Term
| What's most helpful for diagnosing an injury? |
|
Definition
| Understand mechanism of impact |
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Term
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Definition
1. Qi & Blood Stagnation
2. Nerve root compression
3. trigger points in soft tissue |
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Term
| If a patient has pain during the first few steps she takes after being off her feet for a while, she probably has... |
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Definition
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Term
| If a patient has pain shooting down her leg when she coughs... |
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Definition
Something causing intrathecal pressure:
Disk problems/ bone spur / tumor in spinal cord |
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Term
| if a young patient has numbness without trauma, especially when moving bowels or exerting... |
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Definition
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Term
| corticosteroids cause ... |
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Definition
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Term
| ***Oblique (45 degree) X-rays are best for showing.. |
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Definition
| Degenerative disk progression, stenosis (narrowing) in old age especially. |
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Term
|
Definition
| anterior posterior open mouth X-ray view |
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Term
| Lateral X- ray view good for viewing... |
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Definition
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Term
|
Definition
| Anterior to Posterior X-ray view |
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Term
| always do what with spinal x-rays? |
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Definition
| count if all vertebra are there |
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Term
| *** Where is the most common vertebra injury? |
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Definition
|
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Term
| ***Which nerve root is most likely to be compromised? |
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Definition
| C6 nerve root in C5 vertebra |
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Term
| Injuries like whiplash are likely to injure which two ligaments? |
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Definition
Posterior Longetudinal Ligament (PLL)
Anterior longetudinal ligament (ALL) |
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Term
| A patient who feels pain in her throat when swallowing may have inflammation from ... |
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Definition
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|
Term
| C3, C4, C5 damage can affect the .... |
|
Definition
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|
Term
| Why would a patient have trouble breathing if her C3, C4 or C5 were injured? |
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Definition
"C3,4,5 keep the diaphragm alive"
affect phrenic nerve |
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Term
| X-Ray: how can you tell if bone injuries are chronic? |
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Definition
| look for calcification or bone spur |
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Term
| X-Ray: The first rib should be attached to the transverse process of... |
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Definition
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Term
| Young person with spinal pain w/o history of trauma likely has... |
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Definition
| tumor / cyst on spinal cord |
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Term
| old person with spinal pain and no history of trauma likely has... |
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Definition
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Term
| The best way to arrive at an accurate diagnosis... |
|
Definition
| to take a throrough history |
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Term
| if injury is work related one of two things must happen: |
|
Definition
1) px files report with employer
2) you report injury immediately |
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Term
|
Definition
Onset
Provocative/Palliative
Quality |
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Term
|
Definition
Region / Radiation
Severity
Timing |
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Term
| 4 Important questions to include in "onset" |
|
Definition
1. has PX had similar episodes in past?
2. Has condition worsened over time?
3. Onset insidious or sudden?
4. Does PX know what caused condition? |
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|
Term
| 4 Important aspects of provocation |
|
Definition
1. affected by rest or motion
2. affected by position
3. affected time of day
4. affected by coughing, straining |
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|
Term
| What condition is palliative to pillows under the knee? |
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Definition
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|
Term
| prickling, sharp and burning indicate ... |
|
Definition
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|
Term
| diffuse aching heavy sore throbbing boring constricting pain is more... |
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Definition
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|
Term
| What type of pain is dermatomal? |
|
Definition
|
|
Term
| What type of pain is non-dermatomal? |
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Definition
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|
Term
| Cramping, spasm, aching characterize what type of pain? |
|
Definition
|
|
Term
| Shooting, radiating characterize what type of pain? |
|
Definition
|
|
Term
| Throbbing, pulsating characterize what type of pain? |
|
Definition
| Circulation (swollen blood cells, aneurysm) |
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|
Term
| Progressive, constant, deep boring, unremitting, NOCTURNAL characterize what type of pain? |
|
Definition
|
|
Term
| Deep diffuse, hurts more with movement (unless it's arthritis)characterize what type of pain? |
|
Definition
|
|
Term
| Persistent pain that doesn't release characterizes what type of pain? |
|
Definition
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|
Term
| What's a good way to ask a patient if their pain radiates? |
|
Definition
| "does the pain travel anywhere?" |
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|
Term
| How can you make the 1-10 scale more accessible for patients who aren't comfortable talking with numbers? |
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Definition
| Draw a scale, and let them place their pain level on it. |
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Term
| What constitutes "constant" pain? |
|
Definition
| 24 hours a day : sleep is disturbed |
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Term
| patient has pain and stiffness in the morning, easing as day continues, and worsening in late afternoon. |
|
Definition
| Likely degenerative joint disease |
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|
Term
| What is important to ask about the ONSET of pain while taking a good case history? |
|
Definition
| Has patient had similar episodes in the past, if so how often? Is the condition worsening over time? |
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