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Old 06-01-2013
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Hammer and Otoscope Is Neuro examination reqd for MSK case

For a case of Joint pain/ Back pain, am I required to do DTR's, sensation, strength, tone examination? Or should I do only ROM??

I have my exam this Monday and am in a hurry for an answer!! Please help!
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Old 06-01-2013
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C'mon guys! 55 views and no reply.?? Please help! :sorry:

In the FA Knee pain case they suggest only a msk examination, but in the DVT case they suggest a lower limb neuro exam too..

This leaves me wondering if its enough to to ROM?? Any suggestions would be really helpful at this time.:sorry::sorry:
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Old 06-01-2013
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Default according to the joint

always start by examining the affected joint and the surrounding ms strength , sensation and DTRs (if won't illicit SP pain)
in FA , DVT case -- it is important to do all LL neuro +/- reflexes
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Old 06-01-2013
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Back Pain--yes, do LL Neuro + in PN write Rectal exam (rectal tone) & Perineal sensory exam.
For joint pain--Do MSK and only do neuro if time allows.
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Old 06-01-2013
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Quote:
Originally Posted by megz2107 View Post
In the FA Knee pain case they suggest only a msk examination, but in the DVT case they suggest a lower limb neuro exam too..
Only do focused exam. In DVT case just do the MSK exam and Homan's sign as well as check for distal pulses/pallor etc. These are far more relevant than a neuro exam. If you have time then do LL Neuro (Sensory>>>Motor>>>DTR) in that order.
It is far more important to do a good closure than Neuro in this case. So, decide according to how much time is left.
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