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Care of Clients with Alterations in Coordination

Radiological Studies

  • Roentgenogram (x-ray film) -It is used to determine injury to or tumor of the bones and soft tissues
  • Bone Scan – A radionuclide such as 99Tc – disphosphonate is administered IV, and scan is done several hours later. This 99Tc disphosphonate is favored bacause scanning can tabke place within 1 to 3 hours after injection. A client may be given pain medication before scanning to make him or her more comfortable. Immediately before the scan, the client should void to eliminate the radioactive material from the kidney and the bladder.

  • Arthrography– an injection of a dye or air into the joint for X-ray study, without special preparations, is needed.
  • Blood Studies – in diagnosing rheumatoid arthritis, for instance, it is done to the presence of rheumatoid factor (RF) in a person with rheumatoid arthritis. Normal values indicate the absence of rheumatoid factor; while 80% indicates positive for rheumatoid arthritis in adults
  • Arthroscopy – This is done by inserting a special endoscope (arthroscope) into the joint to visualize the joint structure, perform biopsy of the joint, or remove loose bodies. A client receives a local anesthetic before the procedure, which is usually done in the surgical area. AFter the procedure, a pressure dressing is applied and the joint should remain immobilized for several hours depending on the extent of the procedure.
  • Electromyography (EMG) – it measure and records the electrical activity of the musckes, without special preparation. Reassure the client that there is not undue pain or danger of electric shock.

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