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Lecture Mosby's paramedic textbook (4th ed) - Chapter 33: Nontraumatic musculoskeletal disorders

This chapter include objectives: Identify the purpose of the patient care report; describe the uses of the patient care report; outline the components of an accurate, thorough patient care report; describe the elements of a properly written emergency medical services (EMS) document; describe an effective system for documenting the narrative section of a prehospital patient care report;. | 9/11/2012 1 Chapter 33 Nontraumatic Musculoskeletal Disorders 2 Learning Objectives • Outline musculoskeletal structure and function. • Describe how to perform a detailed assessment of the extremities and spine. • Specify questions in the patient history that help identify musculoskeletal problems. • Describe assessment and management of specific nontraumatic musculoskeletal disorders based on an understanding of the pathophysiology. 3 Copyright © 2013 by Jones & Bartlett Learning, LLC, an Ascend Learning Company 1 9/11/2012 Anatomy and Physiology Review • Musculoskeletal system – Bones – Muscles – Tendons and ligaments – Articulating surfaces • Joints • Bursa • Discs 4 Skeletal System • Contains bony structures that provide support and protection for body • Provides system of levers on which muscles act to produce body movement 5 Skeletal System • Contains 206 individual bones, divided into two categories – Axial skeleton • • • • Skull Hyoid bone Vertebral column Thoracic cage – Appendicular skeleton • Bones of upper and lower extremities • Girdles, by which attached to body 6 Copyright © 2013 by Jones & Bartlett Learning, LLC, an Ascend Learning Company 2 9/11/2012 7 Skeletal System • Body movement made possible by bones connected to other bones – With exception of hyoid bone, every bone in body connects to at least one other bone by way of joints – Three major classes of joints • Fibrous • Cartilaginous • Synovial 8 Skeletal System • Fibrous joints – Two bones united by fibrous tissue that have little or no movement – Example: suture in skull bones • Cartilaginous joints – Unite two bones by means of hyaline cartilage and fibrocartilage – Slightly movable – Examples: epiphyseal plate of a growing bone, junctions of intervertebral discs 9 Copyright © 2013 by Jones & Bartlett Learning, LLC, an Ascend Learning Company 3 9/11/2012 Skeletal System • Synovial joints – .