Examination Principles Flashcards
1
Q
Flow of procedure
A
- history
- observation
- screens: cardiovascular, neurological, & functional
- palpation
- AROM
- PROM
- resisted movements
- accessory movements (joint mobility)
- special tests
2
Q
LMNO & PQRST for history taking
A
- L: location of sx & level of impairment
- M: medical history & MOI
- N: neurological sx
- O: occupation
- P: palliating & provoking/previous sx
- Q: quality
- R: region
- S: severity
- T: timing
3
Q
Constitutional symptoms
A
- fever
- day sweats
- night sweats
- weight loss
- fatigue
- shortness of breath (SOB)
- syncope/dizziness
- change in sleep pattern
- nausea/vomiting
- change in bowel habits
4
Q
General red flags for pain
A
- uncontrolled with analgesics (painkiller)
- not reproduced/exacerbated by your evaluation
- worsens at night or with rest
- exacerbates with general activity
- bilateral
- encompasses several dermatomes
5
Q
What are we looking at during palpation
A
- temperature
- moisture
- swelling
- pain/tenderness
- changes in muscle tone
- atrophy
- asymmetry
6
Q
AROM & PROM are painful & limited in the same direction
A
- inert tissue: bone, cartilage, ligaments, capsule, etc.
7
Q
AROM & PROM are painful & limited in opposite directions & resisted motion is painful in 3 positions
A
- contractile tissue
8
Q
AROM is limited, PROM improves significantly or WNL (within normal limits) & painless
A
- motor control
9
Q
Muscle special tests
A
- verify muscle involvement by isolating the muscle in question (MMT)
10
Q
Neurological special tests
A
- additional screening (pressure transducer/monofilaments, stereognosis, vibration) & neurotension testing
11
Q
Vascular special tests
A
- additional special tests: ABI, rubber on dependency, treadmill test, bicycle test, etc.
12
Q
Describe the plan for treatment
A
- directly related to your PT diagnosis
- your assessment guides your treatment plan & gives you information on prognosis
