Lecture 2 (9-14) Flashcards
What are the 6 things to look for under symptom quality
- Mechanical c/o
- Color and/or temp changes
- Numbness, parathesias, dysathesias
- Weakness
- Spasm
- Pain
What are some mechanical c/o
Locking, stiffness, tightness clicking, snapping, grinding, grating, giving way
What is numbness
Can’t feel anything
What is parathesias
Numbness of half, can change sides
What is dysathesias
Altered sensations
Where do most patients fall… Numbness, parathesias, or dysathesias
Dysathesias
What type of pain is indicative of muscle problem
cramping, dull, aching
What type of pain is indicative of ligament, joint capsule problem
Dull, aching
What type of pain is indicative of nerve root problem
Sharp, shooting
What type of pain is indicative of nerve problem
Sharp, bright, lightning like
What type of pain is indicative of bone problem
Deep, nagging, dull
What type of pain is indicative of sympathetic nerve problem
Burning, pressure-like, stinging, aching
What type of pain is indicative or fracture problem
Sharp, severe, intolerable
What type of pain is indicative of vasculature problem
Throbbing, diffuse
What are the types of anatomical locations of symptoms
- Localized pain
2. De-localized pain
What is localized pain
The patient can point to where the pain occurs
What are the types of de-localized pain
- Referred pain
2. Radicular or radiating pain
What is referred pain
With in a sclerotome and emanates from deep somatic tissue
What is radicular pain
With in a dermatome
What does the C1 and C2 dermatome correlate with
Base of Skull
What does the C3 dermatome correlate with
Lateral neck
What does the C4 dermatome correlate with
Acromion
What does the C5 dermatome correlate with
Lateral elbow
What does the C6 dermatome correlate with
Thumb
What does the C7 dermatome correlate with
Middle finger
What does the C8 dermatome correlate with
Pinky and medial border hand
What does the T1 dermatome correlate with
Medial border of forearm
What are some life style risk factors that should be noted in a history (5)
- Smoking, alcohol, or substance abuse
- Nutrition
- Activity level
- Social history
- Family history
What should you ask about for social history
Cultural beliefs and behaviors, interactions and activities, and support system
Always make sure to ask what at the conclusion of the history
Residual patient thoughts
What are residual patient thoughts
Any other important/significant thoughts or concerns that I haven’t asked yet
What are the things that are common responses of residual patient thoughts
Symptoms, contextual relevance of condition, goals, needs, or desires, and expectations of PT
What does a systems review potentially do
Helps identify health problems that require consult or referral to other health care professionals
True or False:
It is ok to leave the patient without a resolution to their problem if your services can’t help them
FALSE
What are the 5 systems that are screened objectively during a systems review
- Cardiovascular/Cardiopulmonary
- Integumentary
- Neuromuscular
- Communication ability, effect, cognition, language, learning style
- Musculoskeletal
What are the 5 reasons to perform an type of screen
- No history of trauma (insidious onset)
- Suspect referred and/or radiated symptoms
- Doubt about location of pathology exists
- Altered sensations
- Unusual pattern or collection of symptoms
True or False:
If the patient doesn’t fit in the box you should make them fit in the box
False
True or False:
You should always compare bilaterally
True
Which side do you start with uninvolved side or involved side
Uninvolved side
What happens if both sides are involved
Choose the side that is least involved
What are the prioritized tests and measures consideration (11)
- Safety
- Comfort
- Goals
- Social needs
- Cognition
- Physiological needs
- Psychological needs
- Functional needs
- Financial needs
- Vocational needs
- Medical treatment priority
What are the PT musculoskeletal tests and measures (11)
- ROM
- Muscle performance
- Joint integrity and mobility
- Posture, body mechanics, and motor function
- Gait, locomotion, and balance
- Pain
- Sensory integrity
- Reflex integrity
- Anthropometric characteristics
- Special tests
- Assistive and adaptive devices
What should ROM examination determine (3)
- Quantity of AROM and PROM
- Quality
- Symptom provocation
What does quality of movement mean
Smoothness and movement pattern
