Clinical Asses Test 1 Flashcards
Musculoskeletal assessment requires a through what?
Systematic examination
A correct diagnostic process depends on what?
Knowledge of functional anatomy,
an accurate patient history,
diligent observation
and through examination
Through signs and symptoms
A differential diagnosis process involves
Use of clinical signs and symptoms
Physical examination
Knowledge of pathology and mechanism of injury
Proactive and palpation tests
Lab
Diagnostic imaging
It’s only through this you can make a complete systematic assessment that an accurate diagnostic can be made
What is the purpose of an assessment?
- Understand PTs problems fully and clearly
- From the clinician
3 from the physical basis for the symptoms that have caused the pt to complain
The examiner should establish a sequential method during assessment
Must be
Organized
Comprehensive
Reproducible
What should u ensure you have before examination
You should have a full history of the PT first
The examiner should be comfortable with the facts that there r different types of
Normal
When assessing an injured joint examiner must
Look at the at the joint and the injury in context to the how it can effect everything else in the kinetic chain
Because the other joints may be strained to pick up the slack
A complete medical and injury history should be taken I
Written to insure reliability
Even if the diagnosis is obvious
History provides valuable information about the disorder, its present state , its prognosis, and the appropriate treatment
The history also enables the examiner to determine the type of person the patient is
Their language
Cognition
Their ability to articulate
And treatment the patient has received and the behaviour of the injury
What should the examiner chart about past history
Major illnesses
Surgery
Accidents
Allergies
Delve into social and family histories
Habits and hobbies
It is important that the examiner keeps the conversation on topic
Questions and answers should have practical information about the problem
What should examiner listen for?
RED FLAGS signs and symptoms that are not in the musculoskeletal or pathological issues where they should be referred to a different practitioner
What else should the examiner listen for
Yellow flag sign and symptoms as they denote problems that maybe involve more than one area
Requiring a more a more extensive examination
Or see the cautions and contractions to treatment the examiner might have to consider or they may indicate phycological issues that could effect treatment
Pts history is is taken in an orderly sequence
This offers the PT to to describe the problem as he or she perceives it
Open ended Questions
And Closed Questions
How should examiner ask the questions
One at a time and receive a good answer to the Q before asking another
In any Musculoskeletal assessment the examiners should seek answers to what questions?
- Age, Sex
- Occupation
- Chief complaint
- Mechanism of injury ( inciting trauma)
- Was the onset of this problem slow or sudden
- Where are the symptoms that bother them
- Where were the symptoms when the pain first started
- What is the exact movements that cause pain
- How long has it existed
- Has this happened before
- Any injury to anything else
- Are there intensity duration and frequency on pain or other symptoms increasing
- Is the pain constant, periodic, episodic
- What time of day does it hurt
- Pain scale
- What sensations do they feel and where r the abnormal ones
- What’s happening at the joints
- Any spinal symptoms
- Changes in colour
- Stresses
- Does the PT have systemic illness due to smoking
- Family development history
- X-rays?
- Medications
- Present illness or surgery
Cramping full ache
Muscle
Dull aching
Ligament joint capsule
Sharp shooting
Nerve root
Burning pressure stinging aches
Sympathetic nerve
Deep nagging dull pain
Bone
Intolerable pain sharp
Fracture
Throbbing diffuse
Vasculature
Patient intake form
Make sure signed by patient
Renew if more than 2 years
Add relevant info if something comes up
HOMNRS
History
Observation
Palpitation
Motion
Nerovascular screening
Refered pain
Special testing
