Chapter 6 - Clinical Assessment and Diagnosis Flashcards
(41 cards)
Which assessment model is commonly used for a therapeudic intervention plan?
SOAP
Which assessment model is commonly used for an orthopedic assessment?
HOPS
Which assessment model is commonly used for a medical assessment?
HPE
What is a diagnostic sign?
An objective, measureable, physical finding (what you see, hear, feel, etc.)
What is a symptom?
information provided by the patient regarding their perception of the problem
What is the review of systems in an HPE?
Questions that target each of the body systems to screen for potential problems.
What does HOPS stand for?
history, observation palpating, stress tests
What is included in the S componant of a SOAP?
subjective, perceived state/ attitude
What is included in the O componant of a SOAP?
objective, measurable
What is included in the A componant of a SOAP?
assessment, injury severity, status, diagnosis
What is included in the P componant of a SOAP?
plan, modalities, exercise, functional
activities to achieve goals - immediate tx,
frequency/ duration, eval standards, patient
education, discharge criteria
When should short term goals be set for?
daily, weekly, updated regularly
When should long-term goals be set for?
@ end of rehab period
Which pain is a result of muscles, tendons, bones, the skin, and joints?
Somatic pain
Which pain is a result of organs, thoracic or abdominal cavity?
Viceral Pain
Where is the reffered pain for the liver?
right shoulder
Where is the reffered pain for the heart and spleen?
left shoulder
What is the difference between observation and inspection?
Observation is overall appearance (like gait, movement patterns, etc.)
Inpection is at the injury site (SHARP)
What is an antalgic gait?
a limp
What things should be looked for with palpation? (8)
- Temperature
- Swelling
- Point Tenderness
- Crepitus
- Deformity
- Muscle Spasm
- Cutaneous Sensation
- Pulse
What are the three normal joint end-feels during ROM and what do they mean
Soft - soft tissue approx
Firm - tissue, muscle, or lig. stretch
Hard - bone to bone
What are the four abnormal joint end-feels during ROM?
Soft - sooner than normal
Firm - sooner than normal
Hard - occurs in joint that doesnt normally have one
Empy - end range never reached
What are three reasons for an abnormal soft end feel?
soft-tissue edema
synovitis
ligamentus stretch or tear
What are three reasons for an abnormal firm end feel?
increased muscular tonus
capsular, muscular, ligamentus shortening
