Brainscape's Knowledge GenomeTM

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


See full index

ECOS2 Exam 1 > DSA Approach To Differential Diagnosis > Flashcards

DSA Approach To Differential Diagnosis Flashcards

1
Q

Differential Diagnosis

A

Differentiate between 2 or more conditions that leads to pt. Sx.
to create final diagnosis

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

Diagnosis is also called

A

Assessment

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

secondary diagnosis

A

a diagnosis that can cause the original CC Diagnosis

EX: HTN, obesity, past medical history

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q 
5 Model thought process for back pain CC
Biomechanical 
Neurological
Resp/Circulation
Metabolic/Energy/Immune
Behavioral
A

For back pain:

  1. SD, Inf, joint/muscle
  2. Nerve impingement, nerve inf.
  3. Ischemia
  4. GI Dysfunction, GU dysfunction, inf.
  5. Psychosomatic, Postural
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q 
5 Model thought process for back pain HPI
Biomechanical 
Neurological
Resp/Circulation
Metabolic/Energy/Immune
Behavioral
A
  1. achy, point tenderness, activity related
  2. Numb, tingling, burning, radiating
  3. Claudication
  4. Cramping: intermittent (visceral) OR constant (Infection)
  5. Worse when stress, depression, anxiety
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q 
5 Model thought process for back pain FH,SH,PSH
Biomechanical 
Neurological
Resp/Circulation
Metabolic/Energy/Immune
Behavioral
A
  1. FH of similar complaints
  2. PSH
  3. Smoking
  4. FH of IBD or inflammatory arthritis
  5. Smoking, exercise, work
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q 
5 Model thought process for back pain PE
Biomechanical 
Neurological
Resp/Circulation
Metabolic/Energy/Immune
Behavioral
A
  1. tenderness, Sx: when palpating
  2. Straight leg raise, weakness, altered sensation
  3. LEX edema, lower LEX pulses
  4. Abd tenderness, tender/red/hot/swollen at infection site
  5. Observing posture
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

CASE 1: 26yo CC low back pain 2 days ago while lifting, sharp and shooting constant 7/10 radiated to left great toe. coughing, bowl movements makes it worse. weakness in left lower extr.
what is the DDx

A
  1. activity related, radiating, constant

Radiculopathy: pain radiates to foot and there is weakness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what should you ask for:

  1. SD
  2. Fracture
  3. Spondylolysis
  4. Discitis
  5. Psoasitis
  6. Radiculopathy
  7. cauda equina syndrome
A
  1. pain related to activity
  2. trauma
  3. injury happened in extension
  4. fever, chills, fatigue
  5. fever, chills, fatigue
  6. radiate to food and weakness on effected side
  7. incontinence of Bowl/Bladder
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

How should I test:

  1. SD
  2. Sprain/ Strain
  3. Fracture
  4. Spondylolysis
  5. Psoasitis
  6. Radiculopathy
A
  1. structural examination
  2. structural examination
  3. point tenderness over vert. or specific bony landmark
  4. point tenderness over vert that is induced in extension
  5. Thomas Test
  6. Straight leg raise, crossed straight leg raise, muscle strength testing, sensation testing
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

CASE 2: 27yo low back pain for past week while raking leaves. achy, constant, improving, no radiation, 5/10, worse throughout day best in the morning

A

Somatic Dysfunction, muscle sprain or strain

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

What should I ask

  1. SD
  2. Sprain/ Strain
  3. scoliosis
  4. psoriatic arthritis
  5. Ankylosing Spondylosis
  6. Rheumatoid arthritis
A
  1. activity related pain
  2. activity related pain
  3. pmh
  4. skin rash
  5. long-term pain, morning stiffness
  6. red, hot, swollen joints
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

How should I test:

  1. SD
  2. Sprain/ Strain
  3. Scoliosis
  4. Ankylosing Spondylosis
A
  1. OMM exam
  2. OMM exam, palpate regions for tenderness
  3. Adam’s forward bend
  4. Forward bending
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

how to say ROM is normal after testing

A

Grossly normal ROM

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

CASE 3: 22yo F low back pain for several days not caused by anything she knows, thoracolumbar junction region and sacral region. Radiation into upper legs bilaterally. intermittent achy, cramping, worse during menstrual cycle and stress. 7/10 some days no pain
PE: + cervical motion test, + Ovarian tenderness without mass
soft, moderate LQ tenderness of ABD. + bowel sounds, and - rebound/guarding

A

Endometriosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What do I ask for:

  1. SD/Sprain/Strain
  2. Scoliosis
  3. Depression:
  4. Endometriosis:
  5. Menstrual
  6. Constiation:
  7. STI
  8. IBS
  9. RA
  10. Radiculopathy
  11. Viscerosomatic Reflex
A
  1. activity related pain
  2. PMH
  3. Zung depression scale
  4. cramps during menses, heavy periods, pain during sex, pain with bowel movements/ urination
  5. CC pain with menses
  6. how often do you have Bowel movements, hard or soft
  7. Sexual History
  8. diarrhea, constipation, alternation
  9. red, hot, swollen joints
  10. radiate to foot and weakness
  11. back pain when there is stomach, bowel, urinary trouble
17
Q

How to test for:

  1. SD/Sprain/Strain
  2. Scoliosis
  3. Endometriosis/ Menstrual
  4. IBS
  5. Radiculopathy
  6. Viscerosomatic Reflex
A
  1. OMM exam, for sp/st palpate over specific regions for tenderness/swelling
  2. Adam’s Forward bend
  3. Pelvic Exam
  4. Abdominal Exam
  5. Straight Leg raise
  6. palpate area associated with autonomic innervation of viscera of concern EX: T10-L2, sacral regions

ECOS2 Exam 1 (15 decks)

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