Test #1 Flashcards
1st stage of the inflammation process is initiated by what?
Cellular & vascular destruction
Signs of the 1st stage of inflammation?
Pain (dolor)
Heat (calor)
Redness (rubor)
Swelling (edema)
Causes of the 1st stage of inflammation?
Trauma (M/C), Infectious, Chemical
2nd stage of inflammation process is called?
Consolidation
In this stage of inflammation, the tissue is now drying out and beginning to harden
2nd stage
Characteristics of 2nd stage of inflammation?
Swelling has terminated, Pain has decreased, Redness & heat are not evident
3rd stage of inflammation is the ______ stage?
Repair
What type of pattern is tissue laid in any direction?
Cross Matrix pattern
Cross matrix pattern can lead to what?
adhesions
Proper repair in the 3rd stage of inflammation necessitates what?
Passive, active, & resistive rehab exercise
4th stage of inflammation is known as?
Resolution
2 mode of onset modifier terms?
Traumatic & Insidious
Onset that results from tissue being taken beyond it’s normal limits?
Traumatic
Damage to muscle tissue?
Strain
Damage to ligament tissue?
Sprain
Grade I Strain/Sprain histological definition?
0-50% tearing of tissue
Grade II Strain/Sprain histological definition?
50-100% tearing of tissue
Grade III Strain/Sprain histological definition?
> 100% tearing of tissue
Grade I Strain/Sprain functional definition?
Mild to moderate symptoms with no dysfunction, recovers in 2-4 weeks w/ no intervention
Grade II Strain/Sprain functional definition?
Moderate to severe symptoms w/ physical & lifestyle impairments, recovery 6 weeks to 18 months w/ health care interventions
Grade III Strain/Sprain functional definition?
Severe symptoms w/ complete loss of function
Mode of onset that has a slow onset of symptoms which are progressive over time
Insidious
This is the term that is used to describe the patient’s tissue causing their main complaint
Primary diagnostic term
These are diagnostic terms that are conditions (symptoms) which accompany the primary diagnosis, but are not actual symptoms of the patient’s chief complaint
Associated modifier terms
These are diagnostic terms that complicated the patient’s condition
Complicating modifier terms
Complicating conditions include?
Degenerative pathologies, systemic disease, congenital abnormalities, structural abnormalities
A short phrase which indicates patient lifestyles tha causes the patient’s symptoms to worsen when they perform those duties
Aggravating modifier terms
Dura Mater is affected by?
Recurrent meningeal nerve, Innervated sinuvertebral nerve, & nerve of Von Luska
Local symptom lateral to the spine & when severe enough can radiate along the course of the peripheral nerve indicates problem with?
Nerve root
Irritation of this type of nerve compresses blood vessels, causes numbness (paresthesia) & pain
Peripheral nerve
This structures is innervated by recurrent meningeal nerve and its symptoms are local to the spine
IVD
Facets & diarthrodial joints have symptoms from?
Ligaments from stretching, Cartilage (joint surface) from compression, & the synovium
This structure is indicated if its under pressure, pressure can be elevated by compression forces, & increased intra-thoracic & abdominal pressure result in increased symptoms
IVD
What part of diarthrodial joint is indicated if symptoms are increased w/ compression forces?
Joint surface
What part of diarthrodial joint is indicated if symptoms are increased w/ stretching forces?
Joint capsule (ligaments)
Spinal exam reveals mostly extensor muscle involvement when stresses are from?
Stretching forces & resistive forces
This type of tissue can produce local, deep, symptoms, deformity, & dysfunction
Bone (pathology)
Decreased, less than
Hypo-
Increased, more than
Hyper-
Anterior translation
Antero-
Posterior translation
Retro-
Right
Dextro-
Left
Levo-
Pain
-algia
Inflammation of the inflammatory process
-itis
Condition of the root word, generally means pathology
-opathy
Condition of the root word, generally describes degenerative changes
-osis
Separation, break, tear
-lysis
Spinal cord fibrils, covering of the cord
Myelo-, Meninges
Spinal cord fibrils pathology
Myelopathy
Inflammation of the covering of the spinal cord, caused by infectious & chemical processes
Meningitis
Nerve root, describes the nerve root found in the spinal canal & IVF
Radical
Describes nerve root (adjective)
Radicular
Nerve root pain. Does not radiate, no neurological findings
Radicualgia
Nerve root inflammation/irritation (hyperexcitable), can have paresthesia. May radiate along peripheral nerve, may have neurological signs that are exaggerated
Radiculitis
Nerve root pathology which is depressed nerve function, may have radiating symptoms
Radiculopathy
Peripheral nerve pain, no neurological signs
Neuralgia
Inflammation of peripheral nerve. May have increased neurological signs, paresthesias & pain
Neuritis
Peripheral nerve pathology which has decreased function & may have depressed neurological signs
Neuropathy
Condition of the spine. Refers to disc degeneration or evidence of it. Evidence seen is: end plate thickening (sclerosis, spurring, etc)
Spondylosis
Separation of the pars interarticularis w/ no forward slippage of the vertebral body
Spondylolysis
Anterolisthesis that may be due to a lysis (ant. slippage of body)
Spondylolisthesis
Slippage/translation of the top vertebrae
Listhesis
Joint surface pain
Arthralgia
Joint surface inflammation
Arthritis
Condition of the joint. Describes joint pathology, generally degeneration
Arthrosis
Joint pathology, usually refers to organic pathology
Arthropathy
Inflammation of the synovium. Fluid will be overproduced
Synovitis
Capsular pain
Capsalgia
Capsule inflammation-swelling, possible heat, redness, & painful
Capsulitis
Muscle (root)
Myo-
Tendonus part of the muscle
Teno-
Muscle pain
Myalgia
Muscle inflammation
Myositis
Muscle fascial inflammation
Myofascitis
Inflamed tendon
Tendonitis
Chronic tendon pain & adhesion
Tendonosis
Tendon synovial inflammation
Tenosynovitis
Increase joint movement
Hyperkinesia
Decrease joint movement, can be used as the diagnostic term for joint fixation, restriction
Hypokinesia
Painful joint movement (active)
Kinesalgia
Blunt trauma generally to soft tissue
Contusions
Skin scraping
Abrasion
Cuts w/ sharp objects
Lacerations
Bone damage from trauma
Fractures
Decreased primary curve
Hypokyphosis
Increased primary curve
Hyperkyphosis
Decreased secondary curve
Hypolordosis
Increased secondary curve
Hyperlordosis
Abnormal lateral curve of the spine
Scoliosis
End plate hypertrophy & facet joint degeneration, both present
Spondyloarthrosis
Nerve root+peripheral nerve problem; pain symptoms, neurological findings are normal
Radiculoneuralgia
Nerve root+peripheral nerve inflammation, pain, paresthesia, increased MRS
Radiculoneuritis
Pathology of nerve root + peripheral nerve w/ pain, paresthesia & decrease MRS
Radiculoneuropathy
1st stage of the inflammation process is initiated by what?
Cellular & vascular destruction
Two types of case history?
Focus history & complete case history
The focus exam includes?
Chief Complaint & History of present illness
This is a description of the symptoms your pt is presenting w/ to your office?
Chief Complaint
OPQRST stands for?
Onset, Palliative/Provocative, Quality, Radiation, Site/Severity/Systems, TIme
When the symptoms begin as compared to when the pt presents to your office?
Time of onset
How the symptoms begin?
Mode of onset
What makes the symptoms worse?
Provocative
What makes the symptoms better?
Palliative
How the symptoms feel?
Quality
Localizing the symptoms?
Site
Subjective quantitative measure?
Severity (VAS or Borg scale)
Are the pt’s organ systems involved?
Systems
This involves frequency & duration of pt’s symptoms?
Time
The length of time the pt has & does not have their symptoms?
Duration
Complete case history includes?
Personal medical history, Family history, social history, occupational history, Habits, Review of systems
Patient medical history includes?
Medications, Illness, Surgery, Hospitalizations
Social History includes?
Alcohol use, Tobacco, Recreational drug use, Sexual history
Habits include?
Exercise, Recreation & relaxation, diet, hobbies
Muscle Test Grading
0=no muscle movement
1=visible muscle movement, but no joint movement
2=Movement of the joint, but not against gravity
3=Movement against gravity, but not against resistance
4=Movement against some resistance, less than normal
5=Normal strength against full resistance
DTR grading scale
0=Absent reflex 1+=Hypoactive reflex 2+=Normal "Equal bilateral" reflex 3+= Hyperactive w/o clonus 4+=Hyperactive w/ intermittent clonus 5+= Hyperactive w/ sustain clonus
Form of movement marked by contractions & relaxations of muscle, occurring in rapid succession seen with, among other conditions, spasticity & some seizure disorders?
Clonus
Components of the sensory exam?
Dorsal column systems, Lat. Spinothalamic tract (pain), Ventral Spinothalamic tract, Spinocerebellar tract, Double simultaneous stimultaneous stimuli
Dorsal column systems consists of what?
Fine touch, vibration sense, 2 point discrimination
Have pt clost eyes & report sharp or dull tests what?
Lat. spinothalamic tract (pain)
Using a cold tuning fork to assess temp. tests what?
Lat. spinothalamic tract
Using a tuning fork asses vibration tests what?
Dorsal Columns
Moving pt’s finger/toe up & down tests what?
Spinocerebellar tract (position sense)
Having pt touch finger to nose or rapid finger to thumb movements or alternating palm up/palm down tests what?
Spinocerebellar tract (coordination)
Pt sliding heel down opposite shin of opposite leg, tapping opposite knee w/ heel, or dr’s finger w/ big toe tests what?
Spinocerebellar tract (coordination)
Using open paper clip or open calipers to contact pt. with one or two points tests what?
Dorsal Columns (two point discrimination)
Drawing a number on pt’s palm tests what?
Posterior columns (graphesthesia)
Placing an object in pt’s hand & having them identify it w/ eyes closed tests what?
Posterior Columns (Stereognosis)
Pt can’t maintain balance w/ legs tight together w/ eyes closed tests what?
Posterior columns (Rombey’s Test)
Having pt identify touch on left & right tests what?
Tactile extinction
Wiggling a finger in the left, right, or both visual fields tests what?
Visual Extinction
Snapping fingers on left, right, or both sides tests what?
Auditory Extinction
Stroking bottom of pt’s foot from heel up the lat. foot to the little toe then across the ball of foot to big toe tests what?
Upper motor neuron (Babinski’s Sign)
Normal Babinski Response?
Toe flexion or no response
Abnormal Babinski response
Big toe extension, other digits abduction
This test involve flicking the nail on the 3rd or 4th finger?
Hoffman’s sign
Hoffman’s sign tests for what?
Problems w/ corticospinal tract (Upper motor neuron)
6 components of diagnostic statement?
Time modifier, Mode of Onset modifier, Primary Diagnostic term, Assoc. Modifier terms, Complicating modifier terms, Aggravating modifier terms
Name three time modifier terms
Acute, Subacute, Chronic
1st 72 hours of an inflammatory process or a non-inflammatory severe pain event?
Acute
After 72 hours & up to 18 months depending on the amount of tissue damage for an inflammatory condition. For non-inflammatory, looking at a moderate pain event to full recovery
Subacute
Condition that resolves to a maximum medical improvement (that is less than full recovery)?
Chronic