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MUSCULOSKELETAL ASSOCIATED SYMPTOMS/ROS: HPI,RAMPPS, Description, sudden or gradual, hot, red, swollen, fever, chills, night sweats, fatigue, rash, mouth sores, bruises, trauma, itching, bending, twisting, lifting, sitting, walking, moving arm, leg, back, camping, n, w, t, s, stiff in am or pm , crackling sounds, stairs, exercise, genital sores, red eye, get up from chair, clumsiness, photosensitivity, hot cold intolerance, skin hair changes, weight appetite. ROS: chest pain, palpitations, sob, cough, abd pain, changes with urination, changes with bowel,n,v,d,c, tick bite, discharge (penile, urethral, vaginal) other joint pain. Physical exam heent neck mouth inspect, palpate, motor rom reflex sensation pulses, cardio work up cbc and urine analysis joint aspiration for crystal, and gram stain and uric acid ct mri xray urine anlaysis cervical cultures rf assay lyme antibody d dimmer Doppler us SHOULDER PAIN DD: FORMED FRACTURE OF HUMERUS OR CLAVICLE OSTEOMYLITIS/OSTEOPOROSIS ROTATOR CUFF INJURY MYOSISTITIS ELDER ABUSE DISLOCATION

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Muscular patient note

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  • MUSCULOSKELETALASSOCIATEDSYMPTOMS/ROS:HPI,RAMPPS,Description,suddenorgradual,hot,red,swollen,fever,chills,nightsweats,fatigue,rash,mouthsores,bruises,trauma,itching,bending,twisting,lifting,sitting,walking,movingarm,leg,back,camping,n,w,t,s,stiffinamorpm,cracklingsounds,stairs,exercise,genitalsores,redeye,getupfromchair,clumsiness,photosensitivity,hotcoldintolerance,skinhairchanges,weightappetite.ROS:chestpain,palpitations,sob,cough,abdpain,changeswithurination,changeswithbowel,n,v,d,c,tickbite,discharge(penile,urethral,vaginal)otherjointpain.Physicalexamheentneckmouthinspect,palpate,motorromreflexsensationpulses,cardioworkupcbcandurineanalysisjointaspirationforcrystal,andgramstainanduricacidctmrixrayurineanlaysiscervicalculturesrfassaylymeantibodyddimmerDopplerusSHOULDERPAINDD:FORMEDFRACTUREOFHUMERUSORCLAVICLEOSTEOMYLITIS/OSTEOPOROSISROTATORCUFFINJURYMYOSISTITISELDERABUSEDISLOCATION

  • BOATGRIPBURSITISOSTEOPOROSISABUSETRAUMATEARGOUTRHEUMATOIDARTHRITISINFECTIONPSORIASISELBOWSETSTRESSFRACTUREEPICONDYLITISLATERALTENNISELBOWHANDWRISTCARPALTUNNELSYNDROMEMEDIANN.ENTRAPMENTSLEPSEUDOGOUTRAGONOCOCCALSEPTICARTHRITISKNEEPAINDD/DXSPORTSSACINFLAMMATIONPSEUDOGOUTPATELLAFEMORALPAINSYNDROMEOSTEOARTHRITISOSTEOPOROSISRHEUMATOIDARTHRITIS,REACTIVEARTHRITISTUMOR,TRAUMA,FALL,ABUSE,FRACTURESEPTICARTHRITISTENDERTIBIAOOOOOSTEODOSTEOMAOSTEOSARCOMAOSTEOCLASTOMADVT/CALFPAIN/SWELLINGDRTOMCCLDVTRUPTUREDBAKERSCYSTTRAUMAOBESITY.OCPSMALIGNANCY

  • CELLULITISCIRRHOSISLYPHANGITITSHIPABSPORTSDD/DXHIPAVASCULARNECROSISOFFEMORALEPIPHYSESBURSITISTROCHANTERBURSITISSEPTICARTHRITISPERTHESDSOSTEOPOROSIS/OSTEOARTHRITISRHEUMATOIDARTHRITIS,REACTIVEARTHRITIS,REITERSARTHRITISTRAUMAFRACTUREDISLOCATIONSICKLECELLDS,SLIPPEDCAPITALFEMORALEPIPHYSISFOOTPAINSDD/DXFATATROPHYOSTEOPOROSISOSTEOMYELITISTARSALTUNNELSYNDROMEPLANTARFASCIITIS,PERIOSITITISAPOPHYSITISISCHEMICPVDNERVEENTRAPMENTSTRESSFRACTUREBACKMMMDDLLOVPT WORKUPMETASTATICCANCER CBC/PSA/BUN/CRMULTIPLEMYELOMA UAMALINGERING MRILUMBARSPINEDEGENERATIVEARTHRITIS XRAYDISKHERNIATION RECTALEXAMLUMBARSPINALSTENOSISLUMBARMUSCLESTRAINOSTEOMYELITISVERTEBRALCOMPRESSIONFRACTUREPYELONEPHRITISTRAUMA