Lecture 2 (9-14) Flashcards

1
Q

What are the 6 things to look for under symptom quality

A
  1. Mechanical c/o
  2. Color and/or temp changes
  3. Numbness, parathesias, dysathesias
  4. Weakness
  5. Spasm
  6. Pain
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2
Q

What are some mechanical c/o

A

Locking, stiffness, tightness clicking, snapping, grinding, grating, giving way

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3
Q

What is numbness

A

Can’t feel anything

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4
Q

What is parathesias

A

Numbness of half, can change sides

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5
Q

What is dysathesias

A

Altered sensations

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6
Q

Where do most patients fall… Numbness, parathesias, or dysathesias

A

Dysathesias

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7
Q

What type of pain is indicative of muscle problem

A

cramping, dull, aching

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8
Q

What type of pain is indicative of ligament, joint capsule problem

A

Dull, aching

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9
Q

What type of pain is indicative of nerve root problem

A

Sharp, shooting

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10
Q

What type of pain is indicative of nerve problem

A

Sharp, bright, lightning like

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11
Q

What type of pain is indicative of bone problem

A

Deep, nagging, dull

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12
Q

What type of pain is indicative of sympathetic nerve problem

A

Burning, pressure-like, stinging, aching

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13
Q

What type of pain is indicative or fracture problem

A

Sharp, severe, intolerable

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14
Q

What type of pain is indicative of vasculature problem

A

Throbbing, diffuse

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15
Q

What are the types of anatomical locations of symptoms

A
  1. Localized pain

2. De-localized pain

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16
Q

What is localized pain

A

The patient can point to where the pain occurs

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17
Q

What are the types of de-localized pain

A
  1. Referred pain

2. Radicular or radiating pain

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18
Q

What is referred pain

A

With in a sclerotome and emanates from deep somatic tissue

19
Q

What is radicular pain

A

With in a dermatome

20
Q

What does the C1 and C2 dermatome correlate with

A

Base of Skull

21
Q

What does the C3 dermatome correlate with

A

Lateral neck

22
Q

What does the C4 dermatome correlate with

A

Acromion

23
Q

What does the C5 dermatome correlate with

A

Lateral elbow

24
Q

What does the C6 dermatome correlate with

A

Thumb

25
Q

What does the C7 dermatome correlate with

A

Middle finger

26
Q

What does the C8 dermatome correlate with

A

Pinky and medial border hand

27
Q

What does the T1 dermatome correlate with

A

Medial border of forearm

28
Q

What are some life style risk factors that should be noted in a history (5)

A
  1. Smoking, alcohol, or substance abuse
  2. Nutrition
  3. Activity level
  4. Social history
  5. Family history
29
Q

What should you ask about for social history

A

Cultural beliefs and behaviors, interactions and activities, and support system

30
Q

Always make sure to ask what at the conclusion of the history

A

Residual patient thoughts

31
Q

What are residual patient thoughts

A

Any other important/significant thoughts or concerns that I haven’t asked yet

32
Q

What are the things that are common responses of residual patient thoughts

A

Symptoms, contextual relevance of condition, goals, needs, or desires, and expectations of PT

33
Q

What does a systems review potentially do

A

Helps identify health problems that require consult or referral to other health care professionals

34
Q

True or False:

It is ok to leave the patient without a resolution to their problem if your services can’t help them

A

FALSE

35
Q

What are the 5 systems that are screened objectively during a systems review

A
  1. Cardiovascular/Cardiopulmonary
  2. Integumentary
  3. Neuromuscular
  4. Communication ability, effect, cognition, language, learning style
  5. Musculoskeletal
36
Q

What are the 5 reasons to perform an type of screen

A
  1. No history of trauma (insidious onset)
  2. Suspect referred and/or radiated symptoms
  3. Doubt about location of pathology exists
  4. Altered sensations
  5. Unusual pattern or collection of symptoms
37
Q

True or False:

If the patient doesn’t fit in the box you should make them fit in the box

A

False

38
Q

True or False:

You should always compare bilaterally

A

True

39
Q

Which side do you start with uninvolved side or involved side

A

Uninvolved side

40
Q

What happens if both sides are involved

A

Choose the side that is least involved

41
Q

What are the prioritized tests and measures consideration (11)

A
  1. Safety
  2. Comfort
  3. Goals
  4. Social needs
  5. Cognition
  6. Physiological needs
  7. Psychological needs
  8. Functional needs
  9. Financial needs
  10. Vocational needs
  11. Medical treatment priority
42
Q

What are the PT musculoskeletal tests and measures (11)

A
  1. ROM
  2. Muscle performance
  3. Joint integrity and mobility
  4. Posture, body mechanics, and motor function
  5. Gait, locomotion, and balance
  6. Pain
  7. Sensory integrity
  8. Reflex integrity
  9. Anthropometric characteristics
  10. Special tests
  11. Assistive and adaptive devices
43
Q

What should ROM examination determine (3)

A
  1. Quantity of AROM and PROM
  2. Quality
  3. Symptom provocation
44
Q

What does quality of movement mean

A

Smoothness and movement pattern