Page 49 - 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                     somatovisceral and somatosomatic reflexes • spina bifida • spinal fractures •
                                                                                      spondylitis • spondyloarthropathies • spondylolisthesis • spondylolysis •
             5.2    BACK PAIN AND SOMATIC DYSFUNCTION OF THE PELVIS,
                 SACRUM, AND LUMBAR AND THORACIC SPINE                                spondylosis • sprains and strains, dislocations • suspicious and accidental
             5.3    NECK PAIN AND SOMATIC DYSFUNCTION OF THE CERVICAL                 fractures, including pathologic and fragility fractures • systemic lupus
                 SPINE                                                                erythematosis • temporomandibular joint dysfunction • tendonopathies (eg,
             5.4    GAIT DISTURBANCES                                                 impingement syndromes, tendon rupture, enthesitis, tenosynovitis) • thoracic
                                                                                      outlet syndrome • thoracic somatic dysfunction • tibiotalar effusion • torticollis
             5.5    JOINT PAIN, STIFFNESS, AND SWELLING
                                                                                      • transient synovitis • trigger finger • true and apparent leg-length discrepancy
             5.6    MUSCLE SYMPTOMS
                                                                                      • weakness, tingling, or numbness in the arms, legs, and/or feet, unilateral or
             5.7    CHEST WALL PAIN AND SOMATIC DYSFUNCTION OF THE                    bilateral • wrist-radiocarpal, and carpocarpal somatic dysfunction
                 RIBS

             5.8    HEAD, OROFACIAL, AND TEMPOROMANDIBULAR JOINT PAIN
                 AND SOMATIC DYSFUNCTION OF THE HEAD
                                                                                      CONSTITUTIONAL SIGNS AND SYMPTOMS
             5.9    PAIN AND SOMATIC DYSFUNCTION OF THE EXTREMITIES
                                                                                      fatigue  • fever  • generalized weakness  • nvoluntary weight loss  • malaise  •
             5.10 MUSCULOSKELETAL TRAUMA, FRACTURES, AND                              night sweats  • pallor
                 DISLOCATIONS
             5.11 SCIATICA AND RADICULAR SYMPTOMS
                                                                                      PHYSICAL EXAM FINDINGS
             5.12 MUSCULOSKELETAL MASSES                                              active and passive range of motion testing  • Adson test  • anterior and posterior

             5.13 SOMATIC MANIFESTATIONS OF SYSTEMIC DISEASE                          drawer signs (knee and ankle)  • Apley compression and distraction tests  •
                                                                                      asymmetry, joint, regional, and segmental range of motion testing  • Barlow test,
             5.14 VISCEROSOMATIC AND RELATED REFLEXES
                                                                                      Ortolani test  • Bouchard and Heberden nodes  • bounce home test  •
             5.15 PHYSICAL EXAM FINDINGS RELATED TO THE
                 MUSCULOSKELETAL SYSTEM                                               boutonniere and swan neck deformities  • cervical compression test  • cervical
                                                                                      distraction test  • empty-can supraspinatus test  • Finkelstein test  • gait
             5.16 LABORATORY TEST FINDINGS AND DIAGNOSTIC IMAGING
                 RELATED TO THE MUSCULOSKELETAL SYSTEM                                abnormalities  • Hawkins impingement sign, drop-arm test  • Homan sign  •
                                                                                      Hoover test  • layer-by-layer palpation  • McMurray test  •     


        COMLEX-USA MASTER BLUEPRINT                                                                DIMENSION 2     CLINICAL PRESENTATION 5    PAGE 48
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