* Osteopathic : pain, radicular pain or somatic dysfunction, structural changes, abnormal ROM, TART changes, history of treatment, etc. * Behavioral/Psych : anxiety, insomnia, depression, personality changes, Physical Examination: *A systematic examination generally starts at the head and finishes with the extremities and spine. *It includes observation, auscultation, palpation and percussion of the main organ systems and specific tests for body systems such as neurological examination, rectal examination, pelvic examination, ROM testing for spine or joints, osteopathic examination, etc. *Examination includes recording of vital signs, including temperature, weight, height, blood pressure, heart rate, respiratory rate. Often included are O-2 satd. and BMI. Test question: About if you classify one of the symptomatiologies below as MSK or Osteopathic. B/c we are DO students we are expected to do a structural and osteopathic review of systems. Period. End of Story. “was it an osteopathic complaint or simple joint pain”
* General : obese AA female , well nourished, well hydrated, alert and oriented, mentation grossly intact, appears stated age. *Vital Signs: * Skin : Skin is warm, dry, and intact. Normal tone and turgor, no rashes, petechiae, purpura. Hair pattern is normal, no lesions or ulcerations noted. No tattoos or piercings noted. * Lymph Nodes: no abnormal nodes noted in anterior or posterior cervical chains, auricular, occupital, supraclavicular, axillary, inguinal regions. No dependent edema or lymphedema noted. No erythema present over lymph drainage system. * HEENT : HEAD- NCAT (normo-cephalic/atraumatic), hair pattern is normal, no rashes or abnormal nodes. * Eyes : PERRLA. EOMI, no gaze deviation noted. No nystagmus, no ptosis. Conjunctiva - non injected. Sclera anicteric, no corneal abrasions or ulcers. Anterior and posterior chambers are normal, retina is without hemorrhage or exudate, optic disc is normal without pulpal edema, vision is 20/20 to near and far testing. * Ears : Normal appearance to pinea and cannels, no abnormal creases or perforations. No gouty trophi. No exudate or drainage. Tympanic membrane intact and move freely, normal cone of light, no scaring, no erythema, no bulging or retraction. Hearing is grossly intact. * Nose : Septum-non deviated. Turbinate mucosa- pink, no ulcerations or epitaxis, no purulent discharge. No hypertrophy or polyps. Sinuses non- tender to palpation and percussion. * Mouth/throat : MMM (moist mucous membranes), no pharyngeal erythema /exudates, denties in good repair, gums without pyorrhea or evidence of erythema or abscess. Bite intact. Tongue in midline, no graphic changes noted. Gag reflex intact, uvula arises in midline. No dysphonia or dysphagia. No exudate or lymphatic hyperplasia noted to pharynx. No TMJ clicks and normal ROM. * Neck : supple. No JVD (jugular venous distention) or pulses paradoxes.
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- Fall '14
- Deborah Heath
- Test, Lumbar vertebrae, Cervical vertebrae, pubic symphysis