Week 1.4 Recognizing Atypical Symptoms

Question 1

what is the prevalence of osteoporosis related fracture

Answer 1

4%

Question 2

what is the prevalence of traumatic fracture like a spondy

Answer 2

1-2 %

Question 3

what is the prevalence of visceral disease in ambulatory patients

Answer 3

2%

Question 4

what is the prevalence of cancer in ambulatory patients

Answer 4

0.7%

Question 5

what is the prevalence of infection in ambulatory patients

Answer 5

0.5%

Question 6

where does the heart refer pain

Answer 6

left shoulder, mid back around the top of the scapula, down the left arm too.

Question 7

where do the lung and diaphragm refer

Answer 7

neck, to the left, and around the back

Question 8

where does the esophagus refer

Answer 8

down the front of the chest, and over the left chest

Question 9

liver and gallbladder

Answer 9

right arm and shoulder and down on the right back, by the kidneys, and down by the inferior angle of the scapula

Question 10

stomach

Answer 10

by the xiphoid process, and in the mid back between the scapula

Question 11

pancreas

Answer 11

below the xiphoid, mid abdominal

Question 12

gallbladder

Answer 12

right side body, by gallbladder

Question 13

kidney

Answer 13

around the whole waist, front to back, and down into the genitals, and down the lateral thighs.

Question 14

small intestine

Answer 14

umbilical region

Question 15

appendix

Answer 15

low on the right side of abdomen

Question 16

ovary

Answer 16

right where you would think, bilateral

Question 17

colon

Answer 17

right in the middle, below the belly button, probably at the pant line

Question 18

urinary bladder

Answer 18

butt crack top, in the groin area, just above, and on the posterior thighs.

Question 19

changing position and posture has an effect on which mechanical or non-mechanical LBP

Answer 19

mechanical

Question 20

TF; patient always volunteer all information

Answer 20

false,

Question 21

What must we instruct patients to do with the body chart

Answer 21

shade in ALL areas (coming in for back pain, but shade in every else you have any symptom)

Question 22

TF: we don’t have to explain the rational for using a body chart,

Answer 22

false, you do

Question 23

why do we check asymptomatic areas

Answer 23

to make sure we didn’t miss anything, they didn’t leave anything out

Question 24

what disorder do these descriptors match:

throbbing, pounding, pulsating

Answer 24

vascular

Question 25

what disorder do these descriptors match:

sharp, lancinating, shocking, burning

Answer 25

neurologic

Question 26

what disorder do these descriptors match:

aching, squeezing, gnawing, burning, cramping

Answer 26

visceral

Question 27

when taking the symptom history what do you need

Answer 27

date on onset, MOI, compare and contrast episodes, with previous bouts or if this is new.

Question 28

what other info do we need

Answer 28

rest, activities, time of day, position and postures, constancy, frequency, duration of symptoms, fluctuations in intensity, 24-hour behavior

Question 29

what could cause changes in pain location, not due to apparent mechanical reasons

Answer 29

drugs, endocrine, neurologic, rheumatic and drug reactions

Question 30

what do you need to know about night pain

Answer 30

how many nights per week, consistent when you wake? how does intensity compare to day? what needs to be done to fall back asleep