Discussion: Assessing Musculoskeletal Pain The body is constantly sending signal
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The body is constantly sending signals
about its health. One of the most easily recognized signals is pain.
Musculoskeletal conditions comprise one of the leading causes of severe
long-term pain in patients. The musculoskeletal system is an elaborate system
of interconnected levers that provides the body with support and mobility.
Because of the interconnectedness of the musculoskeletal system, identifying
the causes of pain can be challenging. Accurately interpreting the cause of
musculoskeletal pain requires an assessment process informed by patient history
and physical exams.
In this Discussion, you will consider case
studies that describe abnormal findings in patients seen in a clinical setting.
By Day 1 of this week, you will be assigned to one of
the following specific case studies for this Discussion. Please see the
“Course Announcements” section of the classroom for your assignment from
Your Discussion post should be in the Episodic/Focused
SOAP Note format rather than the traditional narrative style Discussion
posting format. Refer to Chapter 2 of the Sullivan text and the
Episodic/Focused SOAP Template in the Week 5 Learning Resources for
guidance. Remember that all Episodic/Focused SOAP notes have specific data
included in every patient case.
Review the following case studies:
Case Study 1: Back Pain
A 42-year-old male reports pain in his
lower back for the past month. The pain sometimes radiates to his left leg. In
determining the cause of the back pain, based on your knowledge of anatomy,
what nerve roots might be involved? How would you test for each of them? What
other symptoms need to be explored? What are your differential diagnoses for
acute low back pain? Consider the possible origins using the Agency for
Healthcare Research and Quality (AHRQ) guidelines as a framework. What physical
examination will you perform? What special maneuvers will you perform?
With regard to the case study, you were assigned:
Review this week’s Learning Resources, and consider the
insights they provide about the case study.
Consider what history would be necessary to collect from the
patient in the case study you were assigned.
Consider what physical exams and diagnostic tests would be
appropriate to gather more information about the patient’s condition. How would
the results be used to make a diagnosis?
Identify at least five possible conditions that may be
considered in a differential diagnosis for the patient.
Note: Before you submit your initial post, replace the
subject line (“Discussion – Week 8”) with “Review of Case Study
___.” Fill in the blank with the number of the case study you were
an episodic/focused note about the patient in the case study
to which you were assigned using the episodic/focused note template provided in
the Week 5 resources. Provide evidence from the literature to support
diagnostic tests that would be appropriate for the case. List five different
possible conditions for the patient’s differential diagnosis, and justify why
you selected each.