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

23
Q

What does the C5 dermatome correlate with

A

Lateral elbow

24
Q

What does the C6 dermatome correlate with

25
What does the C7 dermatome correlate with
Middle finger
26
What does the C8 dermatome correlate with
Pinky and medial border hand
27
What does the T1 dermatome correlate with
Medial border of forearm
28
What are some life style risk factors that should be noted in a history (5)
1. Smoking, alcohol, or substance abuse 2. Nutrition 3. Activity level 4. Social history 5. Family history
29
What should you ask about for social history
Cultural beliefs and behaviors, interactions and activities, and support system
30
Always make sure to ask what at the conclusion of the history
Residual patient thoughts
31
What are residual patient thoughts
Any other important/significant thoughts or concerns that I haven't asked yet
32
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
33
What does a systems review potentially do
Helps identify health problems that require consult or referral to other health care professionals
34
True or False: | It is ok to leave the patient without a resolution to their problem if your services can't help them
FALSE
35
What are the 5 systems that are screened objectively during a systems review
1. Cardiovascular/Cardiopulmonary 2. Integumentary 3. Neuromuscular 4. Communication ability, effect, cognition, language, learning style 5. Musculoskeletal
36
What are the 5 reasons to perform an type of screen
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
True or False: | If the patient doesn't fit in the box you should make them fit in the box
False
38
True or False: | You should always compare bilaterally
True
39
Which side do you start with uninvolved side or involved side
Uninvolved side
40
What happens if both sides are involved
Choose the side that is least involved
41
What are the prioritized tests and measures consideration (11)
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
What are the PT musculoskeletal tests and measures (11)
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
What should ROM examination determine (3)
1. Quantity of AROM and PROM 2. Quality 3. Symptom provocation
44
What does quality of movement mean
Smoothness and movement pattern