lecture 1A: Introduction to the Orthopaedic Exam, Scanning Exams & Clinical Decision-Makin Flashcards

1
Q

What is the term for when we gather info from pt, family members, etc to determine pt’s

A

examination

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2
Q

what term is to evaluate levels of pathology , impairment , activity and participation

A

goals

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3
Q

what does the strength of our examination relie on

A

relies on accuracy of findings and quality of testing

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4
Q

what must the test selection help formulate and determine

A

hello formulate appropriate interpretation and determine accurate final diagnosis

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5
Q

what does it mean if a test selection is reliable

A

produces precise, accurate and reproducible info

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6
Q

what does it mean if a test selection is valid

A

it measures what it is suppose to measure

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7
Q

what does it mean if a test selection is significant

A

means that is describing the probability of something happening

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8
Q

define evaluation

A

process of combing clinical experiences w best available clinical evidence to detmerine the diagnosis , prognosis and interventions

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9
Q

what are 3 exam tips

_____ at the beginning
_____ towards the end
minimize ____ when possible

A

screening test
diagnostic test
pain

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10
Q

during an exam when should a screening test and diagnostic test be done

A

screening towards the beginning and diagnostic towards the end

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11
Q

what kind of questions should u start with during an exam

A

open ended

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12
Q

when does observations occur

A

throughout the exam

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13
Q

observations can include ___ amd ___ deformities what is the differnce between the 2 deformities

A

structural (doesn’t change with body position ) and functional (changes with body position)

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14
Q

what determines if we scan or don’t scan

A
  • no obvious MOI
  • proximal cause for distal symptoms
  • non mechanical sounding symptoms
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15
Q

what is the foundation for rational pt care

A

clinical decision making

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16
Q

patients often referred to pt with what kind of fx

A

non specific

17
Q

what are the 5 common tools used in PT and what is the most ideal one

A

• Pattern recognition*
• Categorical reasoning
• Narrative reasoning
• Collaborative reasoning
• Diagnostic reasoning**

18
Q

when is the DX made in an exam

A

when all potential causes for S&S are ruled out

19
Q

Decision-making process is multi-
faceted flexible process that
combines what 2 things

A

• Implicit knowledge
• Accumulated clinical experience

20
Q

Does one red flag or test finding make a diagnosis

A

nooooooo

21
Q

what are the 4 stages of connective tissue healing

A

hematosis
inflammation
repair
remodeling

22
Q

how long does it take a tendinopathy to heal

A

3-7 weeks

23
Q

how long does it take tendinosis to heal

A

2 months to 6 months

24
Q

how long does it take tendon laceration to heal

A

5 weeks to 6 months

25
Q

how long does it take a grad 1-3 mm injury to heal

A

1: 0-14 days
2: 4 days to 3 months
3: 3 weeks to 6 months

26
Q

how long does it take for a bone fx to heal

A

5 weeks to 3 months

27
Q

how long does a articular cartilage repair take to heal

A

2 months to 2 years