ppts 1-4 Flashcards
(91 cards)
Name some general risk factors for disease
age race gender lifestyle Family and personal hsitory
Systems Review vs Review of Systems
Systems review: Brief exam of anatomical & physiological status of all systems
Review of systems: A tool to recognize clusters of associated signs and symptoms and possible need for referral - check list
The interview consists of ___% of the information needed to make a PT diagnosis
80
T or F: During the initial interview you should start with yes or no questions first
F: start with open ended questions and then narrow in on yes or no –> this is called a funnel sequence
*make sure to paraphrase throughout the process
What is the primary symptom or reason for referral to PT?
pain
What are the 8 questions you should ask about pain ?
location description intensity duration frequency pattern aggravating and relieving factors associated symptoms
Which of the following is not a sign of musculoskeletal pain? A) Insidious onset of pain B) Position and movement change pain C) Knife-like/ gnawing pain D) Achy and tenderness
C)
systemic: insidious onset of pain, knife/gnawing pain, constant and unrelieved by rest/position, bilateral, night pain, unusual vitals
Musculo: insidious OR moi , achy, tenderness and stiffness, constant or intermittent (position and movement change pain), mechanical pain
Chronic pain is > than __ months
3
What is the cause of radicular pain?
Irrigation of spinal nerve of dorsal root ganglion
Which of the following is not on the general health checklist of review of systems? A) fever/chills and sweats B) recent rash C) hoarseness/ voice change D) dizziness
B) recent rash
under the Integ section
general questions include: fever, chills, sweats. Appetite loss, nausea, vomiting. Fatigue, weakness, malaise. Excessive unexplained weight loss or gain. Vital signs. Insomnia. Irritability. Hoarseness or change in voice. Dizziness
True or False: The patient does not have signs of any yellow flags and only has presence of ONE red flag, therefore there is no cause for immediate medical attention
true. 1 red or yellow flag is not cause for immediate medical attention
T or F: Symptoms that are not relieved by rest or PT are considered red flags ?
True
To be considered a red flag, weight loss/gain needs to be between __&__ % of body weight
5-10% of body weight
Which is not a constitutional symptom? A) Fever B) Appetite loss C) Nausea D) Coughing
d) coughing
constitutional symptoms include: fever, chills, sweating, appetite loss, nausea, vomiting, fatigue, malaise
When do constitutional symptoms become red flags?
when MD unaware of them
become worse since last MD visit
no explanation/ apparent
When is core temperature considered a red flag?
when > or = to 99.5 for >2 weeks
or > 98.9 in the elderly
Fatigue becomes a red flag when tiredness impedes ….
ability to perfrom normal ADL nad IADL
Persists for > 2 weeks
Define Malaise
Discomfort, uneasiness, or indisposition,often indicative of infection
- would not ask a patient if they have this
- PT deduction
Name some reasons a patient may present with dizziness/ light headedness
- cardiovascular problems
- vestibular condition
- Meniere’s disease
- Vertebral basilar artery insufficiency
What are the 2 keys to make the Review of Systems manageable ?
use the general checklist first and then add in the appropriate checlists based on symptoms
What are the 5 vital signs used
BP HR RR Temperature (core) Pain **additional include: walking speed, pulse ox and skin temp
What are the best tools for PT in the out patient setting?
Vital signs
Observation
Symptoms
Sings
What are the 4 reasons for change in HR?
fever, meds, pain and anxiety
What are some reasons for change in BP?
anxiety, caffeine, smoking
