1: Diagnosis Flashcards
What is the most common cause of musculoskeletal complaints?
Low back pain
What is the second most common cause of musculoskeletal complaints?
Neck pain
What is the third most common cause of musculoskeletal complaints?
Shoulder pain
What is the viscerosomatic pain referral pattern of the gall bladder?
Pain at the inferior angle of the right scapula
60 year old male experiences pain that started two hours ago and was unprovoked. The pain is achy and full and is concentrated on the anterior aspect of their left shoulder and radiates to the medial arm. There is nothing that the patient reports that makes the pain better or worse, and he rates it an 8/10 on a verbal pain scale? What is a likely diagnosis based on the information given?
Acute MI
What motion is restricted first, second, and third in a patient with adhesive capsulitis? What age group is chiefly affected?
40-60 yr old
First = External rotation
Second = ABduction
Third = Internal rotation
Where does the majority of diagnostic information come from?
Patient history
What is nociceptive pain?
Pain that arises from peripheral nociceptor activation in a localized area
What is neuropathic pain?
Pain stemming from intrinsic disease or injury to the nervous system
What are examples of pathologies causing neuropathic pain?
Radiculopathy
Diabetic neuropathy
Multiple sclerosis
What is referred pain?
Pain that is perceived in one location but is coming from another
What is the convergent theory of referred pain?
Sensory nerves from two different sources synapse on the same second order neurons then nociception can be felt as pain in the territory of the other nerve from whence the pain site came
What viscera can refer pain to the shoulder?
Heart
Liver
Gall bladder
Lung
Diaphragm
The lung, diaphragm, and heart commonly refer to the (Right/Left) side of the body?
Left
The liver and gall bladder commonly refer to the (Right/Left) side of the body?
Right
