Next, I would palpate the carotid, apical, and radial pulses. To conclude the cardiovascular exam, I would auscultate the heart sounds with the bell and diaphragm for any arrhythmias or murmurs. Lastly, I would examine the musculoskeletal system. Fibromyalgia, OA and RA cause joint stiffness, swelling, and decreased range of motion. I would begin by inspecting the joints for symmetry, deformities, and alignment. Next, I would palpate the bones for tenderness, heat, edema, and crepitus. Crepitus is a…
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