Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

MS2 > Week 1 - Intro to clinical Reasoning/ Hx taking > Flashcards

Week 1 - Intro to clinical Reasoning/ Hx taking Flashcards

1
Q

What are the models of clinical reasoning?

A
  1. Hypothestico-deductive reasoning
  2. Pattern recognition clinical reasoning model
  3. Collaborative model of reasoning (interactive, narrative)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

List the purposes of history taking? (7)

A

ECG BCID

  1. Establish relationship
  2. clinical diagnosis
  3. Goals or outcome
  4. Baseline
  5. Contraindications or precautions
  6. Intervention strategies
  7. Dose
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is the format of assessment session?

A
  1. History (questions)
  2. Objective assessment (Look, feel, move)
  3. Record (findings, asterisks)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

List the structure of the history? (7)

A
  1. Area and type
  2. Current Hx
  3. Past Hx
  4. Behaviour of symptoms (24 hr, agg/ease)
  5. Irritability of symptoms
  6. Contraindications and precautions
  7. Social Hx
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

When is Hx taken?

A
  1. initial consultation
  2. during tx to reassess S&S
  3. Following each treatment
  4. Reassess at start of each subsequent session
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are the different information noted on a body chart? (7)

A
  1. spatial distribution (site of pathology, pattern, # areas)
  2. Type of symptoms (pain, paraesthesia, anaesthesia, stiffness, weakness
  3. Quality ( dull, sharp, stabbing, locking)
  4. Instensity (VAS, scale out of 10)
  5. Depth
  6. Constant or intermittent
  7. Establish relationship of symptoms
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What structure would be suspected if patient complaining of deep, nagging and dull pain?

A

Bone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What structure would be suspect if patient complaining of dull ache?

A

Muscle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

List questions that would be used taking current history of patient. (5)

A

WWH PT

  1. When begin
  2. Which symptoms
  3. How (MOI)
  4. Progression
  5. Treatment since and effect
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What information can behaviour of symptoms tell us?

A

SIF

  1. Structure affected
  2. functional impairment
  3. Information of severity, irritability, nature of condition
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is the purpose of knowing the 24 hour behaviour of symptoms?

A

Determine whether symptoms are caused by a mechanical disorder or specific disease (systemic inflammation) and indicates progress

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What symptoms would indicate mechanical disorder?

A

better in the morning, worse at end of day, worse with activity, obvious aggravating factors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What symptoms would indicate Inflammatory problems?

A

Worse in morning, improvement with movement, stiffness >30min in morning, night pain, better with activity, no obvious aggravating factors.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is the importance of knowing the irritability of symptoms?

A
  1. Plan appropriate ax and tx

2. avoid making worse

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Define Red Flags and explain the purpose of asking special questions.

A
  • Certain pathologies may contraindicate all or selected tx strategies may require further medical investigation.
  • To alert possible serious pathology
  • To alert precautions/CI to examination or Tx
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

List special questions to rule out red flags. (9)

A

G MIX CCWSD

  1. General health
  2. Weight loss (unexplained)
  3. Inflammatory disorders, cancer, osteoporosis
  4. X-rays and other
  5. Meds
  6. Steroid use
  7. Cord signs
  8. Cauda equina
  9. Dizziness (VBI, VAD)
17
Q

Define Yellow Flags and the purpose of assessing them

A

Psychosocial and other risk factors that are likely to delay recovery
purpose - to decide if more detailed ax required or if a referral is needed
- identify if more important factors should be addressed
- prevent chronicity

18
Q

List yellow flags (8)

A
  1. Attitudes and beliefs about pain
  2. behaviours (ie. rest without activity)
  3. Compensation issues (work)
  4. Inappropriate diagnosis and treatment
  5. Castrophising and fear
  6. emotions (stress/no control)
  7. family response (overprotective)
  8. Work issues (poor job satisfaction
19
Q

What questionnaires can be used to identify yellow flags?

A
  1. Tampa scale for kinesiophobia (TSK)

2. Fear-avoidance beliefs questionnaire (FABQ)

20
Q

List information you would want to know about social Hx

A
  1. Age and gender
  2. employment
  3. Domestic role
  4. Leisure activities/sports
  5. Goals of treatment
21
Q

List the main conditions in MS physio

A
  1. Acute (ie. sprains)
  2. Overuse (ie. tendinopathies)
  3. Chronic (regional pain, low back)
  4. serious pathologies

MS2 (12 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions