The Musculoskeletal System
Case Study: Shoulder Pain, Adult
CHIEF COMPLAINT: "My shoulder hurts"
History of Present illness:
Nancy is a 52-year-old floral designer who presents for evaluation of shoulder pain.
She has experienced this pain in the past, b
1. Juvenile Rheumatoid Arthritis (JRA) (North America) = Juvenile Chronic Arthritis
The American Rheumatologic Association lists for criteria for diagnosing JIA
a. Chronic synovial inflammation of unknown etiology
b. Onset in children young
Orthopaedics: Contusions, Sprains, Strains and
Sports Medicine Principles for the Professional Athlete and the Rest of Usi
1. Definition: the application of professional training to the understanding,
prevention, care and rehabilitation
Rheumatic disease may be divided into acute and chronic courses. Acute disease, such as
gout, is self-limiting and provokes an appropriate inflammatory response to suppress the
opposing antigen (crystals).
Chronic rheumatic disease
a. Prior to 1960 = leading cause of death and structural heart damage
b. Resurgence in US?
i. More virulent strains of group A streptococci
c. Cardiac involvement = major cause of long-term morbidity
d. Majority of cases oc