With Time

Musculoskeletal System


{"ops":[{"insert":"Diagnosis and reasoning"},{"insert":"\n","attributes":{"header":1}},{"insert":"This lady suffers from chronic musculoskeletal pain, which is common in older adults and is associated with significant morbidity, including depression, social isolation, sleep disturbances, and decreased ambulation. Its management can be complicated by ongoing treatment for multiple comorbidities.\n\nThe objectives of her initial assessment are as follows:\n\n- Distinguish common musculoskeletal pain from serious visceral or non-rheumatic pain\n- Identify comorbidities that may influence the management or mimic musculoskeletal pain\n- Recognize any concurrent psychosocial issues\n\nIn this lady\u0027s case, axial pain on physical activity with a loss of function, crepitus on active movements, and the short duration of morning stiffness all strongly suggest osteoarthritis (OA). The history of preceding severe OA the hips necessitating joint replacement further supports this diagnosis.\n\nRadiography, the assessment of choice for suspected rheumatological conditions, confirms severe osteoarthritic cha"}]}

Want to continue playing?

Open your Clinical Odyssey account today.


Enjoy unlimited access to 600+ simulations.
Safely improve your skills, anytime and anywhere.
Get answers to your follow-up questions from practicing physicians.