Illness scripts Flashcards
Neck: Disc herniation
5
1 - severe unilateral arm and neck pain
2 - obligate function loss
3- neuropathic pain or dermatomal parasthesia
4 - severe ROM limitation ALL ranges affected
5 - signs of radiculopathy
Neck: lateral stenosis
3
1 - dermatomal parasthesia
2 - aching in neck and arm
3 - dermatomal sensory hypoesthesia
Neck: central stenosis
4
1 - aching or pain in neck and both arms
2 - bilateral upper limb parasthesia (abnormal -tingling, pins/needles, shocks, burning, buzzing, falling asleep)
3 - bilateral upper limb hypoesthesia (numbness)
4 - (+/-) CNS signs
Neck - biomechanical dysfunction
7
1 - short duration episodic pain 2 - moderate pain 3 - moderate referral 4 - non-obligate or no function loss 5 - flexion OR extension impairment 6 - flexion OR extension ROM loss 7 - (-) scan
Neck: Dizziness
5
1 - Type 2 2 - never present without neck pain 3 - progresses with neck pain 4 - no neurological symptoms 5 - related to head/neck movement/posture
Neck: Headache
4
1 - occipito-frontal-retroorbital
2 - clearly delineated
3 - superficial
4 - related to head/neck movements/posture
Neck: Whiplash - Major Fracture/Dislocation (5)
others - post-traumatic arthritis, labyrinthine concussion
1 - immediate onset severe pain
2 - immediate fixed torticollis
3 - immediate loss of function
4 - severe limitation of movement in all directions
5 - Canadian C-spine rules (65+, dangerous MOI, extremity parasthesia, unable to AROM rotation >45 deg
Neck pain: Whiplash - Post traumatic arthritis
5
1 - delayed onset of pain 2 - obligate or non-obligate function loss 3 - moderate to severe pain 4 - full or unilateral capsular pattern 5 - multi level PAs (+)
Neck Pain: Whiplash - Labyrinthine Concussion
5
1 - immediate onset severe vertigo 2 - non-persistent vertigo 3 - directionally consistent vertigo 4 - body tilt test (+) 5 - BPPV
LBP: segmental dysfunction
6
1 - short duration episodic unilateral pain 2 - moderate pain and referral 3 - flexion or extension impairment 4 - flexion or extension ROM loss 5 - non-obligate function loss 6 - no neuro signs or symptoms
LBP: Sacroiliitis
6
1 - severe Fortin's area pain 2 - sharp pain on walking. Progressive ache on sitting 3 - pain wakes pt on turning in bed 4 - Tender in Fortin's area 5 - Pain provocation tests (+) 6 - Extension ROM loss dominates picture
LBP: Viscerogenic
3
1 - diffuse wave-like pain
2 - little relationship to physical activity and posture except lying
3 - little found on physical exam
LBP: Metastases
6
1 - late middle-aged to older pt 2 - non-episodic central pain 3 - bilateral expanding pain 4 - insidious onset or minor trigger 5 - later systemic effects 6 - progressive
LBP: disc herniation
5
1 - severe unilateral back and leg pain 2 - antalgic gait 3 - flexion and extension impairments 4 - All ROMs limited and painful 5 - SLR (+) usually below 60 deg.
LBP: central stenosis
7
1 - older male
2 - moderate to severe bil back and leg pain
3 - extension impairments
4 - leg pain wakes pt
5 - lumbar kyphosis
6 - ROM stiff in all directions
7 - lumbar spine is generally stiff on all PAs
LBP: spondylolysthesis - degenerative (vs isthmic)
5
1 - middle age female > male 2 - central back and bil leg pain 3 - Extension impairment 4 - FROM? with pain on extension 5 - minor dural/neural signs may be present
LBP: spondylolysthesis -isthmic
7
1 - adolescent to young adult male > female
2 - severe central and bil leg pain
3 - bil neurological symptoms and signs often present
4 - severe extension obligate impairment
5 - kyphotic
6 - severe limitation of extension and often flexion
7 - bil SLR (+)
LE - non-traumatic - general tendonopathy (4)
Achilles, tiabialis anterior, peroneus longus
- pain around tendon distribution
- tendon to palpation of tendon
- passive stretch painful
- isometric contraction painful
plantar fasciitis (5) (non-traumatic foot/ankle pain)
- medial under-heel pain
- pain with WBing activities
- pain worse after periods of NWB
- relieved with continuation of activity in early stages
- tender over medial calcaneal tubercle
Gouty arthritis (4) (non-traumatic foot/ankle pain)
- pain at great toe
- shiny redness of toes
- pain on WBing increased
- often throbs continually
Anterior subluxed talus (4)
non-traumatic foot/ankle pain
- pain anterior ankle
- pain on stepping over foot
- decreased ankle DF and posterior glide
- pathomechanical end-feel.
Inferior tib-fib joint instability (3)
non-traumatic foot/ankle pain
- previous inversion injury
- pain on stepping over foot
- positive stability test
Subtalar subluxation (5) (non-traumatic foot/ankle pain)
- pain medial or lateral ankle
- pain mainly on heel strike
- IV or EV painful and decreased
- anteromedial or posteromedial glides restricted
- End feel = pathomechanical
Sever’s disease (5)
non-traumatic foot/ankle pain
- young usually male
- pain posterior ankle
- calcaneus tender
- passive DF painful
- isometric PF may be painful
Calcaneal bursitis (3) (non-traumatic foot/ankle pain)
- pain posterior ankle
- passive PF painful
- tender behind Achilles tendon
Talar dome
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