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come in Iamp;#39;m washing my hands hi Mr Hoffman hello my name is Nancy Iamp;#39;m a nurse from Harper College oh nice to meet you how are you today doing very well thank you good weamp;#39;re going to be doing an assessment of your muscular skeletal system sounds good so thatamp;#39;s your muscles and your joints okay any history of joint disease arthritis uh my mom had arthritis and my sister has arthritis oh really is it rheumatoid arthritis do you know or is it osteoarthritis well I think with my sister itamp;#39;s more rheumatoid okay and how about you do you have any arthritis no thereamp;#39;s no detection of it okay all right any other problems with your joints or muscles or pain that we should limited movement that we should know about no not no not that I know of all right so weamp;#39;re going to start likeing go in a head to toe fashion so Iamp;#39;m going to start with your Tempo mandibular joint and I would like you to open your mouth and then kind of stick your