Lecture 1/2 Intro to clinical reasoning/Hx taking

Question 1

What is the hypothestico- deductive reasoning model

Answer 1

set out to prove it right or wrong through your physical exam

Question 2

what is the pattern recognition clinical reasoning model

Answer 2

using past experience with a specific injury to cloud judgement

Question 3

what is the collaborative model of reasoning

Answer 3

look at a patients perpective - engage perspective - include their wants and beliefs

Question 4

What is the structure/whats included in the history

Answer 4

current Hx
past hx
behaviour of symptoms
body chart
ci/ps 
social 
irritability

Question 5

for each aggrivating factor what do you want to know

Answer 5

the vigor of pain
the intensity
how long it takes to settle down

Question 6

What is the difference of mechanical pain and inflammatory pain

Answer 6

mechanical
- better in morning, worse at the end of day, worse with activity, obvious aggrivating ativity

Inflammatory
- worse in morning, stiffness >30 mins in the morning, improvement with movement, night pain, no obvious aggrivating factor

Question 7

what are yellow flags

Answer 7

risk factors that are likely to delay recovery

ex: unhelpful attitudes, compensation issues, catastrophizing and fear, work issues