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Ortho Exam 1 > Evaluation - 1 > Flashcards

Evaluation - 1 Flashcards

subjective

1
Q

C.H.A.R.T.S

A

chief complaint

history

asymmetries

ROM

tissue characteristics

special tests

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2
Q

what does the AOPT use based on PT exam

A

decision trees

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3
Q

what kind of note do we use

A

SOAP note

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4
Q

what does a SOAP note create

A

a narrative

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5
Q

S –> SOAP

A

subjective

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6
Q

O –> SOAP

A

objective

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7
Q

A –> SOAP

A

assessment

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8
Q

P –> SOAP

A

plan

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9
Q

the SOAP note includes

A

more than exam findings

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10
Q

subjective includes

A

chief complaint

history

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11
Q

chief complaint

A

reason for seeking tx

pt’s own words

assess for red and yellow flags

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12
Q

history

A

determine health state

pt’s story

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13
Q

chief complaint –> SINSS

A

severity

irritability

nature

stage

stability

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14
Q

severity –> SINSS –> chief complaint

A

pt rating

limit to ADL

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15
Q

irritability –> SINSS –> chief complaint

A

amount and type of activities that aggravate/ease

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16
Q

nature –> SINSS –> chief complaint

A

characteristics of the pain, pathologies, pt experience

17
Q

stage –> SINSS –> chief complaint

A

acute, subacute, chronic, acute on chronic

18
Q

stability –> SINSS –> chief complaint

A

progression of current or past sxs

19
Q

radiating

A

location

local v. diffuse

20
Q

pain that increases w/ movement/position or decreases right away

A

mechanical, on-off pain, low irritability

21
Q

AM pain and stiffness, improves w/ activity, aching as day goes on

A

chronic inflammation

effusion

22
Q

resting pain and pain that is worse at beginning of activity

A

acute inflammation

23
Q

pain that is unaffected by rest or activity

A

bone pain

serious pathology

24
Q

pain that is worse at night

A

nerve entrapment?

serious pathology?

25
Q

history of the onset

A

macrotrauma

microtrauma

slow or sudden

insidious

26
Q

history –> health state

A

activities

participation

beliefs

27
Q

history –> dz state

A

changes

beliefs

behaviors

28
Q

history –> the journey

A

causative

contributory

29
Q

history –> goals

A

theirs

possibilities

30
Q

systems review

A

general demographics

living environments

PMH/PSH

general health

pharmacology

current condition

tests

family

work

social

Ortho Exam 1 (17 decks)

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