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PTRS 882 Diagnosis Screening Exam Latest Update
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PTRS 882 Diagnosis Screening ExamLatest Update
what concepts inform diagnosis/prognosis? - Answer ICF/biopsychosocial model,
evidence-based practice, professional values, quality assessment
what is the center of the bio psychosocial model? - Answer person
process of patient and client management (flow chart) - Answer
evaluation is the process by which physical therapists... - Answer interpret the
individual's response to tests and measures, integrate the test and measure data with
other information collected during the history, determine a diagnosis or diagnoses
amenable to PT management, determine a prognosis, including goals for PT
management, develop a POC
what profound statement did James Cyriax, MD make in regards to medical history? -
Answer 80% of the time, the patient will tell you what is wrong with them
what is Zeno of citium? - Answer we have been given two ears but a single mouth in
order that we may hear more and talk less
what are the components of history taking? - Answer patient profile, location and
description of symptoms, symptom behavior (how does it change in 24 hour period),
symptom history (chronological development, onset, changes, treatment), Medical
history (current and past illness, family history), review of symptoms
research has shown that patients appreciate more ___________-type questioning, while
healthcare providers tend to utilize more ________-type questioning - Answer
biopsychosocial, biomedical
what is the patient profile? - Answer general patient information such as age, sex, ethnic
group, etc.
why is the patient profile important? - Answer it can determine if there is a increase or
decrease likelihood of specific conditions (in addition to clinical reasoning)
EX: rate of diabetes for caucasian adults is 23% but over 57% for Native American
women
what things should you ask/figure out in regards to location and description of
symptoms? - Answer chief complaint (may be multiple), clear other areas/corresponding
areas with questions (pain referral chart), observe what words people use (EX: sharp vs.
dull)
, what information should you gather in regards to symptom behavior? - Answer the way a
person acts based on the symptoms, whether or not symptoms change based on what
the individual is doing, intermittent vs. constant pain
if symptoms do not change as much with activity ro body position, this may be a _____
source of pain - Answer visceral
T/F: intermittent versus constant pain is directly correlated with musculoskeletal versus
visceral pain - Answer False
What does PQRST stand for? - Answer P: factors that provoke the pain
Q: quality of the pain (sharp, dull, etc.)
R: region and radiation of pain
S: severity of pain
T: timing as it relates to other events
what are examples of risk factors for cancer? - Answer family history of cancer,
personal history of cancer
after taking the subjective component of the examination, you should have a
_____________ idea of what is going on (at least musculoskeletal vs visceral) - Answer
very good
what are the 4 components of physical examination? - Answer observation, palpation,
auscultation, percussion
what is the observation component of physical examination? - Answer observation of the
patient and the area you are examining prior to any other examination
*this is often overlooked, leads to us missing the obvious stuff
what are some observations about the integumentary system that can be made? -
Answer cyanosis, jaundice, paleness, streaks on skin, hair loss, increased hair,
clubbing nails, pitting nails, etc.
cyanosis indicates _____________ - Answer lung disease
jaundice indicates ______________ - Answer liver disease
skin paleness may indicate a ________ issue - Answer cardiovascular
streaks on skin may indicate ___________ - Answer infection
hair loss may indicate __________ or __________ - Answer anemia, hypopituitarism
increased hair may indicate __________ - Answer Cushing disease
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