extra stuff Flashcards
what is a PT roll as an entry point into the health care system
- triage pts with NMSK conditions
- decrease health care costs for pts
- increase efficiency of care
is sucidice and depression considered yellow or red flags
yellow
these are the Clinical manifestations of what serious condition
• S&S typically worsen in a slow, step-
wise progression
• Neurologic compromise
• Impaired hand dexterity
• May see atrophy in intrinsics
• Gait, balance difficulties
• Paresthesias (UEs & possibly LEs)
• Neck stiffness
• Urinary retention
• UE weakness (triceps, hand intrinsics)
• Proximal LE weakness
• UMN signs
cervical myelopathy’s
how do u calculate LR+
sensitivity / (1 – specificity)
how do you calculate LR-=
(1 – sensitivity) / specificity
how do you find +PV and -PV
true positive / (true positive + false positive)
true negative / (true negative + false negative)
how do u find sensitivity anf specificity
true positive / (true positive + false negative)
true negative/ (true negative + false positive)
how would you describe MSK pain
dull, deep , aching , waxing and waning pain that is localized to an area of the body and is exacerbated with a sharp stab feeling with movement
what review of systems would you check for lumbar pelvic pain
-GI
- urogential
- peripheral vascular
what review of systems would u do for mid humerus , femur to digits pain
peripheral vascular
what review of systems would you do for thoracic spine pain
-CV
- pulmonary-
- GI
-genitourinary
what review of systems would u do for cervical & L/R shoulder pain (including shoulder girdle region)
-CV
- pulmonary
-GI
what review of systems would you do for inconsistent symptoms pattern
-psychologic
- endocrine
-neurologic
-rheumatic disorder
-adverse drug reactions
what are 12 questions u can ask for LBP
-MOI
-osteoporosis
-hx of cancer
- pain ease when u rest
-fever
-lost weight
-meds
-immunosuppressive disorder
-retaining urine
-pee more
-numbness
-legs week
if someone has a 3+ criteria for symptoms (historical ) for inflammatory back pain what foes that mean
rule in the disease (LR+ is high and specificity is high)
if someone has a 2+ criteria for symptoms (historical ) for inflammatory back pain what foes that mean
maybe they have it maybe they don’t kinda in th middle ( sen - 70%, spec - 80%
what questions are asking in the immbolization box for the canadian c spine rul
-age >65
- dangerous MOI
-numbness or tingling in extremities
IF ANY IS YES THEN C SPINE IMMBOL;IXATION IF NO THEN GO DOWN TO ROM
what is asked in the ROM section in the canadian c spine rule
-simple rearend MVC
- walking st scene
- no neck pain at scence
- no pain during midline c spine palpation
IF IF ANY OF THESE ARE NO THEN GET C SPINE IMMBOLIXATION IF THEU ARE YES THEN GO DOWN TO ROTATOE 45°
what does the LQ scanning exam consist of
Observation
Gait
Functional movements
Lumbar ROM (active, overpressure)
Myotomes (L2-S1)
Dermatomes (L2-S1)
Deep tendon reflexes (LE)
UMN testing
Lumbar & SIJ stress tests
LE ROM
Neurodynamic tests
Palpation (pulses and lymph nodes)
what does the upper quartz scanning exam consist of
-observation
-cervical rom
-UE ROM
- cervical compression and distraction
-myotomes (C4-T1)
dermatomes (C2-T1)
-DTR
-UMN testing
-upper limb tension
-palpation
what are u observing in the posterior view on a scan
-head
-shoulder
-spinous process
-inferior angle of scap (t7)
- 12th rib
-iliac crest
-PSIS (S2_
- superior greater trochanteric
-gluteal clefts
- fibular head
- medial/lateral mall
-calcaneus
-visible toes
what are u observing in the lateral view for a scan
• External auditory meatus (ear)
• Cervical lordosis
• Acromion
• Thoracic kyphosis
• Lumbar lordosis
• ASIS to PSIS angle
‘• Greater trochanter
‘ • Knee joint line
• Fibular head
• Lateral malleoli
what are u observing for the anterio view scan
- ear lob heigh t
-chin position
-shoulder
-nipple
-elbow carrying angle
-ASIS - GT
-patella
_knee joint line - fibular head
-medial/lateral mall
-foot arch
what is the order or ROM
active then passive if limited then over pressure if pain free
what are the 13 nervous system symptoms
- Numbness, tingling
- Weakness
- Tremors
- Seizures
- Vision △’s
- Sexual difficulties
- Hearing problems
- Difficulty swallowing
- Urinary incontinence
- Vomiting w/o nausea
- Dizziness
- Recent falls
- Balance problems
what are the 13 hematologic system S&S
- Exertional dyspnea
- Palpitations
- Anginal pain patterns
- Fatigue
- Pallor
- Digital clubbing
- Lightheadedness
- Syncope
- Drowsiness
- Confusion
- Easy bruising & bleeding
- Fever, chills, sweats
- Malaise
what are the 4 pulmonary system S&S
- dyspnea
- cough
- clubbing of nails
- wheezing , stridor
what general health screen causes nausea and vomiting
• Metabolic, CV, liver dysfunction
• Pregnancy
• Meds
• ↑ intracranial pressure, HA, hemorrhage
what general health screen causes dizziness and lightheadedness
• Neurologic, CV dysfunction
• DM, anxiety, psychosis
what general heath screen casues parasthesia , numbness and weakness
• Renal, endocrine disorders
• Adverse drug reactions
• Progressive neurologic loss
