lecture 1A: Introduction to the Orthopaedic Exam, Scanning Exams & Clinical Decision-Makin Flashcards
What is the term for when we gather info from pt, family members, etc to determine pt’s
examination
what term is to evaluate levels of pathology , impairment , activity and participation
goals
what does the strength of our examination relie on
relies on accuracy of findings and quality of testing
what must the test selection help formulate and determine
hello formulate appropriate interpretation and determine accurate final diagnosis
what does it mean if a test selection is reliable
produces precise, accurate and reproducible info
what does it mean if a test selection is valid
it measures what it is suppose to measure
what does it mean if a test selection is significant
means that is describing the probability of something happening
define evaluation
process of combing clinical experiences w best available clinical evidence to detmerine the diagnosis , prognosis and interventions
what are 3 exam tips
_____ at the beginning
_____ towards the end
minimize ____ when possible
screening test
diagnostic test
pain
during an exam when should a screening test and diagnostic test be done
screening towards the beginning and diagnostic towards the end
what kind of questions should u start with during an exam
open ended
when does observations occur
throughout the exam
observations can include ___ amd ___ deformities what is the differnce between the 2 deformities
structural (doesn’t change with body position ) and functional (changes with body position)
what determines if we scan or don’t scan
- no obvious MOI
- proximal cause for distal symptoms
- non mechanical sounding symptoms
what is the foundation for rational pt care
clinical decision making
patients often referred to pt with what kind of fx
non specific
what are the 5 common tools used in PT and what is the most ideal one
• Pattern recognition*
• Categorical reasoning
• Narrative reasoning
• Collaborative reasoning
• Diagnostic reasoning**
when is the DX made in an exam
when all potential causes for S&S are ruled out
Decision-making process is multi-
faceted flexible process that
combines what 2 things
• Implicit knowledge
• Accumulated clinical experience
Does one red flag or test finding make a diagnosis
nooooooo
what are the 4 stages of connective tissue healing
hematosis
inflammation
repair
remodeling
how long does it take a tendinopathy to heal
3-7 weeks
how long does it take tendinosis to heal
2 months to 6 months
how long does it take tendon laceration to heal
5 weeks to 6 months
