Telemedicine for the musculoskeletal physical exam : a pocket guide / Mariam Zakhary, Grant Cooper, Joseph Herrera, editors.
Zakhary, Mariam, editor.; Cooper, Grant (Physiatrist), editor.; Herrera, Joseph E., editor.
2023
RC925.7
Available Online

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Title
Telemedicine for the musculoskeletal physical exam : a pocket guide / Mariam Zakhary, Grant Cooper, Joseph Herrera, editors.
ISBN
9783031168734
3031168739
3031168720
9783031168727
DOI
https://doi.org/10.1007/978-3-031-16873-4
Publication Details
Cham, Switzerland : Springer, 2023.
Language
English
Description
1 online resource (xiv, 220 pages) : illustrations (black and white, and colour).
Item Number
10.1007/978-3-031-16873-4 doi
Call Number
RC925.7
Dewey Decimal Classification
616.7/0750285
Summary
Telemedicine has ballooned in popularity and necessity in the COVID-19 world, and it has proved its worth. Even in the post-pandemic world, telemedicine will be here to stay, as it offers both patient and provider many advantages. However, physicians are often ill-equipped and lack sufficient training in how to conduct a physical examination remotely. Practical and timely, this book presents the current best practices for performing musculoskeletal examination remotely via telemedicine. It takes an anatomical approach, covering all joints and disorders commonly seen in the clinic, including preparation and general principles, the upper and lower extremities and the axial skeleton. For each region, the challenges and limitations of telemedicine are systematically highlighted and discussed, with techniques clearly described and illustrated. Concluding chapters present telemedicine procedures for both the functional assessment of a patient and evaluation and management of respiratory muscle dysfunction. Orthopedic and sports medicine practitioners, as well as general physicians, nurse practitioners, and physician assistants who treat patients with musculoskeletal disorders, will find this book highly engaging and enlightening. .
Note
Includes index.
Special Testing
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Access limited to authorized users.
Source of Description
Description based on print version record.
Added Author
Zakhary, Mariam, editor.
Cooper, Grant (Physiatrist), editor.
Herrera, Joseph E., editor.
Available in Other Form
Telemedicine for the Musculoskeletal Physical Exam
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Intro
Acknowledgments
Contents
Contributors
1: Remote Patient Monitoring
Remote Patient Monitoring (RPM): Working Definition and Central Concepts
The Value of RPM in Telemedicine
RPM and MSK: Introduction
Remote Patient Monitoring for the Musculoskeletal Patient
Inspection
Pain
Range of Motion
Palpation
Strength
Sensation
Function and Mobility
Technology Utilized in RPM
When to Triage for Telemedicine or Video Visit
Barriers of RPM
Billing and Coding Legislation
References
2: Video Visit Preparation and Patient Education

General Description
Prior to the Visit
Optimizing Visual and Auditory Quality
Choosing an Ideal Space
Clothing
Helpful Objects
During the Visit
After the Visit
Preparing Your Patient for the Video Visit/Patient Education
Outline
References
3: The General Telemedicine Exam
Chief Complaint/Patient History
Physical Exam
Initial Setup (Suggestions on how to visually optimize)
Inspection/Observation
General
Pulmonary
Cardiovascular
Gastrointestinal
Genitourinary
Palpation
Pulmonary
Cardiovascular
Gastrointestinal

Genitourinary System
Differential Diagnosis
Marfan Syndrome
Dermatomyositis/Polymyositis
Systemic Lupus Erythematosus
Spondyloarthropathies
Rheumatic Fever
Management/Treatment
Marfan Syndrome
Dermatomyositis/Polymyositis
Systemic Lupus Erythematosus
Spondyloarthropathies
Rheumatic Fever
Complications/Red Flags
References
4: The Telemedicine Cervical Spine Exam
Chief Complaint/Patient History
Physical Exam
Inspection
Palpation
Range of Motion
Neurological Examination
Muscle Strength Testing
Sensation
Reflexes
Special Tests

Spurling's Neck Compression Test
L'hermitte's Test
Shoulder Abduction Test
Examination of Related Areas
Considerations for Certain Populations
Children
Rheumatoid Arthritis
Down Syndrome
Differential Diagnosis
Management/Treatment
Complications/Red Flags
Follow-Up
References
5: The Telemedicine Thoracic Spine Exam
Chief Complaint/Patient History
Physical Exam
Initial Setup to Optimize the Physical Exam
Inspection
Palpation
Active Range of Motion
Neurological Examination
Differential Diagnosis

Mechanical Causes of Thoracic Spine Pathology
Nonmechanical Causes of Thoracic Spine Pathology
Visceral Causes of Thoracic Spine Pathology
Special Considerations
Management/Treatment
Mechanical
Non-mechanical and Visceral Causes
Complications/Red Flags
Follow-Up
References
6: The Telemedicine Lumbar Spine Exam
History
Physical Exam
Inspection
Palpation
Active Range of Motion
Gait
Muscle Strength
Psoas
Quadriceps
Tibialis Anterior
Extensor Hallucis Longus
Gastrocnemius-Soleus
Gluteus Medius
Reflex Testing
Sensation Testing

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