Case Study: Musculoskeletal Essay Assignment

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Case Study: Musculoskeletal Essay Assignment

Instructions:

  • Use the Case Study Template to complete. Download Use the Case Study Template to complete.
  • Be sure to include at least one reference.
  • Include in-text citations as needed.

Select one case to discuss.  

  • Case 1: A 62-year-old female complains of pain over several finger joints bilaterally. This pain is “worse” upon waking up and severe enough that it does not allow her to garden. She also complains of feeling tired most of the time and is having trouble sleeping.
  • Case 2: A 38-year-old male construction worker complains of severe pain to his right lower back. States he woke up with the pain after an especially difficult workday. He takes Motrin but it offers little relief. Case Study: Musculoskeletal Essay Assignment
  • Case 3: A 58-year-old obese man complains of pain in his left knee. The pain seems to be unrelenting; he says it is better when he rests but gets stiff when he rests too long.

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Physical Assessment

Case Study Template

Name: ________________________________________

Week of Class (1-8): ______

Body System focus area (i.e., cardiovascular): _____________________________

Case Study: (copy/paste here please)

 

Note: Include in-text citations as needed (author, year).

Questions (if data is unavailable, indicate “unavailable”):

  1. What is the client’s chief complaint?

 

  1. What questions would you ask the client?

 

  • HPI (history of present illness)
  • ROS (review of systems)
  • Medical/Surgical/Psych History
  • Family History
  • Other

 

  1. What physical examinations would you include? Case Study: Musculoskeletal Essay Assignment
Body System Include?

ü (yes) or – (not indicated)

 Notes
General survey ü  
HEENT (head, eyes, ears, nose, throat/thyroid)    
Cardiovascular ü Auscultate heart sounds (stethoscope to actual skin)
Peripheral Vascular    
Breasts    
Lymphatic    
Pulmonary ü Auscultate lung sounds (stethoscope to actual skin) – anterior and posterior
Gastrointestinal/Abdominal    
Genitourinary/Pregnancy    
Integumentary Case Study: Musculoskeletal Essay Assignment    
Musculoskeletal    
Neurological    

 

  1. What are pertinent positive physical assessment findings?

 

  1. What are the pertinent negative physical assessment findings?

 

  1. What are at least 3 differential diagnoses (use Up-to-Date App if needed)?

 

 

  1. What is your primary diagnosis?

 

  1. What is your treatment plan?

 

  • Diagnostic procedures
  • Labs
  • Client education (including lifestyle modifications, if applicable)
  • Pharmacotherapy (including complementary and alternative therapies)
  • Health promotion (preventative care, anticipatory guidance)
  • Follow-Up Case Study: Musculoskeletal Essay Assignment

 

 

References

(within last 5 years, scholarly, include clinical practice guidelines if available)

APA format please, at least one reference Case Study: Musculoskeletal Essay Assignment