Week 1 Flashcards
(65 cards)
starting in ____ U.S. military health care system included PTs as an entry point
1970s
the IOM defines primary care as ____, ____, ____, and ___ care delivered by accountable providers of personal health services.
accessible
comprehensive
coordinated
continual
by ___, all 50 states had some form of direct access
2015
WHAT IS THE 1ST QUESTION THAT SHOULD BE ANSWERED PRIOR TO ANY OTHERS?
Do you belong?
Are they appropriate and safe to begin and/or continue PT?
what 9 conditions are on the do not miss list (refer pt out)?
major depression
suicide risk
femoral head and neck fx
cauda equina syndrome
cervical myelopathy
abdominal aortic aneurysm
deep vein thrombosis
pulmonary embolism
atypical myocardial infarction
what is the 2 questions to screen for depression?
1) over the past 2 weeks have you felt down, depressed, or hopeless?
2) had little interest or pleasure in doing things?
_____% of PTs formally screen for depression
18%
what is the 2nd leading cause of death in ages 10-14 and 20-34?
suicide
which test should be conducted first to test for femoral head or neck fx?
patellar-pubic percussion test
urinary retention is most frequently noted in what condition?
cauda equina syndrome
what condition is suspected when a pt says their legs feel heavy and weak?
cauda equina syndrome
what is the most common cause of non-traumatic paraparesis and quadriparesis?
cervical myelopathy
what is suspected: UMN signs, impaired hand dexterity, and proximal LE weakness
cervical myelopathy
T/F: most patients with an AAA are asymptomatic.
T
if a patients reports hot, searing, ripping or tearing pain, what should be done?
STOP all activity d/t possible AAA
DVT has a ___ edema
pitting
___% of pts with DVTs are asymptomatic in early stages
50%
a score of >/= ____ on the DVT clinical decision rules indicates DVT likely
2
criteria for clinical decision rule for DVT
- active cancer
- paralysis, paresis, or recent plaster immobilization of LE
- recently bedridden 3 days or longer, or major surgery in past 12 weeks requiring general anesthesia
- localized tender along distribution of deep venous system
- entire leg swollen
- calf swollen >3cm more than asymptomatic side
- pitting edema
- collateral superficial veins (non-varicose)
- previously documented DVT
- alternative dx at least as likely as DTV (-)
what comprises about 70% of PEs?
proximal LE DVTs
> ___% of death related to PE are potentially preventable if dx earlier
> 50%
a Well’s Criteria of _____ is moderate risk for a PE
2-6 points
a Well’s Criteria of _____ is high risk for a PE
> 6
Well’s Criteria for PE
- clinical signs of DVT
- heart rate >100 bpm
- immobilized >/= 3 days, or surgery in previous 4 weeks
- hemoptysis
- cancer receiving treatment, treatment stopped in past 6 months, or palliative care
- alternative dx less likely than PE
