Lecture 01 Flashcards
“Involves identifying or determining the etiology of a disease or condition through evaluation of a pt history, physical exam, and review of laboratory data or diagnostic imaging” describes what?
The diagnostic process
“A working diagnosis requiring further verification” is a _____?
Diagnostic Impression
-guides us in determining whether or nor someone is appropriate for therapy by identifying red and yellow flags in clinical presentation
A ___ is a symptom or sing that requires immediate attention to either pursue further screening, examination, or to alter/possibly halt treatment and make an appropriate referral.
Red Flag
A ___ can be beliefs, judgements, emotional state and pain behavior which can be impacted by both co-morbid conditions, as well as perception of pain (bio pyschosocial model).
Yellow Flag
The following are examples of which type of flag:
- Unknown weight changes + history of cancer
- Symptoms that don’t change with movement
- Hypertension
- Hyperglycemia
- Bladder/Bowel incontinence
- Fracture
- Change in mentation
Red Flags
The following are examples of which type of flag:
- depression
- anxiety
- fear avoidance behavior
- self image
Yellow Flags
The following are all part of which step of the diagnostic process:
- general demographics
- social history
- occupation
- growth and development
- living environment
- general health status
- social/health habits
- family history
- medical/surgical history
- current condition(s)/Chief complaint(s)
- functional status and activity level
- Medications
- Review of Systems
The Subjective History
Why is it important to know about the behavior of symptoms that the pt presents with?
- Symptoms of movement disorders: typically fluctuate as the mechanical loads on the body increase/decrease with time of day, onset or cessation of specific activities, and assumption or avoidance of certain postures
- if the symptom patter reveals no consistent presentation, the PT should begin questioning if PT intervention is warranted.
The following is the purpose of which component of the subjective history:
- identify symptoms that may have been overlooked
- identify symptoms related to a principle complaint
- identify existing co-morbid conditions
- identify occult disease
- identify adverse drug reactions (ADR)
The Review of Systems
__ can be defined as:
-a series of checklists (i.e, Health Intake Form) or questions as part of the subjective assessment, on common symptoms relevant to major body systems.
Review of Systems
- Not intended to identify or rule out specific diseases
- Part of the subjective screening process (medical model for pre-examination screening)
What is the purpose of a Health Intake Questionnaire?
- screening technique that compliments a through verbal examination
- checklist of symptoms representative of a spectrum of diseases
- helps identify potential health problems that requires a referral
The following pattern describes which pain type:
- pain that increases/decreases predictably with associated movements, postures and/or activities
- During the Objective Assessment, testing that causes alterations in the pt’s symptoms, which indicates __ impairment or dysfunction
Mechanical pain/dysfunction
Where do the following retroperitoneal structures refer pain to as part of referral pain patterns?
- aorta
- duodenum
- pancreas
- esophagus
- kidney
- spleen
The back
- note; symptoms may vary by structure
- kidney = lateral back
- aorta = central back
- spleen = left lateral back
The following is information that helps PT’s figure out ___:
- onset (when and how) => insidious or idiopathic may predicate more serious pathology
- symptoms better/worse
- previous episodes (history) of symptoms
Behavior of symptoms
When is night pain most concerning?
- when the nighttime is the most intense period of pain in a 24hr period
- non-positional
- challenging going back to sleep
- history of malignancy, recent infection, ischemic heart disease
