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come in im washing my hands hi mr hoffman hello my name is nancy im a nurse from harper college nice to meet you how are you today doing very well thank you good were going to be doing an assessment of your musculoskeletal system so thats your muscles and your joints okay any history of joint disease arthritis my mom had arthritis and my sister has arthritis oh really is it rheumatoid arthritis or is it osteoarthritis well i think with my sister its uh okay and how about you do you have any arthritis no theres 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 no no i thought i know all right so were going to start liking going a head to toe fashion so im going to start with your tempo mandibular joint and i would like you to open your mouth and then kind of stick your your chin out and in and side to side all right and what im palpating for is any clicking or crepitation do you