Patient History Flashcards
(46 cards)
____ is often our most valuable resource
the patient
what type of questions are ideal when taking pt history?
open-ended
what are red flags?
symptoms that may require immediate attention and supersede PT
what do red flags typically indicate?
- non-neuromusculoskeletal condition
- pathology of visceral origin
what are yellow flags?
- confounding variables which may be cautionary warnings regarding the pt’s condition
- require further investigation
- you need to proceed with caution
what are some red flags that can point to neoplasm?
- constant severe pain, esp at night
- unexplained weight loss
- loss of appetite
- unusual fatigue
- blurred or loss of vision
- frequent or severe HA
- persistent nerve root pain
- radicular pain with coughing
- paralysis
- trunk and limb paresthesia
- BL nerve root signs and symptoms
- difficulty with balance and coordination
what is a red flag that can point to thyroid dysfunction?
unusual fatigue
what are some red flags that can point to neuro dysfunction?
- blurred or loss of vision
- frequent or severe HA
- persistent nerve root pain
- radicular pain with coughing
- paralysis
- trunk and limb paresthesia
- BL nerve root signs and symptoms
- difficulty with balance and coordination
what are some red flags that can point to CV dysfunction?
- increased arm pain with increased CV demand
- shortness of breath
- dizziness
what is a red flag that can point to systemic infection or disease?
fever or night sweats
what is a red flag that can point to upper cervical impairment or CNS involvement?
dizziness
what is a red flag that can point to SC compression?
quadrilateral paresthesia
common components of an eval
- review pt chart
- pt history
- systems review
- observation/postural assessment
- upper quarter screen
- ROM/MMT
- joint mobility
- palpation
- special tests
why should a systems review be done on every pt?
to ensure they are safe to exercise
what are the components of a systems review?
- CV
- Cognition
- Neuro
- MSK
- Integ
why should a screening exam be done early on?
to ensure that the pt is safe for PT and that their condition is treatable by PT
by performing a screening exam, we are looking to either ____ or ____ the pt’s symptoms
reproduce or reduce
what are the goals of a screening?
- direct focus of clinical exam
- determine true location and nature of pt’s complaints
- may need to refer to another health professional
- determine if issue is an inert vs contractile tissue problem (could be both)
what do we analyze during an upper quarter screen?
- symmetry
- quality of movement
- willingness to move
- pain
- end feel
- scapulohumeral rhythm w/ arm elevation
what motions should happen at the scapula during arm elevation, and what does this prevent?
- ER, upward rotation, posterior tilt
- prevents subacromial impingement
what type of exam should we perform if we suspect possible cervical involvement and/or the pt reports feelings of numbness/tingling?
neuro exam
what might we test in a neuro exam?
- dermatomes
- myotomes
- reflexes
- pathological reflexes
what must you do if an area of your upper quarter screen reproduces the pt’s symptoms?
you must perform a complete evaluation in that area
observation begins when?
when the pt enters the clinic
