Semiologia Sistema Músculo-Esquelético

Semiología del sistema Músculoesquelético (SME) Reinaldo Badillo Abril Internista – Reumatólogo Asociación Colombiana de Reumatología

Semiología del SME ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Introducción a enfermedades Reumáticas ,[object Object],[object Object],[object Object],[object Object],Examen de rodilla (Grecia, s –IV) Hipócrates de Cos (s. IV a de C)

Epidemiología de las ER ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Sistema ME ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Estructura ósea, unida por ligamentos, fijada por tendones a músculos, amortiguada por cartílago

Anatomía articulación sinovial ,[object Object],[object Object],[object Object],[object Object],[object Object]

Tejido sinovial ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Cartílago Articular ,[object Object],[object Object],[object Object],[object Object],[object Object]

Tendones, ligamentos y Bursas ,[object Object],[object Object],[object Object]

Clasificación de Enfermedades ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Requisitos para Evaluación del SME ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Interrogatorio ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Patrones de Presentación ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Patrones de Presentación ,[object Object],[object Object],[object Object],[object Object]

Patrones de Presentación ,[object Object],[object Object],[object Object],[object Object],[object Object]

Preguntas para detectar anormalidades del SME (RxS) ,[object Object],[object Object],[object Object],[object Object],[object Object]

Examen Físico de Tamizaje (GALS) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Marcha y Giros ,[object Object],[object Object],[object Object]

Examen de Columna ,[object Object],[object Object],[object Object],[object Object]

Examen de MMSS. Hombros ,[object Object]

Examen de MMII ,[object Object],[object Object],[object Object],[object Object],[object Object]

Exploración física ,[object Object]

Examen de fuerza muscular Nivel de función muscular Grado % normal Sin contractilidad 0 0 Contractilidad sin movimiento 1 10 Movimiento sin gravedad 2 25 Movimiento con gravedad 3 50 Resistencia moderada 4 75 Resistencia normal 5 100

Semiología de enfermedades comunes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Osteoartrosis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

FRICCION ANORMAL + CARTILAGO NORMAL CARTILAGO ANORMAL + FRICCION NORMAL SOBREUSO ARTICULAR OBESIDAD TRAUMATISMO E. ENDOCRINAS E. METABOLICAS E. INFLAMATORIAS RUPTURA RED COLAGENO AUMENTO H2O AGREGACION PG LESION CELULAR LIBERACION ENZIMAS DESTRUCION COLAGENO DEGENERACION CARTILAGO

Factores de Riesgo ,[object Object],[object Object],[object Object],[object Object]

Semiología de Osteoartrosis ,[object Object],[object Object],[object Object]

Hallazgos Semiológicos ,[object Object],[object Object],[object Object]

Fibromialgia: Generalidades ,[object Object],[object Object],[object Object],[object Object]

Examen Físico en Fibromialgia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Fibromialgia : Puntos Sensibles ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

SINDROME DEL TUNEL CARPIANO ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Diagnóstico del S.T.C. ,[object Object],[object Object],[object Object],[object Object],[object Object]

Tendinitis del manguito Rotador ,[object Object],[object Object],[object Object],[object Object],[object Object]

Tendinitis del Manguito Rotador ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Tendinitis bicipital ,[object Object],[object Object],[object Object],[object Object]

TENDINITIS CODO ,[object Object],[object Object],[object Object],[object Object],Test de extensión contra resistencia Test de flexión contra resistencia

Epicondilitis lateral. “Codo del tenista” ,[object Object],[object Object],[object Object],[object Object]

Epicondilitis lateral ,[object Object],[object Object],[object Object],Test de extensión contra resistencia

Epicondilitis medial. Codo de “golfista” ,[object Object],[object Object],[object Object],[object Object],[object Object],Test de flexión contra resistencia

Dedos en Gatillo ,[object Object],[object Object],[object Object],[object Object],[object Object]

Tendinitis del pulgar (deQuervain) ,[object Object],[object Object],[object Object],[object Object]

Dolor de espalda. Lumbalgia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Clasificación ,[object Object],[object Object],[object Object]

Dolor Lumbar Inespecífico ,[object Object],[object Object]

Lumbalgia mecánica ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Señales de alerta ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Artritis Reumatoide ,[object Object],[object Object],[object Object],[object Object],[object Object]

Manifestaciones Clínicas ,[object Object],[object Object],[object Object],[object Object],[object Object],Poliartritis simetrica Nódulos reumatoides Escleromalasia Vasculitis

Lupus Eritematoso Sistémico ,[object Object],[object Object],[object Object],[object Object],[object Object]

Cuadro Clínico LES ,[object Object],[object Object],[object Object]

Manifestaciones Articulares ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Osteoporosis ,[object Object],[object Object],[object Object],[object Object],[object Object]

Salud del Hueso ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Factores de riesgo de Osteoporosis

Principales fracturas por OP ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Presentación clínica Osteoporosis vertebral

EL EMBAJADOR INGLES EN LA CORTE DEL REY DE BRITANIA VITTORE CARPACCIO 1425 - 1526

Exámenes de Laboratorio ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Exámenes complementarios ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Reactantes de fase aguda: V.S.G. - P.C.R ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Factor Reumatoideo ,[object Object],[object Object],[object Object],[object Object],[object Object],Entre un 5-10% de personas normales tienen un FR positivo; 20% mayores de 65 a.

Enfermedades con F.R. positivo ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Ácido Úrico ,[object Object],[object Object],[object Object],[object Object]

Anticuerpos Antinucleares ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Análisis del líquido sinovial ,[object Object],[object Object],[object Object],[object Object]

Análisis de líquido sinovial ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Normal Hemorrágico Purulento

Imaginología en Enfermedades Reumáticas ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Radiología convencional ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Tomografía y Resonancia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Otras técnicas ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Tendinitis de hombro calcificada Distrofia simpática pié izquierdo

Semiologia Sistema Músculo-Esquelético

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