EEO:Lecture 1 Flashcards
What are the two components of a PT Examination?
Patient History (formulation of a hypothesis) and Tests and Measures (strengthen or refute hypothesis)
What is the difference between the examination and evaluation?
eXamination: patient hX and tests/measures
evaluation: synthesis all data, diagnosis, prognosis
biopsychosocial model - biology component
how does your body work?
-metabolism, immunity, recovery,, hormones, exercise, age, sex, genetics, pathogens, digestion
biopsychosocial model - social component
What’s around you?
-friends and family, job, coworkers, boss, education, physical environment, tribe and community, culture and society
biopsychosocial model - psychology component
What’s your mindset?
-thoughts, feelings and perceptions, expectations and goals, memories and predictions, worries, worldview and perspective, values and priorities
Expressive language consists of:
__% Body language
__% Tone
__% Language
55% Body Language
38% Tone
7% Language
Open ended questions: pros and cons
Pros: Good when a patient has difficulty opening up
Cons: Timing, over the top answers
Close ended Questions: Pros and Cons
Pros: clarity, specificity, narrow down
Cons: “cut off” responses, limiting knowledge
Grade Response Questions: Pros and Cons
Pros: Quantify, clarify obscure answers, goal setting
Cons: Follow up questions needed
Multiple Option Questions: Pros and Cons
Pros: clarify without limiting patient, helpful with trying to identify patterns, helps jog memory
Cons: Too easy to fall into a time saving measure or shortcut
what is usually the origin of pain when it is described as achy?
muscular
what is usually the origin of pain when it is described as burning?
neural or muscular
what is usually the origin of pain when it is described as shooting, lightning, electrical?
nerve root irritation
what is usually the origin of pain when it is described as coldness?
may be due to lack of blood flow
what is usually the origin of pain when it is described as hotness?
localized inflammation or infection
what is usually the origin of pain when it is described as clicking, snapping, popping?
ligament/tendon dysfunction
what is usually the origin of pain when it is described as joint locking?
cartilage, tear, loose body, joint malalignment
what is usually the origin of pain when it is described as global weakness/fatigue/no clear pattern?
cardiovascular dysfunction
what is usually the origin of pain when it is described as whole body pain?
central somatization, chronic pain
What is a reg flag when asking about a 24 Hour pain pattern?
constant, intense pain, worse PM and wakes from sleep
Joint pain/stiffness, worse in AM is
inflammatory
Ex: RA
joint pain and stiffness less in AM, worse with activity is
degenerative
Ex: OA
Back pain worse in Am, better after a few hours and worse again in PM is
disc pathology
pain varies throughout day, activity, or position is
muscular
Examples of Pain Neuroscience Education Questions
” How often do you spend a day having to think about your pain?”
“How often does it preoccupy your thoughts?”
True or False: A finding of one red flag is usually not cause for immediate medical attention
True
What determines which performance outcome to use and the vigor of the ROM exam?
level of irritability
central lower chest pain with excessive belching/gas with eating and intolerance to fatty foods may indicate ___________ referred pain
gall bladder
REVIEW REFERRED PAIN PATTERS DIAGRAM!
Red Flags requiring immediate attention
- Anginal pain, unresolved in 10-20 minutes
- angina w/ nausea, vomiting, sweating
- DM w/ confusion, lethargic, changes in mental alertness
- incontinence, saddle anesthesia
-anaphylactic shock
ABCS of Radiographic Evaluation
A- alignment
B- bone density
C- cartilage spaces
S- soft tissues
What does AOx3 mean?
alert and oriented times 3
- know who they are
-know where they’re at
-know timeframe
What is the most important part of subjective interview?
Patient Goals!
- specific functional tasks the patient hopes to improve
Re-evaluation is usually done after _ weeks of PT
4
What is important to ask during the re-evaluation?
On a scale of 0-11% fully recovered, where do you feel you are now?
- perceived improvement
When examining a patient with vague pain in the right shoulder region, which diagnosis is LEAST likely to be included in your hypothesis list related to their chief complaint?
Pain originating from the spleen
spleen refers pain to left shoulder
In the state of Texas, which type of doctor CANNOT prescribe patients to physical therapy?
optometrists
When performing a patient interview on a “talkative” patient, the use of open-ended questions will help streamline their answers?
false
You are evaluating your next patient. Which of the following is an immediate red flag that should be acted upon immediately?
Dizziness
Vomiting
Fever
Angina with profuse sweating
Pain >8/10 at worst
Angina with profuse sweating
