Brainscape's Knowledge GenomeTM

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


See full index

S7- Differential Diagnosis > Week 1- Intro to Screening for Referral > Flashcards

Week 1- Intro to Screening for Referral Flashcards

1
Q

PART 1

A

PART 1

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

What is the goal of a PT examination?

A

Identify NMS dysfunction and design POC that specifically treats dysfunction.

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

It is possible for systemic disease to mimic NMS dysfunction, what does this mean?

A

Means there is a need to screen for possibility of systemic disease.

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

(SQ)

What regions of the body may systemic disease refer to? Which 2 are the most common?

A
  • BACK
  • SHOULDER
  • Neck
  • Chest/ribs
  • Hip/groin
  • Sacrum/pelvis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

(SQ)

What are the (3) options that PTs have after each patient encounter?

A
  • Treat
  • Refer
  • Treat and refer
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Screening:

  • Begins with a well developed ________ and _________.
  • What can a lack of adequate and thorough attention to clues in the patients Hx result in?
  • When do we perform screening?
A
  • history and interview
  • Can result in serious condition being overlooked.
  • Screening continues throughout care.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Reasons for screening. (7)

A
  • Direct Access
  • Quicker and sicker patient base
  • Signed prescription w/o direct MD contact
  • Medical specialization
  • Disease progression
  • Patient disclosure
  • Presence of one or more yellow or red flags
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Is failure to refer to a licensed MD or dentist when patient’s condition is beyond scope of PT unlawful?

A

YES

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

The PT diagnostic process begins with a ________ examination.

A

screening

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q
  • What is the (5) step process of PT treatment?

- Where does screening start?

A
  • Examination, Evaluation, Diagnosis, Prognosis, Intervention
  • Examination
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What are the (2) purposes of the diagnostic process?

A
  • Provide most appropriate POC.

- Recognize need for medical referral.

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

Should we assume that a referring diagnosis is correct and that the patient has been previously screened by referring provider?

A

NO

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

PART 2: GOODMAN SCREENING MODEL

A

PART 2: GOODMAN SCREENING MODEL

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

The Goodman Screening Model is carried out through the ____________ and verified during the _____________.

A
  • patient interview

- physical exam

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

(SQ)

What are the (5) steps of the Goodman Screening Model?

A
  1. ) Client Hx
  2. ) Risk Factors
  3. ) Clinical Presentation (pain types/patterns)
  4. ) Associated S/Sx of systemic disease
  5. ) Review of Systems
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is the difference between red flags and yellow flags?

A 
Red Flags (Clinical Flags)
-Signs of serious pathology that require immediate attention.

Yellow Flags (Psychosocial Flags)

  • Psychosocial barriers to recovery.
  • Potential to increase risk of long-term disability and work loss.
17
Q

Client Hx:

  • Can be accomplished using a standardized intake/medical screening form.
  • Should include ______/_______ Hx.
  • Good Hx is essential key to a correct diagnosis.
A

-personal/family Hx

18
Q

Components of medical screening form. (9)

A
  • Demographic
  • Allergies/Health status
  • Constitutional symptoms
  • Past Medical History
  • Functional Status/Activity Level
  • Symptom history and behavior
  • Medications
  • Body Diagram
  • Numeric Pain Rating Scale
19
Q

(SQ)

What are constitutional symptoms?

A

Constitutional Symptoms (non-specific/non-related)

  • Group of symptoms that can affect many parts of the body and are common S/Sx.
  • Require further evaluation.
20
Q

List some constitutional symptoms. (9)

A
  • Fever
  • Diaphoresis (unexplained sweating) (night or day)
  • Chills
  • N/V/D
  • Pallor
  • Dizziness/syncope
  • Fatigue/malaise/weakness
  • Appetite loss
  • Weight loss
21
Q

Example Red Flags:

  • Age over ___ years
  • Personal or family history of ______
  • No known cause, unknown etiology, ________ onset
  • Recent report of increased _________ could be a neurologic sign, drug-induced (e.g., NSAIDs), postop (e.g., fat embolism), result of abuse or assault
  • Recent (last 6 weeks) _________ especially when followed by neurologic symptoms 1-3 wks later, joint pain or back pain (mono, URI, UTI, viral infection such as measles, hepatitis)
  • Recurrent _____/____ with cyclical pattern
  • Recent history of _______ or minor _______in adult with osteopenia/osteoporosis
  • History of immunosupression (ie steriods, organ transplant, HIV)
  • History of injection drug use (infection)
A
  • 40
  • cancer
  • insidious
  • confusion
  • infection
  • colds/flu
  • trauma
22
Q

Risk Factors:

  • Important part of disease ___________.
  • Knowing risk factors for different diseases and conditions are an important part of screening and may lead PT to make earlier ________.
  • Can a single risk factor be significant?
A
  • prevention
  • referral
  • Can be significant, view in context of whole patient presentation.
23
Q
  • What is the difference between Primary, Secondary, and Tertiary Prevention?
  • What is Health Promotion and Wellness?
  • Screening plays a part in which of these?
A

Primary Prevention
-Stopping process that lead to the development of disease/illness through education, risk factor reduction and general health promotion.

Secondary Prevention
-Early detection of disease/illness through regular screening.

Tertiary Prevention
-Providing ways to limit the degree of disability while improving function in patients with chronic/tertiary diseases.

Health Promotion and Wellness
-Providing education and support to help patients make choices that will promote/improve health.

-Screening is involved in primary and secondary prevention, as well as health promotion and wellness.

24
Q

List possible health risk factors. (9)

A
  • Substance/Alcohol use/abuse
  • Tobacco use
  • Age
  • Gender
  • Body mass index (BMI)
  • Sedentary lifestyle
  • Race/ethnicity
  • Occupation
  • Exposure to radiation
25
Q

Clinical Presentation:

  • Clinical “________”.
  • Identification of specific pain ______/______ that correspond to specific systemic diseases.
A
  • “picture”

- patterns/types

26
Q

Pain Pattern Red Flags:

  • Pain of unknown cause.
  • _____/______ pain (need second look due to being most common location for referred pain).
  • Pain accompanied by full _____.
  • Pain not consistent with emotional/psychological overlay.
  • ______ pain (constant and intense).
  • Symptoms are ______ and ________.
  • Pain made worse by activity and better by rest. (i.e. intermittent claudication or UQ pain with use of LE while UE are inactive suggest cardiac).
  • Pain described as throbbing, knifelike, boring or deep aching.
  • Pain that is poorly _______.
  • Pattern of _______/______ like spasms. (colicky)
  • Pain accompanied by S/Sx associated with specific viscera or system.
  • Change in MSK symptoms with food intake or increased pain with medication use.
A
  • back/shoulder
  • full ROM
  • Night pain
  • constant and intense
  • poorly localized
  • coming/going
27
Q

1

A

1

28
Q

Associated S/Sx of Systemic Disease:

  • Each system has a typical set of core S/Sx.
  • The presence of _______ symptoms is always a red flag.
A

constitutional

29
Q

What are some reasons it may be useful to use “symptoms” instead of “pain” during patient interviews? (2)

A
  • If we aren’t careful, we may become to focused on the pain and miss other problems the patient is experiencing.
  • Important when dealing with patients with chronic pain in order to move focus away.
30
Q
  • _____________ = “A brief or limited exam of the anatomic and physiologic status of the cardiovascular/pulmonary, integumentary, musculoskeletal and neuromuscular systems”.
  • _____________ = “A series of questions or checklists to identify symptoms potentially associated with occult disease, medical conditions, and/or adverse medication events that may mimic conditions that are amenable to physical therapist intervention”
A
  • Systems Review

- Review of Systems

31
Q

Review of Systems:

  • Series of _______/________ to identify symptoms potentially associated with occult disease.
  • Review of Systems looks to categorize complaints and S/Sx, why?
  • Ask ALL patients _______, _________, and ________/________ question sets.
A
  • questions/checklists
  • Identify clusters of S/Sx that may refer to underlying system involved and need for referral. Follow-up questions specific to that system are then asked.
  • General, Integumentary, Musculoskeletal/Neurologic
32
Q

With the Review of Systems, a “yes” answer requires the need to determine what (3) things?

A
  • Explanation?
  • Is MD aware?
  • If MD is aware, has it worsened?
33
Q

Fracture CPR. (4)

A
  • Prolonged steroid use
  • Age >70
  • Significant trauma
  • Female
34
Q

What (4) things warrant a referral?

A
  • Findings inconsistent with NMS dysfunction.
  • Presence of cluster of symptoms that indicate involvement of body system.
  • Adverse/inappropriate or lack of response to intervention.
  • Onset of new systemic symptoms.

S7- Differential Diagnosis (15 decks)

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