Symptoms Investigating

Question 1

Low back pain

Answer 1

Can. Be mechanical problem
Cancer, infection, fracture,visceral disease

Question 2

Pain form

Answer 2

Pain from visceral structure = located anterior chest wall or abdominal region
Retro peritoneal visceral organs = belly pain- determine back pain
Pain generation = dull ache, stiffness, mild or moderate

Question 3

Joint hyper mobility symptoms

Answer 3

Widespread and persistent pain with repetition stiffness fatigue sleep deprivation

Question 4

Pain characterized

Answer 4

Bone= dull deep persistent
Muscle = blunt dull pain
Nerve= sharp widespread electric shock
Symphatetic nerve = burning, pinching,ache, pressure
Vascular = throbbing pulsating,pounding
Visceral = cramps ,dull ache

Question 5

Nociceptive pain

Answer 5

Mechanical
Inflammatory
Ischemic

Question 6

Mechanical

Answer 6

Localized pain , pain with stretching,compression movement
No pain when you wake up but pain when getting out of the bed, mild or moderate response to basic drugs

Question 7

Inflammatory pain

Answer 7

Persistent unstable pain
Getting worse when you move
Night pain
Restricted movement due to pain
Response to non steroid anti inflammatory drugs

Question 8

Ischemic pain

Answer 8

Intermittent pain
Prolonged static posture- aggressive the pain
Changes of position- relieve the pain

Question 9

Behavior of symptoms visceral pain

Answer 9

Complaining about intermittent thoracic pain
Reduces pain after eating = duodenal ulcer
Increase pain after eating = gallbladder
Symptoms that move from one place to another = neurological, endocrine, rheumatic disorders

Question 10

Night pain

Answer 10

Is the pain wakes you up from sleep it’s serious disease maybe cancer or infection but if the patient says the can go back to sleep then it’s not serious

Question 11

The flag system

Answer 11

Red flag = very sever problem
Yellow flags = psychological problems
Blue flag = social problems

Question 12

Red flag

Answer 12

Pain increases no change, wight lost, weakness if it getting worse, for neck pain loss if sensation worsens at night , for back pain urine problems caud equina syndrome
Also if Hoffman and Babaeski is positive we cannot treat the patient

Question 13

Pt asess L.4 L.5 S.1 Dermatones

Answer 13

L4 motor integrity = quadriceps, tibialis anterior
L5 motor internal = extensor hallucis longus, evertor
S1 motor integrity = ankle plantar flexors

Question 14

Compartment syndrome

Answer 14

Pain that occurs due to pressure within the muscles that will cause decreasing blood flow

Question 15

Sight and symptoms of compartment syndrome

Answer 15

Swelling and bleeding
Pain
Palpable tenderness
Numbness
Weakness of the movement
Faint pulse

Question 16

Spinal accessory nerve

Answer 16

Weakness of shoulder abduction
Lack of scapular stabilization
Dull pain, weakness and dropping shoulder

Question 17

Axillary nerve

Answer 17

Weakness of shoulder abduction and flexion
Lack of sensation in the lateral aspect of upper arm

Question 18

Long thoracic nerve

Answer 18

Serratus anterior weakness
Winging scapula

Question 19

Suprascapular nerve

Answer 19

Weakness of shoulder abduction and ER
pain is deep and poorly localized

Question 20

Fracture

Answer 20

Pain , tenderness, swelling, ecchymosis

Question 21

Reynoud’s phenomenon

Answer 21

• Hands or feet that blanch go blue and turn red when exposed to cold or emotional stress
• Pain and tingling in hands when they turn red
• Past medical history for rheumotid arthritis, occlusive vascular disease, smoking

Question 22

Complex regional pain syndrome

Answer 22

• Trauma, fracture
• Severe aching, cutting, boring pain  hypersensitivity
• Area swollen, warm and erythematous
• Pain not response to typical analgesics