvic pain/pelvic floor myalgia • myelopathy •
             5.3    NECK PAIN AND SOMATIC DYSFUNCTION OF THE CERVICAL                 myofascial pain syndrome and  trigger points • myositis, tendon rupture, complex
                 SPINE                                                                regional pain syndrome, patellofemoral syndrome • necrotizing fasciitis •
             5.4    GAIT DISTURBANCES                                                 Osgood-Schlatter disease • osteomalacia and related conditions, such as
                                                                                      rickets, hip dysplasia, slipped capital femoral epiphysis, Legg-Calve-Perthe’s
             5.5    JOINT PAIN, STIFFNESS, AND SWELLING
                                                                                      disease • osteomyelitis • osteopenia and osteoporosis • Paget disease •
             5.6    MUSCLE SYMPTOMS
                                                                                      pain, acute, chronic, or referred, with or without red flag signs or symptoms –
             5.7    CHEST WALL PAIN AND SOMATIC DYSFUNCTION OF THE                    back, neck, upper and lower extremity, joint • patellofemoral syndrome
                 RIBS
                                                                                      (chondromalacia patellae) • pediatric fractures (eg, Salter-Harris physeal fracture
             5.8    HEAD, OROFACIAL, AND TEMPOROMANDIBULAR JOINT PAIN
                 AND SOMATIC DYSFUNCTION OF THE HEAD                                  classification) • pelvic somatic dysfunction • piriformis syndrome • plantar
                                                                                      fasciitis • polymyalgia rheumatica • postural considerations • psoas syndrome
             5.9    PAIN AND SOMATIC DYSFUNCTION OF THE EXTREMITIES
                                                                                      • psoriatic arthritis • radiculopathy • reactive arthritis • reflex mechanisms (eg,
             5.10 MUSCULOSKELETAL TRAUMA, FRACTURES, AND                              viscerosomatic and viscerovisceral) • rheumatoid arthritis, juvenile rheumatoid
                 DISLOCATIONS
                                                                                      arthritis • rib conditions – counterstrain tender points, somatic dysfunction •
             5.11 SCIATICA AND RADICULAR SYMPTOMS
                                                                                      sacral somatic dysfunction • scoliosis • short leg syndrome • shoulder
             5.12 MUSCULOSKELETAL MASSES                                              dysfunctions-dislocation, rotator cuff injury, labral injury (eg, superior labral tear

             5.13 SOMATIC MANIFESTATIONS OF SYSTEMIC DISEASE                          from anterior to posterior [SLAP] lesion), adhesive capsulitis (frozen shoulder) •
                                                                                      somatic dysfunctions of the shoulder-glenohumeral, sternoclavicular,
             5.14 VISCEROSOMATIC AND RELATED REFLEXES
                                                                                      acromioclavicular, scapulothoracic joints • Sjögren disease, scleroderma • soft
             5.15 PHYSICAL EXAM FINDINGS RELATED TO THE
                 MUSCULOSKELETAL SYSTEM                                               tissue and bone cysts, tumors, and other bone lesions • somatic dysfunctions of
                                                                                      the abdomen/viscera • somatic dysfunctions of hip and knee (eg, patellofemoral
             5.16 LABORATORY TEST FINDINGS AND DIAGNOSTIC IMAGING
                 RELATED TO THE MUSCULOSKELETAL SYSTEM                                glide, tibiofemoral and tibiofibular) • somatic dysfunctions of the hand,
                                                                                      metacarpophalangeal and interphalangeal •                       


        COMLEX-USA MASTER BLUEPRINT                                                                DIMENSION 2     CLINICAL PRESENTATION 5     PAGE 47
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