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Ortho II > Overview/History > Flashcards

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?

A

Somatic

25
Q

Either SPINAL CORD or PERIPHERAL nerve pain such as tingling, burning, pins & needles, stinging, to name a few.

Type of Pain?

A

Neuropathic

26
Q

Mental, emotional, social or behavioral producers of pain.

Type of Pain?

A

Psychogenic

27
Q

Activation of pain receptors from the internal organs.

A

Visceral

28
Q

Pain signals sent to the brain by the sympathetic nervous system. Complex regional pain syndrome (CRPS)

A

Sympathetic

29
Q

Pain related to a lost limb

A

Phantom

30
Q

Tong zhi bu tong [tong … tong]

A

If there is free flow there is no pain

31
Q

Bu tong zhi tong [BOOH :( ]

A

If there is no free flow there is pain

32
Q

Stagnation doesn’t always produce pain. It can also produce ______ (5)

A
  • stiffness
  • tightness
  • decrease in ROM (range of motion) of a joint
  • numbness
  • paraesthesia
33
Q

Qi and Blood flow together, if you see these symptoms: DULL, ACHY, DIFFUSE LOCATION, NOT AS PALPABLE which STAGNATION is this?

A

Qi

34
Q

Qi and Blood flow together, if you see these symptoms: STRONG, SHARP PAIN, FIXED LOCATION, PALPABLE which STAGNATION is this?

A

Blood

35
Q

Tissue damage from trauma, both acute and cumulative leads to (in most cases) _______?
Why?

A

Blood stag b/c inflammation that is part of the repair

36
Q

A skin area innervated by the sensory fivers of a single nerve root.

A

Dermatome

37
Q

A group of muscles primarily innervated by the motor fivers of a single nerve root.

A

Myotome

38
Q

Innervation Zones (IZ) are …

A

… motor fibers @ specific muscles @ specific zones

39
Q

Spinal nerves have both a) and b)

A

a) motor fibers

b) sensory fibers

40
Q

Sensory fibers innervate _____

A

specific areas of skin

Ortho II (22 decks)

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