Differential Diagnosis Ortho: Critical Inquiry And
Differential Diagnosis Ortho: Critical Inquiry and
Exam (elaborations)
Differential Diagnosis Ortho: Critical Inquiry and Medical Screening
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Differential Diagnosis Ortho: Critical Inquiry and
Institution
Differential Diagnosis Ortho: Critical Inquiry And
Differential Diagnosis Ortho: Critical Inquiry and Medical Screening
Differential Diagnosis Ortho: Critical Inquiry and Medical Screening
Differential Diagnosis Ortho: Critical Inquiry and Medical Screening
Differential Diagnosis Ortho: Critical
Inquiry and Medical Screening
What is a differential diagnosis? - - Determination between 2 or more diseases/disorders that may
be causing patients complaints/symptoms
What is the subjective portion of the PT session? - Interaction between PT and patient regarding the
condition
What are common questions that should be asked during the subjective? - - Medical history
screening
- Symptoms onset
- Mechanism of injury
- Nature of injury
- Type of pain
- Location of pain
- Relieving factors
- Aggravating factors
- What ADLs are affected
What position should patients with CHF be limited in? - Limited time in supine due to difficulty
breathing
What system usually has electrical and burning sensation as a complaint? - Neurologic system
What system usually has full and aching sensation as a complaint? - Orthopedic system
What system usually has gnawing and nagging sensation as a complaint? - Visceral system
Do visceral/organic issues usually have aggravating or relieving factors? - no
What should be specifically asked in a past medical history screening? - - Previous surgeries
- Diabetes (sensation changes, sugar levels in workout)
What are common objective measuring tools? - - Goniometry
- MMT
- Special tests
What are special tests? - Tests performed by PTs to guide us throughout the examination process
and rule in/out conditions
What is evidence-based practice? - Using the best available research to guide examinations and
treatment options
What is evidence-based practice used to determine the efficacy of? - - Clinical Prediction Rules
(CPRs)
- Specificity/Sensitivity
- Likelihood Ratios
- Reliability/Validity
- Clinical Practice Guidelines
What are the highest levels of evidence? - - Systematic Reviews with metanalyses
- Systematic reviews
What are clinical prediction rules? - Rules used in the research to help guide our diagnostic patterns
What are examples of commonly used clinical predication rules? - - Canadian C spine rules
- Ottawa ankle rules for fractures
- Shoulder impingement cluster
What is the Ottawa ankle rules for fractures? - If both are present, get an X-Ray as there may be a
fracture:
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