Sponsors

You're browsing as an anonymous user. Join the community today to view notes at your university, edit pages, and share knowledge!

Musculoskeletal History

From Mediwikis

Presenting Complaint

  • Pain - SOCRATES
    • Site
      • Well localised - site of problem
      • Diffuse - may be referred pain
    • Onset
      • After trauma?
      • Sudden (eg - ligament tear)
      • Slowly (eg - osteoarthritis)
    • Character
      • Bone defects - Deep-boring, worst at night
      • Muscles - Stiff, poorly localised.
      • Fracture - Stabbing, aggravated by movement.
      • Neurogenic - Shooting across multiple areas, or tingling.
    • Radiation - Common in neurogenic pain
    • Associated Symptoms
      • Stiffness
      • Redness
      • Swelling
      • Weakness
      • Locking
      • Deformity
      • Systemic symptoms
        • Weight Loss
        • Fever
        • Malaise
        • Headache
    • Timing
      • On waking (eg - osteoarthritis)
      • When used (eg - fracture)
    • Exacerbating Factors
      • Movement
      • Pressure
      • Lying down

Drug History

  • Steroids
  • Statins
  • ACE Inhibitors
  • Antiepileptics
  • Immunosuppressants
  • Quinolones

Social History

  • Occupation-related? Is sick-leave needed?
  • Effect on activities of daily living
    • Dressing/washing/cooking
  • Treatment effects
  • Housing adaptation requirements (eg - stairlifts)