Clinical Eval and Diagnosis Flashcards
Diagnosis
Use of clinical/scientific methods to establish cause and nature of injury or illness
Mechanism assessment
Mechanical description of the cause
Pathology assessment
Structural and functional changes
Symptoms
They tell you the perceptible changes in body or function
Sign
Objective, obvious indicator
Prognosis
Prediction of the cause of the condition
Active
Patent does movement themselves
Passive
You move the patient
Dermatome
Area of SKIN innervated by a single nerve
Myotome
Muscle or groups of MUSCLE innervated by specific motor nerve
SOAP notes
Subjective
Objective
Assessment
Plan
Subjective
What the patient tells you
Objective
What you find
Assessment
What you find from hands on. What you suspect
Plan
How treatment will be done