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Flashcards in Lecture 01 Deck (16)
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1

“Involves identifying or determining the etiology of a disease or condition through evaluation of a pt history, physical exam, and review of laboratory data or diagnostic imaging” describes what?

The diagnostic process

2

“A working diagnosis requiring further verification” is a _____?

Diagnostic Impression
-guides us in determining whether or nor someone is appropriate for therapy by identifying red and yellow flags in clinical presentation

3

A ___ is a symptom or sing that requires immediate attention to either pursue further screening, examination, or to alter/possibly halt treatment and make an appropriate referral.

Red Flag

4

A ___ can be beliefs, judgements, emotional state and pain behavior which can be impacted by both co-morbid conditions, as well as perception of pain (bio pyschosocial model).

Yellow Flag

5

The following are examples of which type of flag:
-Unknown weight changes + history of cancer
-Symptoms that don’t change with movement
-Hypertension
-Hyperglycemia
-Bladder/Bowel incontinence
-Fracture
-Change in mentation

Red Flags

6

The following are examples of which type of flag:
-depression
-anxiety
-fear avoidance behavior
-self image

Yellow Flags

7

The following are all part of which step of the diagnostic process:
-general demographics
-social history
-occupation
-growth and development
-living environment
-general health status
-social/health habits
-family history
-medical/surgical history
-current condition(s)/Chief complaint(s)
-functional status and activity level
-Medications
-Review of Systems

The Subjective History

8

Why is it important to know about the behavior of symptoms that the pt presents with?

-Symptoms of movement disorders: typically fluctuate as the mechanical loads on the body increase/decrease with time of day, onset or cessation of specific activities, and assumption or avoidance of certain postures

-if the symptom patter reveals no consistent presentation, the PT should begin questioning if PT intervention is warranted.

9

The following is the purpose of which component of the subjective history:
-identify symptoms that may have been overlooked
-identify symptoms related to a principle complaint
-identify existing co-morbid conditions
-identify occult disease
-identify adverse drug reactions (ADR)

The Review of Systems

10

__ can be defined as:
-a series of checklists (i.e, Health Intake Form) or questions as part of the subjective assessment, on common symptoms relevant to major body systems.

Review of Systems
-Not intended to identify or rule out specific diseases
-Part of the subjective screening process (medical model for pre-examination screening)

11

What is the purpose of a Health Intake Questionnaire?

-screening technique that compliments a through verbal examination
-checklist of symptoms representative of a spectrum of diseases
-helps identify potential health problems that requires a referral

12

The following pattern describes which pain type:
-pain that increases/decreases predictably with associated movements, postures and/or activities
-During the Objective Assessment, testing that causes alterations in the pt’s symptoms, which indicates __ impairment or dysfunction

Mechanical pain/dysfunction

13

Where do the following retroperitoneal structures refer pain to as part of referral pain patterns?
-aorta
-duodenum
-pancreas
-esophagus
-kidney
-spleen

The back
-note; symptoms may vary by structure
-kidney = lateral back
-aorta = central back
-spleen = left lateral back

14

The following is information that helps PT’s figure out ___:
-onset (when and how) => insidious or idiopathic may predicate more serious pathology
-symptoms better/worse
-previous episodes (history) of symptoms

Behavior of symptoms

15

When is night pain most concerning?

-when the nighttime is the most intense period of pain in a 24hr period
- non-positional
-challenging going back to sleep
- history of malignancy, recent infection, ischemic heart disease

16

The following describes ___:
-often seen in pt’s with degenerative diseases
-when at rest for too long, synovial fluid thickens and inflammatory fluids begin to pool at the joint, leading to stiffness and/or a Chinese

Post-Rest Gel Phenomenon
-a pt with post-rest gel will repot feeling better with movement (10-15 mins after getting out of bed)