Sick Call Screener Course
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1 Sick Call Screener Course Musculoskeletal System Neck and Spine (2.8)
2 Enabling Objectives 1.46 Utilize the knowledge of musculoskeletal system anatomy while assessing a patient with a musculoskeletal complaint 1.47 Utilize the knowledge of musculoskeletal system physiology while assessing a patient with a musculoskeletal complaint 1.48 Obtain history from patient with common orthopedic disorders
3 Enabling Objectives (Cont.) 1.49 Perform an orthopedic examination 1.50 State signs and symptoms of common orthopedic disorders 1.51 State treatments for common orthopedic disorders 1.16 State Red Flag criteria
4 Introduction We could not survive without bones Forms the framework of the body Crucial for the Corpsman s tool box Bread and butter of what we see and treat on a daily basis
5 Vertebral Column Bone and connective tissue Functions Number of vertebrae Early development Adult Normal curves (From Principles of Anatomy and Physiology, 14 th Ed.)
6 Vertebral Column (Cont.) (Seidel s Guide to Physical Examination 9th Ed.,
7 Vertebral Column (Cont.) Intervertebral Discs Fibrocartilage Hyaline cartilage Under compression Avascular Stretching exercises (From Essential Evidence Plus & AHFS DI Essentials,
8 Vertebral Column (Cont.) Parts of a typical vertebra Vertebral Body Vertebral Arch Processes (From AAOS Comprehensive Orthopaedic Review, 2nd Ed., 2014,
9 Thorax Thoracic cage Costal cartilages Protection (From Critical Care Nursing 8th Ed., 2018,
10 Cervical Vertebrae General Information The Atlas - C1 Vertebra C2 Vertebrae C3-C6 Vertebrae C7 (From Essential Evidence Plus & AHFS DI Essentials,
11 Thoracic Vertebrae Larger and stronger Spinous processes Identified by costal facets Transverse processes (From Essential Evidence Plus & AHFS DI Essentials,
12 Thoracic Vertebrae (Cont.) Articular surfaces Facet and Demifacet Superior and Inferior Demifacet Articulation and movement (From Essential Evidence Plus & AHFS DI Essentials,
13 Lumbar Vertebrae Largest and strongest Superior articular processes Spinous processes (From Orthopedic Physical Assessment, 6th Ed., 2014,
14 Sacrum Triangular bone Female Vs. Male Sacrum Position and portion names (Spine Journal, The.Mahato, Niladri Kumar, MBBS, MS, DNB: Clinicalkey
15 Coccyx Triangular Formed by fusion Coccygeal Cornua Transverse processes (From Nurse Anesthesia 6th ed., Figure 49.3,
16 Coccyx (Cont.) Articulates superiorly with apex of sacrum Female Vs. Male position (From Nurse Anesthesia 6th ed., Figure 49.3,
17 Obtain a History Subjective Chief Complaint HPI Joint Symptoms Muscular Symptoms Skeletal Symptoms Injury Back Pain (Seidel s Guide to Physical Examination 9th Ed.,
18 Obtain a History (Cont.) Subjective (Cont.) Past Medical History Family History Personal & Social History (Seidel s Guide to Physical Examination 9th Ed.,
19 Musculoskeletal Exam Inspection Palpation (All Photos from: Seidel s Guide to Physical Examination 9th Ed.,
20 Musculoskeletal Exam (Cont.) Range of Motion & Muscle Tone Muscle Strength (Seidel s Guide to Physical Examination 9th Ed.,
21 Spine Exam Inspect Palpate Evaluate ROM Perform movements (Seidel s Guide to Physical Examination 9th Ed.,
22 Spine Exam (Cont.) Thoracic and Lumbar Spine Lower Spine Assessment (Seidel s Guide to Physical Examination 9th Ed.,
23 Septic Arthritis Definition Synonyms Physical Findings & Clinical Presentation (Ferri s Clinical Advisor 2018.,
24 Septic Arthritis (Cont.) Differential Diagnosis Workup Laboratory Tests (Ferri s Clinical Advisor 2018.,
25 Septic Arthritis (Cont.) Imaging Studies Treatment Nonpharmacologic Therapy Acute General Rx STAT!Ref: Clinical Checklist, Lab Advisor & Drugpoints System,
26 Compartment Syndrome Definition Pathophysiology Physical Findings & Clinical Presentation (Ferri s Clinical Advisor 2018.,
27 Compartment Syndrome (Cont.) Diagnosis Differential Diagnosis Laboratory Tests Imaging Studies (Ferri s Clinical Advisor 2018.,
28 Compartment Syndrome (Cont.) Treatment Acute General Rx Chronic General Rx Disposition Indications for Referral
29 Cervical Strain Definition Synonyms Clinical Symptoms (Cervical Sprain, Elsevier Interactive Patient Education,
30 Physical Examination Diagnostic Tests Differential Diagnosis Cervical Strain (Cont.) Adverse Outcomes of the Disease (Seidel s Guide to Physical Examination 9th Ed.,
31 Cervical Strain (Cont.) Treatment Rehabilitation Prescription Adverse Outcomes of Treatment Referral Decisions/Red Flags STAT!Ref: Clinical Checklist, Lab Advisor & Drugpoints System,
32 Cervical Radiculopathy Definition Synonyms Clinical Symptoms STAT!Ref: Essentials of Musculoskeletal Care 5th Ed.,
33 Cervical Radiculopathy (Cont.) Physical Examination Diagnostic Tests Differential Diagnosis Adverse Outcomes of the Disease
34 Cervical Radiculopathy (Cont.) Treatment Adverse Outcomes of Treatment Referral Decisions/Red Flags STAT!Ref: Clinical Checklist, Lab Advisor & Drugpoints System,
35 Low Back Pain Definition Synonyms Risk Factors General Prevention STAT!Ref: Essentials of Musculoskeletal Care 5th Ed.,
36 Low Back Pain (Cont.) Diagnosis History Physical Exam Differential Diagnosis (Acute Low Back Pain, Elsevier Point of Care,
37 Low Back Pain (Cont.) Diagnostic Tests & Interpretations Treatment First Line Patient Education Medications Obstetric Considerations STAT!Ref: Clinical Checklist, Lab Advisor & Drugpoints System,
38 Low Back Pain (Cont.) Treatment Second Line Moderate to Severe Pain Other Treatments Injections STAT!Ref: Clinical Checklist, Lab Advisor & Drugpoints System,
39 Herniated Disc Definition Synonyms Clinical Symptoms STAT!Ref: Essentials of Musculoskeletal Care 5th Ed.,
40 Herniated Disc (Cont.) Physical Examination Diagnostic Tests Differential Diagnosis Adverse Outcomes of the Disease STAT!Ref: Essentials of Musculoskeletal Care 5th Ed.,
41 Herniated Disc (Cont.) Treatment Adverse Outcomes of Treatment Referral Decisions/Red Flags
42 Summary and Review 1.46 Utilize the knowledge of musculoskeletal system anatomy while assessing a patient with a musculoskeletal complaint 1.47 Utilize the knowledge of musculoskeletal system physiology while assessing a patient with a musculoskeletal complaint 1.48 Obtain history from patient with common orthopedic disorders
43 Summary and Review (Cont.) 1.49 Perform an orthopedic examination 1.50 State signs and symptoms of common orthopedic disorders 1.51 State treatments for common orthopedic disorders 1.16 State Red Flag criteria
44 Questions
45 Application Neck and Spine Job Sheet, SCSC SCSC Performance Test
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