Lecture 1 - Ax intro Flashcards

1
Q

What is medical differential diagnosis?

A

The comparison of sx of similar disease and medical diagnostics

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2
Q

What is therapy differential diagnosis?

A

The comparison of neuromusculoskeletal signs and symptoms to identify the underlying movement dysfunction so that treatment can be planned as specifically as possible

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3
Q

Total MSK assessment = (9 steps)

A
  1. Patient history
  2. Observation
  3. Screening if necessary
  4. Examination of movement (physical exam)
  5. Special tests
  6. Reflexes and cutaneous distribution
  7. Joint play
  8. Palpation
  9. Diagnostic imaging
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4
Q

SOAP

A

Subjective
Objective
Assessment
Plan

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5
Q

What is subjective information

A

What you hear

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6
Q

What is objective information

A

What you observe and do-measures

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7
Q

What is assessment

A

What you think

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8
Q

What is the plan

A

What will you do

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9
Q

In SOAPIE, what is IE

A

Implement - this is what you’ve done
Evaluation - this is whether the care has been effective in reaching the goals

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10
Q

What is included in client Hx (5)

A

Age/sex
Occupation
Chief complaint
Allergies/medications
Previous injuries/surgeries

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11
Q

What is included in injury Hx (4)

A

MOI
Onset timing
Symptoms now and then
OPQRST

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12
Q

Pain that is not affected by rest or activity indicates ___ or ___ or ____

A

Bone pain or organic/systemic disorders or severe pathology

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13
Q

Pain with activity that decreases with rest usually indicates ___

A

Mechanical pain from something being pinched, stretched or contracted (tight)

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14
Q

Pain and stiffness in the morning, which improves with activity, usually indicates ___ & ___ that decrease with activity

A

Chronic inflammation & edema

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15
Q

Pain and aching that increase as the day progresses usually indicate ___ in the joint from the joint being ____

A

congestion (swelling)
overstressed

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16
Q

Cramp, dull, ache

A

Muscle

17
Q

Dull, ache

A

Ligament, joint, capsule

18
Q

Sharp, shooting

A

Nerve root

19
Q

Sharp, bright, lightening

A

Nerve

20
Q

Burning, pressure, stinging, ache

A

Sympathetic nerve

21
Q

Deep, nagging, dull

A

Bone

22
Q

Sharp, severe, intolerable

A

Fracture

23
Q

Throbbing, diffuse

A

Vasculature

24
Q

Name a couple common constitutional symptoms of systemic disease

A

Fever, night sweats, pallor, nausea, vomiting, fatigue, weight loss, dizziness, diarrhea

25
Q

What is made from history alone, but confirmed or refuted by observation and examination?

A

Index of suspicion (IOS)

26
Q

SHARP

A

Swelling
Heat
Altered function
Redness
Pain

27
Q

Scanning examination involves (3)

A

Peripheral joint scan (for spine)
Motor scan (myotomes)
Sensory scan (dermatomes)