1C Flashcards
components of PT exam (7)
- review ALL MED HX
- Pt interview/history
- chief complaints
- functional limits
- review relevant med hx
- review systems
- physical exam (vitals, anthropometric measures, UQ/LQ/thoracic scanning, systems review)
what does a physical exam compose of?
vitals
anthropometric measures
Scanning exams (UQ/LQ/thoracic)
systems review!
During patient history, what are you listening for in regards to patient’s symptoms?
SINSS
Severity is….
intensity of symptoms related to functional activity
(high symptoms=low function)
What is irritability?
(how easy/hard to tick off=what activity and time?)
What is Nature of Complaint?
what could it be? Anything that you need to be cautious of during exam…and how does it present based on psych/personality/ethnicity/SES)
Describes acute, subacute, or chronic stages
stage of pathology
time frame for acute, subacute, chronic
acute: 3-7 days
subacute: over 7
chronic: over 3 months
progression of patient’s symptoms over time…is it getting better, worse, or same?
stability
What are RED FLAGS to be cautious of?
- Trauma
- Age over 50
- Cancer
- fever, chills, sweats
- unexplained weight change
- recent infection
- immunosuppression
- rest/night pain
- saddle anesthesia
- bowel/bladder dysfunction
- LE neuro deficits
Why are you worried about unexplained weight loss or fever/chills?
infection or cancer
Why are you worried about night pain?
cancer
infection
AAA
three red flags associated with cauda equina
saddle anesthesia
B&B dysfunction
LE neuro deficits
What is a patient centered interview model?
Exploring pt’s disease/diagnosis & its effect on their life
Understanding the whole person
Finding common ground regarding intervention &/or management
Advocating prevention & health promotion
Enhancing pt-provider relationship
Providing realistic expectations
If someone comes in with cervical and shoulder (shoulder girdle, L/R) pain….what 3 systems should I check first?
- CV
- Pulm
- GI
If someone comes in with thoracic spine/back pain…what 4 systems should i check?
1.CV
2.Pulm
3. GI
4. Genitourinary (T-L junction)
If someone has lumbar-pelvic pain…what 3 systems should I check first?
- GI
- Urogenital
- peripheral vascular
If someone has mid-humerus to hand or femur to foot pain, what system should I check first?
peripheral vascular
What systems have inconsistent symptom patterns?
Psychologic
Endrocrine
Neurologic
Rheumatic disorders
Adverse drug reactions
Referred pain can be mechanical or nonmechanical (T/F)
TRUE
(dermatomal symptoms due to back)
Most common MSK pain that PTs treat
- LBP
- shoulder
- knee
What does MSK pain sound like?
pain fluctuates in 24 hour time period (time frame increases in patients with neuro stuff like CVA, MS, TBI)
AND
motion makes pain change, varies consistently!
NON MSK pain sounds like
inconsistent locations of pain
no obvious MOI
vague, dull ache not located near normal MSK structures
does not fluctuate/change with positions or movement
pain during/after eating or urinating
If its throbbing, pounding, pulsating….could be
vascular disorder