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small fibres are affected. SFN refers to isolated small fibre involvement. About 40-50% of patient with fibromyalgia meet the diagnostic criteria for SFN

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radicular pain, and identifying "red flag" conditions. A decision is then made about whether to go down an investigative pathway to determine the source and cause

fibromyalgia. The peak onset is 20-50 but it can occur at any age. and is about twice as common in women. In clinical practice it is predominantly diagnosed

common structural spinal deformity in children and adolescents. It affects about 2-3% of adolescents, but the prevalence is dependent on the cut-off point

the highest likelihood ratio, but some patients may not be very excited about trying this. Groin pain on hip abduction or adduction, abductor weakness

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the lunocapitate joint. The radial column takes about 75% of load, while the ulnar column takes about 25% of load. Radial and Ulnar Deviation Radial deviation:

topic. Please use your clinical judgement. There is a lot of controversy about examination for posture regarding its validity and reliability. Many clinicians

048. ISSN 1097-6833. PMID 28728811. Check date values in: |date= (help) "About the test | National Screening Unit". www.nsu.govt.nz. Retrieved 2023-03-05

sclerosis experience symptoms resembling TN. Idiopathic TN, constituting about 10% of cases, is diagnosed when no apparent cause for the condition can be

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reflexes Primitive reflexes The reflexes tested during examination come about due to brisk stretch of the muscle, leading to activation of the muscle spindles

is common. See Sacroiliac Joint Precision Treatment for more information about precision treatments for this structure. Main article: Sacroiliac Joint Anatomy

a senior standard (criterion standard, gold standard). To make decisions about patient care the doctor must also comprehend the pre-test probability of

histological confirmation with limb involvement. There were assumptions made about which segment was involved. We now know that sometimes several adjacent levels

vertigo. BPPV can be associated with head trauma but again is best learned about from the external resources. Practice Point Focus on the timing and triggers

and is more common in recreational players. See Hatch et al for discussion about racket grip sizes. Poor prognostic factors High work physical strain, such

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Peripheral nerve fibres when injured can be "sensitised" - i.e. they bring about a intense and prolonged ectopic afferent activity to the central nervous

forces applied at the joint surfaces Tension through muscle forces applied about the joint surfaces. Contact forces larger than muscle forces generally. Combined

the L1 nerve root with a contribution of fibers from the T12 nerve root in about 25% of patients. It provides sensation to the skin of the inguinal region

and number of painful sites. Pain intensity may start to decrease after about 3 weeks of abstinence. However in the surgical literature, postoperative

activity leading to pain perception. A lot is known about possible sources, but not a great amount about actual sources of neck pain. The cause of the pain

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PubMed search, Google Scholar search. TRIP Database: clinical publications about evidence-based medicine. Other Wikis: Radiopaedia, Wikipedia Search, Wikipedia

before considering tendinopathy. The common classic sites of enthesopathy about the hip are: Iliopsoas insertion to the lesser trochanter of the femur Rectus

structured mental summary of a doctor's knowledge about a specific disease. It represents a their knowledge about a particular disease, and may be as short as

(plural entheses) is the interface between tendon/ligament and bone. See also about the myotendinous junction, the connection between muscle and tendon The musculoskeletal

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PubMed search, Google Scholar search. TRIP Database: clinical publications about evidence-based medicine. Other Wikis: Radiopaedia, Wikipedia Search, Wikipedia

PubMed search, Google Scholar search. TRIP Database: clinical publications about evidence-based medicine. Other Wikis: Radiopaedia, Wikipedia Search, Wikipedia

PubMed search, Google Scholar search. TRIP Database: clinical publications about evidence-based medicine. Other Wikis: Radiopaedia, Wikipedia Search, Wikipedia

termed noxious. The information about tissue damage is referred to as nociceptive information. Most of what we know about pain relates to the physiology

often reported that there are approximately 7000 rare diseases, of which about 80% are genetic. This figure is an underestimate if you include cancers and

This article is still missing information. Read about the levels of evidence here. ASIPP evidence ratings are preferred when assessing evidence in WikiMSK

bone bruise, ligamentous tear, meniscal tear, and chondral injury. Enquire about the nature of the trauma. Posterior cruciate injuries often occur with a

closely linked to the time of the accident/forces, and the patient is definite about the accident. The pain distribution is highly variable. The pain is significant

muscle filaments to the collagen fibres of the adjoining tendon. See also about entheses, the connection between tendon/ligament and bone. Muscles Synovial

block, and has there is no radiation exposure. The analgesic effect lasts about one week. Theoretically all pain arising from the facet joint, musculature

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studies. Overall the treating doctor can relay optimism, but be guarded about prognosis. A systematic review of 11 studies performed in the US, Australia

musculoskeletal system. The primary purpose is to find objective information about the index condition and it complements the history taking in the process

cancer for nonsmokers.  The relative risk does not provide any information about the absolute risk of the event occurring, but rather the higher or lower

evidence does not support this traditional view. Concerns have been raised about the drift from evidence-based indications, moving from treating permanently

history-taking and the physical exam by defining the problem & sparking ideas about the differential or possible categories of disease. It helps identify important

stic_Decision_Making.pdf Media:Eva2005_What_every_teacher_needs_to_know_about_clinical_reasoning.pdf Media:Monteiro2013_Diagnostic_Reasoning_Where_We've_Been

kinase is usually high, and red blood cell PFK activity is usually reduced by about 50 percent. Patients may have mild hemolytic anemia and mild hyperbilirubinemia

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