General exam scheme Flashcards

Question

all musculoskeletal therapy assessment models use what systematic process?

Answer 1

Clinical examination Treatment Re-examination *should result in a generation of a diagnostic label

Answer 2

1: pathology based 2: impairment based

Answer 3

- traditional medical diagnosis (adhesive capsulitis, tendonitis) - linked to pathology - by themselves seldom useful in guiding PT clinical decisions/txs - provide little info on severity, irritability, nature, or stage of disease

Answer 4

clinical subjective & objective findings pt response to tx independent examination findings drive tx selection; do what relieves symptoms of reduces impairments -approach advocated by the Guide *generated through a systematic process: 1: Generate hypotheses: - history/intake: find subjective, functional asterisks - systems review - lab tests and imaging studies 2: eliminate and refine hypothesis - physical exam/special tests: find objective asterisks

Answer 5

``` "how did you feel when you left last time?" "how did you feel the next day?" progress on subjective asterisks? "are you doing your HEP? Show me." Progress on objective asterisks ``` occasional formal re-eval: progress on existing condition; revise goals? new problems surfacing?

Answer 6

1: do they belong here?? these findings require immediate medical attention 2: factors that require subjective questioning or are contraindications to selected manual therapy techniques 3: factors that require further physical testing and differentiation analysis

Answer 7

*these findings require immediate medical attention - pathological changes in bowel or bladder function - symptoms not compatible with mechanical pain (symptoms don't change w/ movement) - blood in sputum - numbness or parasthesia in perianal region - progressive neurological deficits - pulsatile abdominal masses - neurological deficits not explained by momradiculopathy - elevated sedimentation rate

Answer 8

*factors that require subjective questioning or are contraindications to selected manual therapy techniques - impairment precipitated by recent trauma - writhing pain - nonhealing sores or wounds - fever - clonus (upper motor damage) - gait defects - history of cancer - long term steroid use - hx of a disorder w/ predilection for infection or hemorrhage - hx of metabolic bone disorder - recent unexplained wt loss - age>50 - litigation for the current complaint - long term worker's comp - poor relationship w/ employment supervisor

Answer 9

ankle/upper sign if problems in CNS repeated beating of muscle contractions when put in a quick stretch indicated upper motor damage

Answer 10

*factors that require further physical testing and differentiation analysis - bilateral or unilateral radiculopathy or parathesia - unexplained limb weakness - abnormal reflexes

Answer 11

spinal cord pathology

Answer 12

absolute vs. relative different txs have different amounts of risk, so 1 list doesn't cover all tis lower risk -> higher risk AROM-> PROM, AAROM, stretching, mobilization -> manipulation

Answer 13

- malignancy of the targeted region - cauda equina lesions - rheumatoid collagen necrosis - red flags indicating neoplasm, fracture, or systemic disease - signs of VBI - unstable upper C-spine (except specific movements for stabilizing procedures)

Answer 14

``` Drop attacks, sudden weakness, loss of consciousness Dysphagia= trouble swallowing Dysarthria= trouble speaking Dizziness Diplopia=double vision ``` Numbness on 1 side of face/body Nystagmus= involuntary eye beating Nausea ``` Headaches Hearing disturbances (ringing not loss) ``` Ataxic gait disturbances

Answer 15

- active, acute inflammatory conditions - significant segmental stiffness - systemic disease - neurological deterioration - irritable patient - osteoporosis - quickly worsening condition - hamstring and upper limb active stretching on acute nerve root irritations

Answer 16

**same as active movement! - malignancy of the targeted region - cauda equina lesions - rheumatoid collagen necrosis - red flags indicating neoplasm, fx, or systemic disease - signs of VBI - unstable upper C-spine

Answer 17

**same as active movement! PLUS* * acute nerve root irritation (when S & O don't add up; any pt condition (handled well) that is worsening; oral contraceptives (c-spine); long term oral corticosteroid use * immediately post-pardum * blood clotting disorder - active, acute inflammatory conditions - significant segmental stiffness - systemic disease - neurological deterioration - irritable patient - osteoporosis - quickly worsening condition - hamstring and upper limb active stretching on acute nerve root irritations

Answer 18

**same as active & passive movement. PLUS* * practitioner lack of ability * spondylolithesis * gross foraminal encrochment * children/teens * pregnancy * fusions * psychogenic disorders * immediately post pardum - malignancy of targeted region - cauda equina lesions - rheumatoid collagen necrosis - red flags indicating neoplasm, fx, or systemic disease - signs of VBI - unstable C-spine

Answer 19

**same as passive movement - active, acute inflammatory conditions - significant segmental stiffness - systemic disease - neurological deterioration - irritable patient - osteoporosis - quickly worsening condition - hamstring & upper limb active stretching on acute nerve root irritations - acute nerve root irritation - immediately post pardum - blood clotting disorder

General exam scheme Flashcards

(43 cards)