Lecture 1 Flashcards
What are the two components of a PT Examination?
Patient History (formulation of a hypothesis) and Tests and Measures (strengthen or refute hypothesis)
Expressive language consists of:
__% Body language
__% Tone
__% Language
55% Body Language
38% Tone
7% Language
Open ended questions: pros and cons
Pros: Good when a patient has difficulty opening up
Cons: Timing, over the top answers
Close ended Questions: Pros and Cons
Pros: clarity, specificity, narrow down
Cons: “cut off” responses, limiting knowledge
Grade Response Questions: Pros and Cons
Pros: Quantify, clarify obscure answers, goal setting
Cons: Follow up questions needed
Multiple Option Questions: Pros and Cons
Pros: clarify without limiting patient, helpful with trying to identify patterns, helps jog memory
Cons: Too easy to fall into a time saving measure or shortcut
What is a reg flag when asking about a 24 Hour pain pattern?
constant, intense pain, worse PM and wakes from sleep
Joint pain/stiffness, worse in AM is
inflammatory
Ex: RA
joint pain and stiffness less in AM, worse with actiity is
degenerative
Ex: OA
Back pain worse in Am, better after a few hours and worse again in PM is
disc pathology
pain varies throughout day, activity, or position is
muscular
Examples of Pain Neuroscience Education Questions
” How often do you spend a day having to think about your pain?”
“How often does it preoccupy your thoughts?”
True or False: A finding of one red flag is usually not cause for immediate medical attention
True
Red Flags requiring immediate attention
Anginal pain, unresolved in 10-20 minutes
angina w/ nausea, vomiting, sweating
DM w/ confusion, lethargic, changes in mental alertness
incontinence, saddle anesthesis
anaphylactic shock
ABCs of Radiographic Evaluation
A- alignment
B- bone density
C- cartilage spaces
S- soft tissues
