Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Unit 2 > 10-9a Outpatient Interview Cases > Flashcards

10-9a Outpatient Interview Cases Flashcards

1
Q

What portions of the SOAP tie into the Examination portion of PT practice?

A

Subjective and Objective

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What portions of the SOAP tie into the Diagnosis portion of PT practice?

A

Assessment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What portions of the SOAP tie into the Prognosis portion of PT practice?

A

Plan

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What portions of the SOAP tie into the Intervention portion of PT practice?

A

Observation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What are the goals of the patient interview?

A

Establish rapport

PMH (past medical history)

HPI(history of
present illness)

CC (chief complaint)

Functional limitations/
Baseline status

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What conclusions can be made after the patient interview?

A

Are they appropriate for PT? /red flags
Develop hypothesis
Plan physical examination

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

How do you build rapport with the patient?

A

What does the patient want to get out of PT?
active listening
patient-centered
closed questions = efficiency

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What parts of the pt’s Health History/screen are considered?

A 
demographics
social history
health history (comorbidities)
Medications
and other questions
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What about the patient’s demographics are you interested in?

A

Age (likelihood for certain cancers)
Race (same)
educational level (word choice)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What about the patient’s PMH/comorbidities are you interested in?

A 
Cancer (>50)
Infection
Cardiac (heart attack signs/take BP)
Depression (effects outcomes)
Pulmonary issues (asthma, COPD): decreased endurance
OA (older women)
Diabetes
Surgeries
Pregnancy
Rec. Surgeries
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What medications should one be cognizant of?

A

Cardiac meds for BP; can cause orthostatic hypotension
Steroids (side effects on bone)
Aspirin, Motrin, Aleve: GI bleeds
Asthma Meds (inhaler)
Insulin (monitor/check for hypoglycemic signs)
Seizure meds

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What to ask about different types of pain?

A

intermittent: movements/positions
constant: mechanical or chemical/inflammation
what makes it better or worse

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What are signs of nerve pain?

A

shooting pain at dermatome distribution or peripheral nerve site

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What are signs of bone pain?

A

□ Exquisite tenderness to palpation at a specific point if it’s fracture
Oftentimes deep, boring, and localized

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What are signs/causes of vascular pain?

A 
venous insufficiency (old, postpartum)
widespread and throbbing
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What are signs of muscular/tendinous pain?

A

motion, stretching

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What is the pain rating scale?

A

0-10

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What are signs pain is getting better?

A

proximalizing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What are signs pain is getting worse?

A

peripheralizing

20
Q

What are examples of a c/c?

A 
Pain
Stiffness
Weakness
Numbness: Paresthesia vs Anesthesia
Other (ex. joint locking or knee giving way)
Consider Associated Areas
referred pain
21
Q

What is an atypical pain pattern?

A

Painful during the morning, gets better throughout the day, worse at night

22
Q

What does OPQRST stand for?

A 
Onset of event
 Provocation
Quality of pain
 Region and Radiation
Severity
Time
23
Q

What are signs that the patient requires referral and cannot be treated at this time?

A

Severe unremitting pain
Pain not affected by medication or position
Severe pain at night
Severe pain with no history of injury (not cumulative trauma)
Severe spasm

24
Q

What are cancer red flags?

A 
Persistent Night Pain
Constant, unremitting pain
Unexplained wt loss
Unusual lumps or growths
Unwarranted fatigue
History of cancer
Age >50
25
Q

What are cardiovascular red flags?

A 
Shortness of breath (SOB)
Dizziness
Chest pain / heaviness
Constant & severe calf pain or swelling/redness, esp with history of decreased activity
Pulsating pain
Discolored or painful feet
Unexplained swelling
26
Q

What are GI/urinary red flags?

A 
Frequent or severe abdominal pain
Frequent heartburn / indigestion
Frequent nausea / vomiting
Altered bladder function
Unusual menstrual irregularities
CL example-balance worse
27
Q

What are some neurological red flags?

A 
Altered hearing
Frequent / severe headaches w/o hx of injury
Problems swallowing or with speech
Vision problems
Balance / coordination problems/falling
Fainting spells (drop attacks)
Sudden weakness
28
Q

What are miscellaneous red flags?

A

Unexplained fever / night sweats
Unexplained joint swelling / redness
Recent severe emotional disturbances
Symptoms not unaffected by movement or position

29
Q

What are some ways to handle yellow flags by PT or consultation?

A

Test results

Guidelines for intervention in a medically complicated patient

Alert physician or health care practitioner (Social worker: suspected abuse
MD: exam findings)

30
Q

What is considered when forming a hypothesis post pt interview?

A

What is going on? What am I trying to rule in/rule out?
Contraindications/precautions
Irritability determines vigor of exam
3 components: (22yo fridge delivery)
amount of activity needed to trigger symptoms
severity of symptoms provoked
what activity/ amn’t of time for sx to subside

31
Q

What are signs of high tissue irritability? How do you treat?

A

resting pain
pain before resistance or end-range
recent trauma
sx’s easily increased

treatment:
pain control
inflammation
NO significant stretch or resistive ex

32
Q

What are signs of low tissue irritability? How do you treat?

A

no sig resting pain
pain w/ overpressure, resistance before pain
sx’s mild and stable

treatment:
restore impairments
strength
flexibility

33
Q

What do you do in the examination?

A

Medical screening:
Ex: CVA tenderness
Upper/lower quarter screening examinations
Specific joint examination and special tests

34
Q

What do you do with:
A 75 year old Caucasian female is sitting in the waiting room on a chair with her daughter, who has brought her. The woman complains of constant pain in her midback and she has severe twinges with any trunk movement. The patient does not remember injuring her back.

A

Call doctor and suggest compression fracture

35
Q

What do you do with:
53 year old active female status post knee arthroscopy for torn meniscus has persistent medial knee joint pain, swelling and tenderness to palpation 3 months post op with no change in symptoms after 5 weeks of PT.

A

Send back to doctor for MRI/X Rays

36
Q

26 year old male working as an insurance agent, avid golfer, with insidious onset of back pain and intermittent bilateral leg pain who does not obtain relief from movements or positions with pain at night

A

order imaging

37
Q

37 year old patient with 1.5 year history of back and leg pain which began after running a marathon. Has no significant PMH. MRI 1 year ago positive for HNP L5.

A

treat

38
Q

65 year old sedentary female referred for back pain which is worse at the end of the day when she works. PMH is significant only for osteopenia. You take her baseline BP and HR at rest and after you put her on the treadmill for 5 minutes. She is asymptomatic, but you note that her pulse is irregular post exercise.

A

refer

39
Q

70 year old male with a history of liver cancer s/p surgery and chemotherapy, COPD, and left total knee replacement that is now cancer free. He is referred for reconditioning. Six weeks into therapy, he is unable to tolerate his usual amount of exercise and his narcotic pain medications are not controlling his pain.

A

treat

40
Q

45 year old female referred with neck pain. During the examination, she has blurred vision with movement of the neck and upon questioning relates an episode of perioral numbness earlier this week.

A

treat

41
Q

55 year old male s/p total knee replacement has redness, warmth, and swelling of his left calf.

A

DVT

refer

42
Q

Person with back pain that you have treated 1 year ago who experiences an exacerbation of pain after a 60 hr work week sitting at a computer

A

treat

43
Q

87 year old make WWII vet you are seeing for a frozen shoulder complains of feeling lightheaded and needs to sit down. You have him sit down and he becomes pale and nonresponsive for about 10 seconds then becomes nauseous. `

A

911

44
Q

46 year old female status post knee arthroscopy 2 months ago complains of persistent LE swelling and onset of calf discomfort yesterday after flying home from California

A

clot

refer

45
Q

48 year old female s/p MVA referred with dx CS sprain/strain
bilat UE numbness
c/o decreased vision
impaired memory`

A

bilat symptoms are a concert

fracture

46
Q

11 year old with perthes disease had her hip external fixator removed 1 week ago and returns to PT for ROM and strength. She complains of tenderness and pain in her medial distal tibia.

A

infection of bone

call doc

Unit 2 (29 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions