Cervical Examination (Subjective History) Flashcards
1
Q
What are the 7 main elements of the subjective examination?
A
Nature/kind of disorder Area of symptoms Behavior of symptoms Present History Past History Special questions Questionnaires
2
Q
Behavior of Symptoms (chemical pain) presents with?
A
constant pain high levels of pain diffuse pain recent onset of pain easy aggravation of pain by all movements takes time to calm down pain pain responds to NSAIDS
3
Q
Behavior of Symptoms (mechanical pain) presents with?
A
intermittent amount of pain variable levels of pain localized pain recent to chronic pain change in position can ease the pain symptoms short lived variable response to NSAIDS
4
Q
List of special questions?
A
dizziness trouble talking/swallowing change in vision difficulty walking drop attacks difficulty holding small objects numbness/tingling in hands difficulty concentrating/remembering things
5
Q
Neck Disability Index
A
10 items specific to condition
7 items measure functional status
3- pain intensity, concentration, headache
scored 0-50, lower is better
6
Q
Patient Specific functional scale
A
PT and pt. agrees on 3 activity
scored 0-10, higher the better, average the 3 scores
7
Q
Common Medical Diagnosis for pt. with neck pain
A
Cervicogenic HA Disc herniation post-op fusion Cervical radiculopathy Stenosis Spondylosis Spondylolysis Spondylolesthesis Whiplash
