Analgesicos antiinflamatorios no esteroideos pdf

Physical examination is centered to the area of pain but should not be misguided by referred patterns of pains. For example, hepatic metastases refer pain to the shoulder. Anatomic examination is followed by maneuvers to elicit or ameliorate pain. Bone metastases are common, local palpation and manipulation elicit pain. Spinal cord compression from epidural tumor extension is most feared by physicians. Hence, a neurologic examination, manual muscle testing, percussion tenderness and joint mobility, and inspection for muscle symmetry are important parts of the physical examination. Assessment of psychiatric and psychosocial comorbidities is important to address factors that may adversely affect pain perception and worsen distress. 17

Analgesicos antiinflamatorios no esteroideos pdf

analgesicos antiinflamatorios no esteroideos pdf

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