Exam/Eval Pt 1 Flashcards

1
Q

What are some things you need to examine subjectively for ROS?

A
  • any issues with vision, hearing, swallowing/eating, talking
  • musculoskeletal
  • neuromuscular
  • cardiopulmonary
  • integumentary
  • cognitive
  • general health
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2
Q

What are some things you need to examine objectively for ROS?

A
  • vital signs
  • observe movement patterns
  • general skin observations
  • blood sugar if indicated
  • neuro screen
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3
Q

red or yellow flag?
loss of consciousness or difficult to arouse?

A

red

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4
Q

red or yellow flag?
sudden worst headache ever experienced

A

red

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5
Q

red or yellow flag?
extreme confusion, inconsistent with previous status

A

red

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6
Q

red or yellow flag?
uncontrolled seizure activity

A

red

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7
Q

red or yellow flag?
acute infection with nuchal rigidity or intense local back pain

A

red

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8
Q

red or yellow flag?
rapid onset of (new or worse) focal neurologic deficits

A

red

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9
Q

red or yellow flag?
evidence of vertebral instability

A

red

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10
Q

red or yellow flag?
non-responsive autonomic dysreflexia

A

red

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11
Q

red or yellow flag?
acute episode of incontinence or saddle anesthesia in undiagnosed SC pathology

A

red

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12
Q

red or yellow flag?
progressive neurologic signs in a known non-degenerative disgnosis

A

yellow

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13
Q

red or yellow flag?
evidence of MN disease

A

yellow

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14
Q

red or yellow flag?
new onset of tremors/involuntary movement

A

yellow

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15
Q

red or yellow flag?
change in autonomic status

A

yellow

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16
Q

red or yellow flag?
progressive chronic change in bulbar cranial nerve signs/symptoms (NOT acute)

A

yellow

17
Q

red or yellow flag?
constant headache that worsens over time

A

yellow

18
Q

red or yellow flag?
vertebral artery insufficiency

A

yellow

19
Q

red or yellow flag?
neurologic signs inconsistent with diagnosis

A

yellow

20
Q

red or yellow flag?
signs and symptoms of systemic infection

A

yellow

21
Q

red or yellow flag?
changes in personality or cognitive status

A

yellow

22
Q

What are the neuro screen components

A
  • cranial nerve screen
  • gross AROM/MMT
  • DTR
  • light touch
  • extinction
  • cognition
  • pronator drift
  • babinski/hoffman
  • gross PROM
  • coordination
  • rhomberg eyes closed
23
Q

definition of fatigue

A

feeling of tiredness, lack of energy, low motivation, and difficulty in concentration

24
Q

subjective measurements of fatigue

A

VAS
RPE
Fatigue Severity Scale

25
Q

objective measurements of fatigue

A

sustained effort
movement observations
2/6 min walk test
30 sec chair stand
TUG
Ergometry
Sustained muscle contraction or repeated MMT

25
Q

when should you measure vital signs while doing an endurance test

A
  • at rest (before activity)
  • during activity
  • 2 minutes into recovery
26
Q
A