NURS105 Lecture Notes - Lecture 15: Coccyx, Iliac Crest, Tendon Sheath

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Some tips for assessing joint pain are: ask the patient to point to the pain since not all patients explain pain well. Clarify when the pain started and especially the mechanism of injury, or exactly how the pain began, for example, the detail relating to trauma or from a particular exercise or movement. Identify key features of the pain is it localized or diffuse, acute or chronic, inflammatory or non inflammatory. As you examine each joint be sure to look for: joint symmetry, alignment, bony deformities, and swelling, warmth, tenderness, or redness. Assess the surrounding tissues noting skin changes, subcutaneous nodules, and muscle atrophy. Test range of motion and perform maneuvers to demonstrate limitations. In the head, the temporomandibular joint (or tmj) arises from the articulation between the mandible and the skull. A fibrocartilaginous disc cushions the action of the condyle of the mandible against the synovial membrane and capsule of the articulating surfaces of the temporal bone.

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