Overview/History Flashcards

1
Q

Determines most common pathology type present in that population, often the degree of degenerative change

A

Age

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2
Q

Certain pathologies are present in greater degree in one gender vs another

A

Sex

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3
Q

Past medical history? Get clues:

A

Listen !!!
• Story
• Similar or reoccurring injury?
• What does the patient think the problem is?

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4
Q

Activity level means what in Ortho?

A
  • Occupation
  • Repetitive stresses
  • Predictor of Homework adherence
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5
Q

What are the components of HISTORY?

A
Age
Sex
Past medical History
Activity Level
Main Complaint
PAIN
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6
Q

WHAT is part of pathology identification (HIPS)?

A
  • History
  • Inspection/Observation
  • Palpation
  • Special Testing
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7
Q
What does the Main Complaint involve?
What?
When?
How?
Where?
A
What? 1) Was a diagnosis already given?
When? 2) Timeline
How? 3) Mechanism of injury
Where? 4) Structures involved
5) Level of disability
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8
Q

Timeline of a New Condition is within

A

3 months

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9
Q

Body can’t resolve a condition on its own if the timeframe is _______

A

> 3 months or 100 days

==> INTERVENTION is necessary

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10
Q

_______ pain which can present in a chronic condition as part of the pain cycle.

A

Acute

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11
Q

What needs to be understood to help determine the severity of the injury & the most likely tissues involved.
i.e accident, degenerative, repetitive process

A

Mechanism of Injury

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12
Q

Identifying what determines the recovery rate based on its blood supply?

A

Structures involved

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13
Q

What does the level of disability exactly mean?

A

Movements produce or relieve pain give a clue on

a) tissues that are involved
b) the pathology itself

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14
Q

What are the pain question of the level of disability?

A

When does it hurt?
Can you make it hurt?
What makes it hurt the most?

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15
Q

“An unpleasant SENSORY and EMOTIONAL experience associated with actual or potential tissue DAMAGE, or described in terms such a damage.”

A

PAIN

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16
Q

A noxious potentially damaging biological process of pain.

A

Nociception

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17
Q

Pain recording (name 4 Factors) will create a baseline for your _________

A
• Location
• Intensity
• Frequency
• Duration
Baseline for intervention
18
Q

As an acupuncturist what is important to do with pain location?

A

Using either anatomical or acupuncture language to precisely describe the location of pain, since it will change with treatment.

19
Q

What are the 3 pain qualities?

A

1 - paroxysmal (sudden)
2 - superficial
3 - deep

20
Q

PAROXYSMAL pain sensations

A

sharp, shooting, hot, electric, radiating

sharp shooter [hides behind] hot electric radiator

21
Q

SUPERFICIAL pain sensations

A

cold, numb, tingling, sensitive, itchy

Haende in einem Fingerhandschuh

22
Q

DEEP pain sensations

A

achy, heavy, cramping & throbbing

23
Q

Pain Types (6)

A
  • Somatic
  • Neuropathic
  • Psychogenic
  • Visceral
  • Sympathetic
  • Phantom
24
Q

Orthopedic, nociceptive pain, activation of pain receptors in the skin and musculoskeletal system (muscle, bone, tendon, ligament etc.)

Type of Pain?

25
Either SPINAL CORD or PERIPHERAL nerve pain such as tingling, burning, pins & needles, stinging, to name a few. Type of Pain?
Neuropathic
26
Mental, emotional, social or behavioral producers of pain. Type of Pain?
Psychogenic
27
Activation of pain receptors from the internal organs.
Visceral
28
Pain signals sent to the brain by the sympathetic nervous system. Complex regional pain syndrome (CRPS)
Sympathetic
29
Pain related to a lost limb
Phantom
30
Tong zhi bu tong [tong ... tong]
If there is free flow there is no pain
31
Bu tong zhi tong [BOOH :( ]
If there is no free flow there is pain
32
Stagnation doesn't always produce pain. It can also produce ______ (5)
* stiffness * tightness * decrease in ROM (range of motion) of a joint * numbness * paraesthesia
33
Qi and Blood flow together, if you see these symptoms: DULL, ACHY, DIFFUSE LOCATION, NOT AS PALPABLE which STAGNATION is this?
Qi
34
Qi and Blood flow together, if you see these symptoms: STRONG, SHARP PAIN, FIXED LOCATION, PALPABLE which STAGNATION is this?
Blood
35
Tissue damage from trauma, both acute and cumulative leads to (in most cases) _______? Why?
Blood stag b/c inflammation that is part of the repair
36
A skin area innervated by the sensory fivers of a single nerve root.
Dermatome
37
A group of muscles primarily innervated by the motor fivers of a single nerve root.
Myotome
38
Innervation Zones (IZ) are ...
... motor fibers @ specific muscles @ specific zones
39
Spinal nerves have both a) and b)
a) motor fibers | b) sensory fibers
40
Sensory fibers innervate _____
specific areas of skin