OBJ Ax Lecture

Question 1

how to plan your obj ax (5)
things to decide after sub ax

Answer 1

1. source of structures at fault
2. SIN factor
3. preauction/contradictions
4. contributing factors (extrinsic/instinsic)
5. expectation

Question 2

S in SIN factors

Answer 2

S -severity (how painful it is, how much it affects ADLs

Question 3

I in SIN factor

Answer 3

I - irritability (how quickly it agg and ease)
limit movmt or not to provoke the pt during ax

Question 4

N in SIN factor

Answer 4

N - Nature (how pt describe the pain)

Question 5

aim of the physical examination (2)

Answer 5

to REPRODUCE and therefore IDENTIFY the source of the pt’s problem & mvmt/pattern

Question 6

Wt are we looking for in observation (6)

Answer 6

1. swelling
2. anatomical abnormalities (fracture, kneel valgus &varus)
3. bruising/discoloration (hematoma/broken blood vessels)
4. red/shiny skin (psoriasis)
5. abnormal hair growth/sweating (autonomic nervous system)
6. abnormal gait

Question 7

Effects/ symptoms of autonomic nervous system dysfunction (5)

Answer 7

damage of the nerve that control automatic body functions
1. BP
2. body temp
3. digestion
4. bladder function
5. abnormal sweating

Question 8

risk factors/ what predispose you to DVT (9)

Answer 8

1. age
2. lack of mvmt (immobility)
3. smoking
4. injury/surgery
5. pregnancy
6. over weight/obese
7. cancer
8. inflammatory bowel disease
9. genetics
10. history of DVT

Question 9

risk factors/ what predispose you to slow healing time (8)

Answer 9

1. infection
2. age
3. stress
4. diabetes
5. smoking
6. alcohol abuse/alcoholism
7. steroids use
8. RA

Question 10

what are we palpating for (3)

Answer 10

heat, swelling, sweats

Question 11

why do we need to clear joints above and below?

Answer 11

referred pain (via joint/nerve), is it caused by the PC​?

Question 12

How do we go about clearing joints above and below?​

Answer 12

if Full & pain-free active ROM -> apply overpressure at end range​