Subjective Assessment

Question 1

Assessment - Phases (4)

Answer 1

1. Gathering information
2. Interviewing the patient
3. Completing objective assessment
4. Establishing a measurable baseline for evaluating response

Question 2

Gathering Information (7)

Answer 2

History of presenting condition (start of symptoms, aggravates, eases).
Previous medical history (surgery, smoking, msk).
Drug history.
Social history (occupation, hobbies, home, smoking, slcohol).
Familial history.
Medical examination (objective, diagnosis, plan).
Patients goals and expectations.

Question 3

Main symptoms for cardiovascular and respiratory disease (6)

Answer 3

Dyspnea
Cough
Airway secretion and hemoptysis
Modifications in lung sounds
Chest pain
Fever (not on it’s own)

Question 4

General information for each symptom (10)

Answer 4

Onset
Location
Duration
Quality
Severity
Aggravates & eases
Improving or deteriorating
Effect on ADLs
Previous diagnosis of similar episodes
Previous treatment and efficacy

Question 5

Determining a management plan (4)

Answer 5

1. Recognition of abnormal features in clinical assessment.
2. Order of relevance or urgency of clinical presentation.
3. Which aspect can be influenced by a PT.
4. Which interventions have the highest likelihood of affecting more than one aspect of clinical presentation.

Question 6

Clinical Reasoning - Definition

Answer 6

Process in which clinician, interacting with client, caregivers and healthcare team members, structures meaning, goals and health management strategies based on clinical data, clients choices and professional judgement.

Question 7

SMART Goals (5)

Answer 7

Specific (airway clearance)
Measurable (assessed w/ lung auscultation)
Attainable (ICU/rehab settings)
Relevant (Modifications in lung sounds)
Time bound (30min, one session)

Question 8

Chest Pain - Linked Diseases (pulmonary, neuro/MSK, Mediastinal)

Answer 8

Pulmonary: embolus, pneumothorax, tumor,
Neuro/MSK: Rib-fracture, muscular, neuralgia.
Mediastinal: Dissecting aortic aneurysm, esophageal shift.

Question 9

Dyspnea - Info to Acquire (4)

Answer 9

Borg scale
At rest?
Cyanosis, nail clubbing.
Weight loss (lung cancer)

Question 10

Cough - Info to Acquire (3) and Common sources (5)

Answer 10

Effective? (resp. muscle function)
Quality (productive/dry)
Severity, pain, timing, duration
Upper airway cough syndrome
Asthma, gastroesophageal reflux
Chronic bronchitis, non-asthmatic bronchitis

Question 11

Sputum/Hemoptysis - Info to Acquire (7) and Diseases Associated with Color (5)

Answer 11

Color, amount, consistency, pus, odor, taste and time of day.
Opalescent/white: chronic bronchitis, asthma.
Slightly discolored, no pus: bronchiectasis, CF, pneumonia.
Thick, yellow/green/brown: bacterial infection.
Blood specs, dark blood: tuberculosis, bronchiectasis, cancer, trauma, cardiac disease.
Pink or white: pulmonary edema.