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FALL2 MSK > LECTURE 1A LUMBAR SCANNING EXAM > Flashcards

LECTURE 1A LUMBAR SCANNING EXAM Flashcards

1
Q

Exam tests should be selected for their what 3 qualities?

A
  1. reliability: accurate
  2. validity: measures what its supposed to
  3. significance: stat term describing probability
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2
Q

difference between an examination and evaluation

A

examination: gather info to determine patient’s problem (pathology, impairment, activity/participation limits)

evaluation: combine clinical experience with best evidence to determine diagnosis, prognosis, interventions

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3
Q

what is the strength of an examination?

A

it relies on accuracy of findings and quality of testing

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4
Q

When should screening tests be conducted? when should diagnostic tests be conducted?

A

screening: beginning
diagnostic: end

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5
Q

Order of lumbar examination

A
  1. Pt Hx
  2. systems review
  3. observation
  4. scan (or not)
  5. ROM
  6. MMT
  7. joint play
  8. palpation
  9. special tests
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6
Q

What are 6 parts of the patient centered interview model?

A
  1. explore patient disease/diagnosis
  2. understanding whole person
  3. find common ground for treatment
  4. advocate prevention/health
  5. rapport
  6. realistic expectations
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6
Q

What systems are involved in a systems review?

A
  1. MSK
  2. Neuro
  3. Cardiovascular
  4. pulm
  5. integ
  6. GI
  7. GU
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7
Q

What are the general assessments of a systems review

A

assessments:
1. general health/intake forms
2. vitals: HR, BP, RR, edema, pain

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8
Q

_____ do not change with body position while ____deformities change with body position

A

structural deformities
functional

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9
Q

Whats the purpose of a scanning exam?

A
  1. narrow source of problem
  2. RED FLAG identification
  3. determine which body parts need more exam
  4. identify primary impairments
  5. improve rehab outcomes
  6. give guidance on which interventions help or are contras for patient
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10
Q

3 purposes of a lumbar scanning exam

A
  1. no obvious MOI
  2. prox cause for distal symptoms
  3. non MSK sounding (screen out visceral other stuff)
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11
Q

What is included in a LE scanning exam?

A
  1. observation
  2. gait
  3. functional: squat, SLS
  4. lumbar ROM
  5. myotomes
  6. dermatomes
  7. DTR (L4, L5, S1)
  8. UMN testing (babinski, clonus)
  9. lumbar/SIJ stress tests (SIJ compression/distraction, same for lumbar)
  10. LE ROM (FABER, ankles, toes)
  11. neurodynamic tests: Slump, SLR
  12. palpation: pulses, lymph nodes
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12
Q

upper quarter scanning exam

A
  1. observation
  2. gait
  3. functional: ARMS
  4. cervical ROM
  5. cervical compression/distraction
  6. myotomes
  7. dermatomes
  8. DTRs (C5, C6, C7)
  9. UMN (hoffmann’s)
  10. upper limb tension (median)
  11. palpation (pulses, glands, lymph)
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13
Q

Thoracic scanning exam

A
  1. Observation
  2. Vital signs
  3. Thoracic ROM (active, overpressure)
  4. Dermatomes (T1-12)
  5. Deep tendon reflexes (Abdominal, LE, UE)
  6. UMN testing (Babinski, Ankle clonus)
  7. Neurodynamic testing (slump)
  8. Aortic pulse & abdominal palpation
  9. Chest auscultation
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14
Q

What is the foundation for rational patient care?

A

clinical decision making

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15
Q

What are 5 types of clinical decision making tools used in PT

A
  1. pattern recognition
  2. categorical reasoning
  3. narrative reasoning
  4. collaborative reasoning
  5. diagnostic reasoning* useful in surgical cases and most liked by students
16
Q

What is the ideal type of reasoning for patient care?

A

collaborative reasoning (combination of patient/narrative, CPR, patterns

17
Q

diagnosis is made when…

A

all potential causes are ruled out
*flexible process combining implicit knowledge and accumulated clin experience

18
Q

One red flag means….

A

nothing yet-does not make a diagnosis! build a case and look for patterns

19
Q

prioritize impairments by:

A
  1. symptoms severity
  2. tissues involved
  3. underlying cause of limitations
20
Q

What are the 4 steps of tissue healing?

A
  1. hemostasis: seconds/hours
  2. inflammation: hours/days
  3. repair: days to weeks
  4. remodeling: weeks to months

FALL2 MSK (18 decks)

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