Page 50 - 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                     Muscle-strength grading • Neer impingement sign  • Ottawa ankle rules for ankle
                                                                                      injury radiography  • Patrick or Fabere test  • Phalen maneuver, Tinel sign  •
             5.2    BACK PAIN AND SOMATIC DYSFUNCTION OF THE PELVIS,
                 SACRUM, AND LUMBAR AND THORACIC SPINE                                rubor, calor  • shoulder apprehension test, Apley scratch test  • straight-leg
             5.3    NECK PAIN AND SOMATIC DYSFUNCTION OF THE CERVICAL                 raising test  • stress testing of the ankle  • talar anterior drawer sign  • talar tilt
                 SPINE                                                                test  • tenderness  • Thomas test  • tissue texture abnormalities  •
             5.4    GAIT DISTURBANCES                                                 Trendelenburg test

             5.5    JOINT PAIN, STIFFNESS, AND SWELLING
                                                                                      LABORATORY TEST FINDINGS AND DIAGNOSTIC IMAGING
             5.6    MUSCLE SYMPTOMS
                                                                                      antinuclear antibody tests  • autoantibody tests  • computed tomography
             5.7    CHEST WALL PAIN AND SOMATIC DYSFUNCTION OF THE                    imaging  • c-reactive protein  • dual-energy x-ray absorptiometry scanning  •
                 RIBS
                                                                                      erythrocyte sedimentation rate  • magnetic resonance imaging  • nuclear
             5.8    HEAD, OROFACIAL, AND TEMPOROMANDIBULAR JOINT PAIN
                 AND SOMATIC DYSFUNCTION OF THE HEAD                                  medicine imaging  • radiography  • serum creatine kinase  • sonography  •
                                                                                      synovial fluid evaluation for crystals
             5.9    PAIN AND SOMATIC DYSFUNCTION OF THE EXTREMITIES
             5.10 MUSCULOSKELETAL TRAUMA, FRACTURES, AND
                 DISLOCATIONS
             5.11 SCIATICA AND RADICULAR SYMPTOMS
             5.12 MUSCULOSKELETAL MASSES

             5.13 SOMATIC MANIFESTATIONS OF SYSTEMIC DISEASE
             5.14 VISCEROSOMATIC AND RELATED REFLEXES

             5.15 PHYSICAL EXAM FINDINGS RELATED TO THE
                 MUSCULOSKELETAL SYSTEM
             5.16 LABORATORY TEST FINDINGS AND DIAGNOSTIC IMAGING
                 RELATED TO THE MUSCULOSKELETAL SYSTEM




        COMLEX-USA MASTER BLUEPRINT                                                                DIMENSION 2     CLINICAL PRESENTATION 5    PAGE 49
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