PC: lecture 3

Question 1

sequence exam in such a way to allow for?

Answer 1

-efficent data collection
-effective clinical decision making

Question 2

what does subjective information provide?

Answer 2

-context, meaning, structure, direction of physical exam

Question 3

subjective data can assist PT in determining what about pt’s condition?

Answer 3

SINSS
severity, irrtability, nature of compaint, stage of pathology, stability

Question 4

what is severity

Answer 4

describes the clinician’s assessment of intensity of patient’s symptoms as they relate to a functional activity

Question 5

what is irritability?

Answer 5

describe the clinician’s assessment of ease with which symptoms can be provoked or stirred up
1.amt of activity needed to trigger patients symptoms
2.severity of symptoms provoked
3.what activity and amount of time before patient’s symptoms subside

Question 6

what is nature of complaint?

Answer 6

describe’s clinician’s assessment of
1.hypotheses of structures, syndrome/classification or pathoanatomic structures or syndrome responsible for producing
3.character of presenting pt or problem (psychological

Question 7

what is stage of pathology

Answer 7

describes the clinician’s assessment of stage in which patient is presenting (acute, sub-acute, chronic, acute on chronic) may be obtained from past or present history

Question 8

what describes stability?

Answer 8

describes the progression of patients symptoms over time -getting better/worse/staying the same

Question 9

what are the potential red flags?

Answer 9

trauma
age
hx of cancer
fever,chilld,night sweats
unexplained weight changes
recent infection
immunosuppresion
rest/night pain
saddle anesthesia
bowel and bladder dysfunction
LE neuro deficits

Question 10

what age is a red flag

Answer 10

50 or older

Question 11

what amount of unexplained weight change is red flag

Answer 11

loss of 10 or more in 3 months w/o explanation –> cancer/infection

Question 12

what is saddle anesthesia

Answer 12

absense of sensation in 2nd-5th sacral nerve roots, perineal region –>CES

Question 13

what is the difference in pain from back related tumor vs back related infectin?

Answer 13

tumor: constant pain not affected by position or activity (worse at night!!!!!)
back related infection: deep constant pain, increase with WB

Question 14

spinal fractures are more prevalent in what age

Answer 14

> 70yrs

Question 15

what is palpation like with spinal fracture?

Answer 15

tender with palpation over fracture site

note: increase pain with WB and edema in local area

Question 16

what age is colon cancer prevalent

Answer 16

> 50yrs

Question 16

what is the first sign of colon cancer usually?

Answer 16

metastates to liver, lung. bone or brain

Question 17

what gender is most prevalent with pathologic fractures in femoral neck

Answer 17

older women age >70yrs with hip, groin, thigh pain

Question 18

what is pain like for pathologic fractures in femoral neck?

Answer 18

severe, constant pain-worse with movement

Question 19

osteonecrosis of femoral head/AVN what is pain like?

Answer 19

gradual onset of pain - refer to groin, thigh, medial knee that worsens with WB

Question 20

osteonecrosis of femoral head/AVN stiffness in what hip movements

Answer 20

IR and flex

Question 20

5-8 year old boy with groin, thigh pain, walks with an antalgic gait and complains of pain with aggravated hip movments

Answer 20

legg calve perthes disease

Question 20

what hip movements hurts with legg calve perthes disease

Answer 20

abduction and IR

Question 20

overweight adolescent with recent growth spurt and trauma compains of ache in groin, worse with WB and his involved leg is held in ____, ROM limitations in ____

Answer 20

ER
IR

Question 20

what age is peripheral arterial occulsive disease most prevalent

Answer 20

>60 years old