lecture 3 Flashcards
sharp, shooting
nerve root pain
sharp, bright, lightning-like
nerve pain
burning, pressure-like
sympathetic nerve pain
deep, boring, localized
bone
sharp, severe, intolerable
fracture
cramping, dull hard to localize
muscle pain
throbbing, diffuse, heavy and weak
vascular pain
acute vs chronic pain
acute - short eval and treatment; pain is biological and has anxiety
chronic - long eval and treatment; pain is disease and has depression
what are the aggravating/relieving factors
time of day
particular activity
pain on activity; dec w rest
morning pain that improves with activity
night pain
pain not affected by rest or activity
3 stages of DD
pattern recognition
history and physical exam
hypothetico-deductive strat
medical diagnosis vs pt diagnosis
medical - names lang the pathology; L ankle sprain
pt - focuses more on the functional impairments due to the pathology; L ankle sprain and unable to FWB due to pain
system based vs condition based
system - labral tear + review of other systems for DD
condition - labral tear then DD on shoulder region lang
important components for DD
PMHx
HPI
risk factors
clinical presentation
pain patterns
how would you quantify pain
SPS or visual analog
pain charts
pain questionnaires mga OMT
how would you qualify pain
duration - inter/cont
onset - sudden/insid
location - local, diffused, radiating
type - yung tables ahaha