MUSCULOSKELETAL ASSESSMENT - Health Assessment

MUSCULOSKELETAL
ASSESSMENT
BY: ROMMEL LUIS C. ISRAEL III
BY: ROMMEL LUIS C. ISRAEL III 1

Wash hands Explain
procedure to
the client.
Ask the
client to put
on the gown.

GAIT
 Observe gait for
base, weight-
bearing stability,
feet position, arm
swing, and
posture.

TEMPOROMANDIBULAR
JOINT
Inspect, palpate,
and test ROM

STERNOCLAVICULAR
JOINT
Inspect and
palpate for
midline
location, color,
swelling and
masses.

SPINE
Inspect and palpate
cervical, thoracic,
and lumbar spine for
pain and tenderness.
•Test ROM of :
a. cervical spine
b. thoracic & lumbar

Test ROM of :
a. cervical spine

Test ROM of :
b. thoracic & lumbar

SHOULDERS
 Inspect and
palpate
shoulders for
symmetry, color,
swelling, and
masses.
 Test ROM of
shoulders.

ELBOWS
 Inspect & palpate
elbows for size,
shape, deformities,
redness, or swelling.
 Test ROM of elbows

WRISTS
 Inspect and palpate wrists
for size, shape, symmetry,
color, swelling, tenderness,
and nodules.

WRISTS
Test ROM of
wrists

WRISTS
Test for Carpal
Tunnel syndrome
a. Tinel’s sign
b. Phalen’s
sign

HANDS & FINGERS
Inspect and palpate
hands & fingers for
size, shape, symmetry,
swelling, color,
tenderness, and
nodules.

HANDS & FINGERS
Test ROM of
hands and
fingers.

HIPS
Inspect and
palpate hips for
shape &
symmetry.

HIPS
• Test ROM of hips

KNEES
 Inspect and
palpate knees for
size, shape,
symmetry,
deformities, pain,
and alignment

KNEES
Test knees for
swelling. If small
amount of fluid
present do
“bulge test”.

Perform
ballottemen
t test

KNEES
Test ROM of
knees.

KNEES
Perform
McMurray test if
client complains
of “clicking” in
knee.

ANKLES AND FEET
 Inspect and
palpate ankles
and feet for
position,
alignment,
shape, skin,
tenderness,
temperature.
Swelling , or
nodules.

ANKLES AND FEET
Test ROM of
ankles and toes.

Analysis of Data
• Formulate nursing diagnoses (health
promotion, risk, actual)
• Formulate collaborative problems
• Make necessary referrals

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