Sectional 1 Flashcards
Sexual dysfunction, urinary frequency changes, and dyspraxia are all category _ _ _, meaning they are not _ _, but they need to be _.
Are all category II RED FLAGS, meaning they are not LIFE THREATENING, but they need to be MONITORED.
A decreased _ level is common among conditions including: chronic/ recent acute blood loss, some cancers, kidney and liver disease, malnutrition, vitamin deficiencies (B12, folic acid, iron), pregnancy, lupus, RA and peptic ulcer disease. A level of _ than _% is considered a red flag.
A decreased HEMATOCRIT LEVEL is common among . . . .
A level of LESS THAN 30% is considered a RED FLAG
According to the San Francisco Syncope Rule any of which 5 measures is considered at high risk of a serious outcome?
SPASM
- stroke
- pulmonary embolism (PE)
- arrhythmias
- subarachnoid hemorrhage (SAH)
- myocardial infarction (MI)
Of the 5 measures outlined as a high risk for serious outcome by the San Fran Syncope Rules they make up -% of ER visits and _% of those patients are _.
Make up 3-6% of ER visits
50% of those patients become HOSPITALIZED
If a patient’s pain is _ at _, and they can’t find a _ of _- it is a red flag. If _ in a recliner relieves pain what 3 things should you look at?
If patients pain is WORSE AT NIGHT, and they can’t find a POSITION OF COMFORT- it is a red flag
If SLEEPING in a recliner relieves pain, you should check:
-gall bladder, kidney or urogenital system dsyfunctions
Less than _% of _ thoroughly screen for Red Flags.
Less than 5% OF PHYSICIANS thoroughly screen for Red flags.
Category 1 red flags: factors that require _ _ _
Factors that require IMMEDIATE MEDICAL ATTENTION
What category of Red flag is being described: factors that require subjective questioning and precautionary examination and treatment procedures before referral. Requires _ _.
Category II
Requires FURTHER TESTING
Category III Red flag: factors that require _ _ _ and _ _ (perhaps ‘_ treatment’)
Factors that require FURTHER PHYSICAL TESTING and DIFFERENTIATION ANALYSIS. (Perhaps ‘TRIAL treatment’)
In a study on documentation of Red flags for patients with LBP PT’s flagged presence of _ of the _ red flag items and were documented _% of the time. _ have a better screening _ than _.
PT’s flagged presence of 7 of the 11 red flag items and were documented 98% of the time
PT’s have better screening PERCENTAGE than PHYSICIAN
Military PT are the primary care providers for musculoskeletal disorders since 1971 and has resulted in: _% reduction in _ _ for patients.
Resulted in a 300% reduction in WAIT TIME for patients
In a survey of family practice physicians _% felt they had insufficient training in orthopedics, _% claimed that med school was their only source of formal musculoskeletal training.
51% felt they had insufficient Ortho training
56% said med school was their only source of formal MSK training
When did direct access go into effect in CA?
January 1, 2014
External myths in medical screening by physicians: PT _ _ _ since they don’t _; PT don’t have the _ or _ to _; how can PTs have direct access if they cannot perform _.
PT’s CAN NOT SCREEN since they don’t DIAGNOSE
PT’s don’t have the TRAINING or EXPERTISE TO SCREEN
How can PT’s have direct access if they can’t perform X-RAYS?
X-RAYS have been found to be _ when screening for a variety of medical conditions.
Found to be INEFFICIENT when screening for a variety of medical conditions.
Testing strategies for detecting underlying cancer in patients with LBP: history of _, _ _, failure to _ to _ _, erythrocyte sedimentation rate of _ than _ _/ hour, Positive findings on a _; and older than _ years of age.
- history of CANCER
- WEIGHT LOSS
- failure to RESPOND to CONSERVATIVE THERAPY
- erythrocyte sedimentation rate of LESS THAN 50 mm/ hour
- positive findings on an X-RAY
- older than 50 YEARS of age.
Of the 6 factors looked at to screen LBP for cancer, a PT can screen/ perform _ _.
Can screen/ perform 4 FACTORS (out of 6)
Fatigue, weight loss, fever, frequent pain, and sores that don’t heal are all _ _ for _.
Are all RED FLAGS for CANCER
LBP that is initially mild, diffuse, dull ache, and is intermittent or constant but variable is?
NOT A RED FLAG FOR CANCER
LBP that gradually progresses or has 3 months of localized, sharp, intense, unrelenting or incapacitating pain, and is accompanied by weight loss, nausea, fever, night sweats, or night pain are?
Are RED FLAGS FOR CANCER
If you have 1-2 weeks of localized, intense, unrelenting LBP that is constant and possibly accompanied by weight loss, nausea, fever, night sweats and malaise these are _ _ for _.
These are RED FLAGS for INFECTION
_ _ are defined as anything that comes between our patient and the correct diagnosis.
YELLOW FLAGS
According to study by Jarvik _ do not predict success/ non-success in rehabilitation or future disability. _ lead to higher rates of _ _.
MRI’S do not predict success . . .
MRI’S lead to higher rates of SURGICAL INTERVENTIONS
Flynn study found MRI’s result in more _ and more _ without _ _.
More SURGERIES and more COMPLICATIONS without BETTER OUTCOMES.