what is often considered the most important part of the examination - ANS the history
what are the parts of the patient client management model (5) - ANS -exam
-eval
-diagnosis
-prognosis/POC
-interventions
Parts of an examination - ANS 1) history
2) systems revie...
what is often considered the most important part of the examination - ANS the history
what are the parts of the patient client management model (5) - ANS -exam
-eval
-diagnosis
-prognosis/POC
-interventions
Parts of an examination - ANS 1) history
2) systems review
3) T&M
Stages of healing - ANS Acute: 7-10 days
Sub-Acute: 10 days- several weeks
Chronic: > several weeks
Mode of onset: Acute vs Insidious - ANS Acute- they can give u a story of what happened
Mode of onset: Traumatic vs atraumatic - ANS Traumatic: MOI
Atraumatic: Gradual
Systemic vs MSK - ANS MSK- typically influenced by mvmt or positions
Systemic- cant be relieved
Intermittent pain causes - ANS usually caused by prolonged postures, loose intra-articular
body, impingement of a MS structure
Systems we look @ in systems review - ANS MSK, neurological, CV, pulmonary,
integumentary, GI, GU
What are we looking for in skin color and what are the causes of it - ANS Cyanosis
(blue-ish discoloration that indicates poor circulation)
-could be bc pulmonary edema, CHF, venous obstruction
,Cancer Red Flags (6) - ANS -night pain
-constant pain
-unexplained weight loss
-loss of appetite
-unusual lumps/growth
-excessive fatigue
What is a scanning exam/how is it dif than systems review - ANS -systems review is just
making sure they're good canidate for PT
-scanning exam is ruling out other causes of this pain/symptom referral/ ensure correct dx
when would u do a scanning exam? when would u not? - ANS DO IT: if things arent adding
up/ if you have a gut feeling it might not be just a hip issue for example / spinal cord signs / etc
DO NOT: post surgery (cuz we know the cause) or definite hx of trauma
what if you are not sure if you should do scanning exam? - ANS DO IT
Should all dermatomes & myotomes have deep tendon reflexes? - ANS oh yes
grading of deep tendon reflexes - ANS Zero= absent
1+ = diminished (a slight response)
2+ = normal (brisk response)
3+ = exaggerated (a very brisk response compared to other side)
4+ = clonus (when a tiny lil tap elicits a repeating reflex)
what to start w/ for T&M - ANS big picture items (like posture / functional activity etc)
some reasons why we do T&M - ANS -confirm or refute hypothesis
-reproduce symptoms
-establish baseline data so we can make goals
how to choose a T&M - ANS do the one w the most purpose toward confirming or refuting
hypothesis
some things to look for in informal T&M observation - ANS -body language/guarding
-sitting posture
-facial expression
-apprehension/fear
-attitude
-assistance
-family support
Formal T&M Observation things to look for - ANS -body alignment/deformity
, -symmetry
-soft tissue contoures
-limb size/shape/temp/etc
-skin color
-swelling/redness
-pt willingness to move
Osteokinematics
-what type of mvmt - ANS physiological mvmt
YOU CAN SEE IT
Arthrokinematics
--what is it/what type of mvmt - ANS accessory mvmt
-motion of bone surfaces w/in joint
how do u measure osteokinematics? arthrokinematics? - ANS Osteo= goni
Arthro= joint play
Things to look for w/ AROM - ANS -obvi the quantitiy of mvmt but also other things like the
rhythm, their willingness to move, symptom reproduction, pattern of restriction, etc
what would be a pattern of restriction - ANS like if flexion hurts, does extension hurt as
well?
do u want to start or end w/ their most painful movement? - ANS end with it bc otherwise
you might cause pain that leads to false positives
AROM contraindications/precautions - ANS -suspect fx
-fracture healing process
-surgical considerations
-irritable joint
-excessive pain
POSSIBLE CAUSES OF LIMITATION OF AROM - ANS -strength
-flexibility
-NM control
-pain
-arthrokinematics
What info are we looking for from PROM - ANS -quantity
-quality (like how they react & where they complain of discomfort & end feel)
-pattern of restriction
-hyper or hypomobility
-accesory motion
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller DocLaura. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $11.09. You're not tied to anything after your purchase.
