Fundamentals of MSK Flashcards
(198 cards)
What is a differential diagnosis?
Systematic process used to identify the most probably dx from a set of possible competing diagnosses
When does a differential diagnosis begin?
In the hx with a working dx
What does the differential diagnosis direct?
The POC
What should we do when we begin our examination?
Obtain informed consent
What should we know about informed consent?
Specific
benefits and risks
offer options
full understanding
What does a history provide us with?
A mutual patient focused relationship
What should our history questioning begin with?
Open ended questions
When should we use closed ended questions in our history?
To clarify and verify
What kind of questions do we not want in our history?
Leading questions
What does SINSS stand for?
Severity
Irritability
Nature
Stage
Stability
Why do we use SINSS?
Helps determine the vigor and extent of physical exam and intervention as well as prognosis
What is minimal severity?
0-3/10
intermittent pain/limitation/medication
What is moderate severity?
4-7/10
Intermittent and constant pain/limitaiton/medication
What is maximal severity?
8-10/10
constant pain/limitation/severity
What about sleep are we concerned with?
If it is interrupted, influence of positional changes
What do we need to know about medications and supplements?
Dosage - OTC or precription
Frequency
Results
What is minimal irritability?
Easing > aggravating activities
Easier relief and slower aggravation
What is moderate irritability?
Easing = aggravating activities
Similar relief and aggravation timing
What is maximal irritability?
Aggravating > easing activities
Easier aggravation and slower relief
What is a mechanical issue?
Symptoms respond to movement
What is a non-mechanical issue?
Symptoms do NOT respond to movement - RED FLAG
What is nociceptive pain?
MSK or viscerogenic
vague, dull, achy
What is neuropathic pain?
Nervous tissue compromised
paresthesias and/or numbness
What is nociplastic pain?
Mismatched and heightened pain perception