Clinical Skills and Approaches
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Mnemonic Based Approach to Joint Pain
Step 1: Arthralgia vs Arthritis Arthralgia Arthritis Symptom Diagnosis Joint pain without inflammation Joint pain with inflammation (swelling, redness, tenderness) Articular or Non-articular Articular Articular Non-articular Pain with all joint ROMs Pain with only some joint ROMs Most painful at the limit of joint ROM May not be most painful…
Clinical Skills and Approaches
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Prescribing Opioids for Chronic Pain
Recommendations for Prescribing Opioid in Chronic pain 1. 1st line of therapy in chronic pain outside of active cancer, palliative or end of life care must be nonpharmacologic therapy and nonopioid pharmacologic. Consider opioid therapy in combination with nonpharmacologic or nonopioid pharmacologic therapy if benefits outweighs risk. 2. Ordinarily 2…
Clinical Skills and Approaches
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Glasgow Coma Scale
Best eye opening Mnemonic: ESPN Best verbal response Mnemonic: ASWGN Best motor response Mnemonic: OLD BEN Important points Question and Example A 20 year old man is hit over the head with a mallet. On arrival in the accident and emergency department he opens his eyes to pain and groans…
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