Patient History Flashcards
A good case history will give you a close indication of the patient’s diagnosis what % of the time?
70%
The highest diagnosis on your differential diagnosis list?
working diagnosis/clinical impression
What are the three options of therapeutic program?
chiropractic management care plan, concurrent care, of referral for care
All patients want to know the answer to what questions?
What’s wrong? Can you help? How long will it take? and How much will it cost?
Therapeutic trial involves SOAP notes-what does SOAP stand for?
subjective findings, objective findings, assessment and plan -recorded each visit
How often should a full exam be done on a patient?
once a year or following an injury
These are less obvious answers or statements from you patient almost always given by the patient in the history and/or physical examination.
soft clues
What scale uses a rating 0-10?
Borg pain scale
What kind of pain is described as radiating, sharp, stabbing, and well demarcated. Area of sensation attributed to a particular nerve root level?
dermatome pain
What pain is described as referal within muscular or fascial tissue?
myogenous pain
Dull, achy, diffuse and difficult to pinpoint. This is referred pain from somatic structures; cartilage, ligament, joint capsule, or bone.
scleratogenous pain
Passive range of motion bone to bone
an abrupt stop when two hard surfaces meet
Passive range of motion with capsular end feel
“leathery” slight give at end ROM
Passive range of motion-springy block
a usually pathologic end-feel, generally representing an intraarticular displacement
Passive range of motion tissue approximation
no further joint movement
