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Musculoskeletal Practice I > Medical Screening of Lumbopelvic Part 1 and 2 > Flashcards

Medical Screening of Lumbopelvic Part 1 and 2 Flashcards

1
Q

When would a patient not be appropriate for physical therapy and would be referred out to an appropriate health care provider?

A

When the patient’s signs and symptoms are outside of the PT scope of practice.

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2
Q

What would you do if a patient as ‘red flags’ present?

A

Referral/Consulation to a medical specialist

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3
Q

What would you do if a patient has ‘yellow flag’ present?

A

Referral/Consultation with mental health provider

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4
Q

What is the most common site for metasteses?

Cancer Incidence

A

Skeleton

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5
Q

What is the common metastatic cancer that causes lumbar spinal pain?

A

Prostate Cancer

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6
Q

What are the following features of?

  • clinican judgement consistent with maligancy
  • neurologic symptoms
  • unexplained weight loss
  • not improved after 1 month
  • age greater than or equal to 50
  • no relieve with bed rest
  • insidious onset
A

Cancer/Back Related Tumor

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7
Q

What are these back pain symptoms caused from?

  • LBP, flank or pelvic pain
  • local tenderness over spinal process with percussin
  • concurrent infection or drug use
  • fever
A

Spinal Infection

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8
Q

What syndrome is a neurologic emergency and if surgey is done within 72 hours it will be successful?

A

Cauda Equina Syndrome

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9
Q

What are the following features of?

  • Urine retention
  • Fecal incontinence
  • Saddle anesthesia
  • Sensory or motor deficits in the feet (L4, L5, S1 areas)
A

Cauda Equina Syndrome

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10
Q

What are the following features of?

  • Major trauma (recent history)
  • Pain and tenderness (with palpation to spine)
  • Age greater than 50
  • Female
  • Prolonged use of corticosteriods
  • Increased pain with weight bearing
A

Spinal Compression Syndrome

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11
Q

What is this a defintion of?

Numbness, tingling in groin and peroneal area

A

Saddle anesthesia

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12
Q

What are the following features of?

  • Midline lower thoracic/lumbar pain*
  • Palpable pulsating abdominal mass
  • Pain descriptors: throbbing, pulsating
  • Pt unable to find comfortable position*
  • History of cigarette smoking
  • Positive family history*
  • Past history of it
A

Abdominal Aoritc Aneurysm (AAA)

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13
Q

What is the following a defintion of?

Inflammatory artropathy, systematic rheumatic disorder
- males > females
- history of inflammatory conditions (irritable bowel, Crohn’s)

A

Ankylosing Spondylitis

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14
Q

What are the following features of?

  • Morning stifness > 30 min duration
  • improvement in LBP with exercise but not with rest
  • night pain during second half of night only
  • alternating buttock pain
A

Ankyloking Spondylitis

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15
Q

Where can GI refer pain patterns?

A

into the back and can be mistaken for musculo-skeletal pain

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16
Q

Where do renal/urinary pain be referred to?

A

Back or Flank

17
Q

When would you ask the following questions?

  • Frequency
  • Urgency
  • Dysuria
  • Noctura
  • Fever, chills, malaise
  • Cloudy, bloody, foul smelling urine
  • Suprapubic, abdominal, flank pain
A

Renal/Urinary Disorders

18
Q

There is a signficant relationship between low back pain and what?

A

Anxiety and depression

19
Q

What are the following risk factors of?

  • Chronic mental illness
  • chronic minor daily stress
  • Chronic pain syndrome
  • Family history
  • Low income/job less
  • Low self-esteem
  • Low social support
  • Prior onset
  • Single/divorced/widowed
  • Traumatic brain injury
  • Younger age
A

Depression

20
Q

What are the following symptoms of?

  • Depressed mood
  • Loss of interest or pleasure
  • Low energy or fatigue
  • Sleep disturbance
  • Appetite disturbance
  • Psychomotor disturbrance
  • Decreased concentration or difficulty making decsions
  • Inappropriate guilt or worthlessness
  • Thoughts of death or suicidal ideation or behavior
A

Major Depressive Disorder

21
Q

What are the following features of?

  • age and sex are at high risk for pelvic disorder
  • body mass index in low normal range
  • severe pelvic pain (hallmark symtpom)
  • urinary urgency-frequency
  • sudden and insidious onset of symptoms of unknowno origin
  • constant pain, worse with walking and bending, sleep disturbance
  • lower abdominal quadrant tenderness
  • negative medical diagnostic tests for mechanical and nonmechanical disorders
  • severe disability in a young and otherwise healthy adult
  • family history of rheumatologic and endocrine disorders
A

Back pain of Visceral Orgin

Musculoskeletal Practice I (15 decks)

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