Week 1.4 Recognizing Atypical Symptoms Flashcards
what is the prevalence of osteoporosis related fracture
4%
what is the prevalence of traumatic fracture like a spondy
1-2 %
what is the prevalence of visceral disease in ambulatory patients
2%
what is the prevalence of cancer in ambulatory patients
0.7%
what is the prevalence of infection in ambulatory patients
0.5%
where does the heart refer pain
left shoulder, mid back around the top of the scapula, down the left arm too.
where do the lung and diaphragm refer
neck, to the left, and around the back
where does the esophagus refer
down the front of the chest, and over the left chest
liver and gallbladder
right arm and shoulder and down on the right back, by the kidneys, and down by the inferior angle of the scapula
stomach
by the xiphoid process, and in the mid back between the scapula
pancreas
below the xiphoid, mid abdominal
gallbladder
right side body, by gallbladder
kidney
around the whole waist, front to back, and down into the genitals, and down the lateral thighs.
small intestine
umbilical region
appendix
low on the right side of abdomen
ovary
right where you would think, bilateral
colon
right in the middle, below the belly button, probably at the pant line
urinary bladder
butt crack top, in the groin area, just above, and on the posterior thighs.
changing position and posture has an effect on which mechanical or non-mechanical LBP
mechanical
TF; patient always volunteer all information
false,
What must we instruct patients to do with the body chart
shade in ALL areas (coming in for back pain, but shade in every else you have any symptom)
TF: we don’t have to explain the rational for using a body chart,
false, you do
why do we check asymptomatic areas
to make sure we didn’t miss anything, they didn’t leave anything out
what disorder do these descriptors match:
throbbing, pounding, pulsating
vascular
what disorder do these descriptors match:
sharp, lancinating, shocking, burning
neurologic
what disorder do these descriptors match:
aching, squeezing, gnawing, burning, cramping
visceral
when taking the symptom history what do you need
date on onset, MOI, compare and contrast episodes, with previous bouts or if this is new.
what other info do we need
rest, activities, time of day, position and postures, constancy, frequency, duration of symptoms, fluctuations in intensity, 24-hour behavior
what could cause changes in pain location, not due to apparent mechanical reasons
drugs, endocrine, neurologic, rheumatic and drug reactions
what do you need to know about night pain
how many nights per week, consistent when you wake? how does intensity compare to day? what needs to be done to fall back asleep
