Term
| a selection of special modalities applied to improve impairments, functional limitations, and disabilities and to prevent such conditions from occuring |
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Definition
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Term
| selection of specalized manual techiniques which are applied to normalize movement in joints and tissues that is disturbed or lost |
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Definition
| orthopedic manual physical therapy |
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Term
| schools of thought: treatment based on relieving nerve root pressure |
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Definition
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Term
| schools of thought: which is more vertebrae specific |
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Definition
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Term
| schools of thought: tx based on relieving nerve root pressure which focus more on moving disc (hard disc/soft disc) non specific |
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Definition
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Term
| schools of thought: tx based on relieving pain |
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Definition
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Term
| schools of thought: tx based on relieving pain: oscillates vertebrae, specific graded techinques |
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Definition
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Term
| schools of thought: tx based on relieving pain: no pain, specific contrary movement |
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Definition
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Term
| schools of thought: tx based on normalizing jt movement |
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Definition
| osteopaths, mennell, norweigian, paris, mckenzie, sahrmann, janda, butler/elvey, mulligan |
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Term
| schools of thought: tx based on normalizing joint movement: mobilize joint (MET), incr mobility, specific |
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Definition
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Term
| schools of thought: tx based on normalizing jt movement: joint play, specific |
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Definition
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Term
| schools of thought: tx based on normalizing jt movement: arthokinematics, specific |
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Definition
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Term
| schools of thought: tx based on normalizing joint movement: de-emphasize pain, arthokinematics, specific |
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Definition
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Term
| schools of thought: tx based on normalizing jt movement: s/s, specific/nonspecific |
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Definition
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Term
| schools of thought: tx based on normalizing jt movement: muscle balance/movement patterns, specific |
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Definition
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Term
| schools of thought: tx based on normalizing jt movement: neuromobilizatoin approach specific |
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Definition
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Term
| schools of thought: tx based on normalizing jt movement: mobilization with movement, specific |
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Definition
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Term
| term which refers to the gathering of data and information concerning a topic (patient) |
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Definition
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Term
| term which refers to the making of a value judgement based on the collected data and information (patient) |
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Definition
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Term
| 3 parts of the examination |
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Definition
| history, systems review/review of systems, tests and measures |
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Term
| a limitation of pain and movement in a joint specific ration, which is usually present with arthritis or following prolong mobilizaiton |
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Definition
| capsular pattern or restriction |
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Term
| a limitation in a joint in any pattern other than a capsular one. May indicate the presence of either a derangement, a restriction of one part of teh joint capsule, or an extra-articular lesion, that obstructs jt motion |
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Definition
| non-capsular pattern of restriction |
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Term
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Definition
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Term
| capsular pattern: upper cervical spine |
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Definition
| OA-flexion more limited than extension, AA-rotation limited |
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Term
| capsular pattern: thoracic spine |
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Definition
| sidebending and rotation > extension > flexion |
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Term
| capsular pattern: lumbar spine |
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Definition
| sidebending and rotation > extension > flexion |
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Term
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Definition
| pain with stress/provocation testing |
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Term
| if active and passive motions are limited/painful in the same direction, where is the lesion |
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Definition
| inert/non contractile tissue |
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Term
| if active and passive motions are limited/painful in the opposite direction the lesion is where |
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Definition
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Term
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Definition
| firm, leathery feeling with slight give to it. |
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Term
| when can a capsular end feel be normal |
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Definition
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Term
| end feels: abnormal capsular end feel example |
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Definition
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Term
| end feels: abnormal capsular end feel |
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Definition
| occurs earlier in RoM than expected. |
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Term
| end feels: abnormal capsular end feel can be differentiated into what 2 categories |
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Definition
| hard capsular end feel, soft end feel |
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Term
| end feels: abnormal capsular end feel: hard capsular end feel |
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Definition
| no or little give to stress |
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Term
| end feels: abnormal capsular end feel: soft end feel |
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Definition
| similar to normal but painful |
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Term
| end feels: normal bony end feel |
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Definition
| abrupt halt to movement, (elbow extension) |
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Term
| end feels: abnormal bony end feel is associated with what |
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Definition
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Term
| end feels: abnormal bony end feel is associated with movement loss, potentially d/t |
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Definition
| degenerative jt disease (later stages), malunion of bony segments, bone spurs |
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Term
| end feels: normal soft-tissue approximation and examples |
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Definition
| soft end feel, elbow flexion or knee flexion |
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Term
| end feels: abnormal soft-tissue approximation and example |
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Definition
| if early in rage d/t muscle hypertrophy |
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Term
| end feels: muscular end feel |
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Definition
| rubbery (extreme of SLR), less abrupt than a capsular end feel |
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Term
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Definition
| abrupt stop to movement with some rebound. usually the result of reflexive muscle contraction to guard against further movement |
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Term
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Definition
| associated with a non-capsular block to movement d/t loose body or displaced meniscus/intra-articular lesion |
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Term
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Definition
| no restriction to movement because movmeent is stopped by pt d/t severe pain |
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Term
| end feels: empty end feel is most often associated with what |
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Definition
| acute bursitis or more serious pathology such as a neoplasm/infection/fracture |
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Term
| passive movement: pain before resistance is associated with what |
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Definition
| active lesion or extra-articular limitation, each unsuitable for stretching. High irritability |
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Term
| passive movement: pain with resistance is associated with what |
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Definition
| soft capsular feel, gentle stretching attempted. hard capsular end feel: postpone stretching longer |
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Term
| passive movement: pain after resistance is associated with what |
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Definition
| stable lesion, more aggressive stretching/interventions will be well tolerated. (low irritablity) |
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Term
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Definition
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Term
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Definition
| spring testing, single segmental motion testing |
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Term
| Strength/Resisted testing: if strong and painful indicates what |
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Definition
| minor lesion is present. Usually the tendon |
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Term
| Strength/Resisted testing: weak and painless |
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Definition
| neurlogical involvement, rupture of muscle or tendon (disuse atrophy must be considered) |
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Term
| Strength/Resisted testing: weak and painful |
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Definition
| major lesion, serious pathology (Fracture, neoplasm, acute inflammation) |
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Term
| how is spinal strength testing performed |
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Definition
| assessment of control and hold capacity of muscles responsbile for spinal stability |
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Term
| Neurological testing includes these (5) components |
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Definition
| dermatome, myotome, DTR's, pathologicla reflexes, balance testing |
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Term
| purpose of palpation in the examination (9) |
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Definition
| vasomotor changes, swelling, anatomical structures and their relationships, point tenderness, tissue texture changes, myofascial restriction, muscle tone changes, pulse checks, moisture changes |
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Term
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Definition
| there is some indication that the test would be helpful in arriving at a diagnosis |
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Term
| why is neuromengingeal mobility testing using |
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Definition
| if a dural adhesion or irritation is suspected |
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Term
| tests which employ a sequential and progressive stretch to the dura until the pt's symptoms are reproduced |
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Definition
| neuromeningeal mobility tests |
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Term
| Imaging tests tend to have a high sensitivity meaning what |
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Definition
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Term
| Imaging tests have a low specificity meaning |
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Definition
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Term
| what does the physical therapy/ funcitonal diganosis is a label ascribed to what |
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Definition
| cluster of S/S. more patient centered |
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Term
| a pt diagnosis is based on what model |
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Definition
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Term
| traditional medicine relies on what type of diagnosis |
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Definition
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Term
| the pathoanatomic diagnosis is based off what model |
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Definition
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Term
| a diagnosis can only be made when.... |
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Definition
| all potential causes for the symptoms have been ruled out |
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Term
| predicted level of funciton that the patient will attain within a certain time frame |
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Definition
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Term
| what is the purpose of the prognosis |
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Definition
| guide the intensity, duration, and frequency of the intervention as well as justifying the intervention |
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Term
| the process and end result of evaluating information obtained from the examination which the PT then organizes into defined clusters, syndromes, or other categories to help determine the most appropriate intervention strategies |
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Definition
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Term
| purpose of a differential diagnosis |
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Definition
| differentiae those problems of a serious problem from those that are not |
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Term
| problems of a seroius nature include but are not limited to....(5) |
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Definition
| visceral diseases, cancer, infections, fractures, vascular disorders |
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Term
| symptoms that have their origin at a site other than where the patient feels hte pain |
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Definition
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Term
| referred pain can be generated by: convergence of... |
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Definition
| sensory input from separate parts of the body to the same dorsal horn |
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Term
| referred pain can be generated by: secondary pain resulting from |
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Definition
| a myofascial trigger point |
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Term
| referred pain can be generated by: sympathetic pain elicted by... |
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Definition
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Term
| referred pain can be generated by: pain... |
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Definition
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Term
| 5 sources of referred pain |
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Definition
| viscerogenic, vasculogenic, neurogenic, psychogenic, spondylogenic |
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Term
| non-organic pain characterized by abnormal illness behaviors |
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Definition
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Term
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Definition
| slides 63 and 64, too much to write |
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Term
| how do we screen is a decision making process based upon what 4 things |
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Definition
| client history, pain patterns/pain types, associated S/S, systems review |
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Term
| 10 constitutional symptoms |
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Definition
| fever, diaphoresis, night sweats, nausea, vomiting, diarrhea, pallor, dizziness/syncope, fatigue, weight loss |
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Term
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Definition
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Term
| presence of chills, fever, or night sweat may be assoicated with what (3) |
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Definition
| flu, presence of occult infections, cancer |
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Term
| when is a fever significant |
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Definition
| if 100 degrees or higher for more than 2 weeks |
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Term
| recent weight loss may be d/t (5) |
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Definition
| GI disorders, diabetes mellitus, malignancy, depression, hyperthyroidism |
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Term
| How much unintentional weight loss in less than 4 weeks may be related to neoplasm |
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Definition
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Term
| weight gain may be related to what 3 things |
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Definition
| CHF, hypothyroidism, cancer |
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Term
| fatigue, malaise, decreased energy is frequently associated with what (7) conditions |
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Definition
| depression, infections (hepatitis), anemia, cancer, nutritional deficits, medications, RA |
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Term
| nausea may be d/t what (4) |
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Definition
| pregnancy, cancer, medications, GI disease |
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Term
| numbness, tingling uni/bilaterally, extremity weakness, gait disturbances may suggest (4) |
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Definition
| neurlogical dysfunction, endocrine disease, renal disease, adverse drug reactions |
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Term
| dizziness and lightheadedness may be secondary to (3) |
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Definition
| medications, blood pressure problems, hypoglycemia |
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Term
| saddle anesthesia or difficulty controlling bowel and bladder function may indciate what |
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Definition
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Term
| If the pt indicates Yes to any constitutional symptoms what should the PT ask? |
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Definition
| Is there an explanation for it? Have they mention it to their physician? If the physican is aware, how has it changed? |
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Term
| Anacronym for early warning signs of the possible presence of cancer |
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Definition
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Term
| Early Warning Signs for the Possible Presence of Cancer: C |
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Definition
| changes in bowel or bladder habits |
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Term
| Early Warning Signs for the Possible Presence of Cancer: A |
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Definition
| a sore throat that does not heal in 6 weeks |
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Term
| Early Warning Signs for the Possible Presence of Cancer: U |
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Definition
| unusual bleeding or discharge |
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Term
| Early Warning Signs for the Possible Presence of Cancer: T |
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Definition
| thickening of lump in breast or elsewhere |
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Term
| Early Warning Signs for the Possible Presence of Cancer: I |
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Definition
| indigestion or difficulty in swallowing |
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Term
| Early Warning Signs for the Possible Presence of Cancer: O |
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Definition
| obvious changes in a wart or mole |
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Term
| Early Warning Signs for the Possible Presence of Cancer: N |
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Definition
| nagging cough or hoarseness |
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Term
| physical disease/normal behavior: pain drawing |
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Definition
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Term
| physical disease/normal behavior: pain adjectives |
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Definition
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Term
| physical disease/normal behavior: pain symptoms |
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Definition
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Term
| physical disease/normal behavior: numbness symptoms |
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Definition
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Term
| physical disease/normal behavior: weakness |
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Definition
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Term
| physical disease/normal behavior: time pattern |
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Definition
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Term
| physical disease/normal behavior: treatment response |
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Definition
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Term
| physical disease/normal behavior: tenderness |
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Definition
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Term
| physical disease/normal behavior: trunk rotation |
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Definition
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Term
| physical disease/normal behavior: axial loading |
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Definition
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Term
| physical disease/normal behavior: SLR |
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Definition
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Term
| physical disease/normal behavior: sensory |
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Definition
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Term
| physical disease/normal behavior: motor |
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Definition
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Term
| physical disease/normal behavior: general response |
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Definition
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Term
| magnified or inappropriate illness behavior: general response |
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Definition
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Term
| magnified or inappropriate illness behavior: motor |
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Definition
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Term
| magnified or inappropriate illness behavior: sensory |
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Definition
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Term
| magnified or inappropriate illness behavior: SLR |
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Definition
| improves with distraction |
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Term
| magnified or inappropriate illness behavior: axial loading |
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Definition
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Term
| magnified or inappropriate illness behavior: trunk rotation |
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Definition
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Term
| magnified or inappropriate illness behavior: tenderness |
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Definition
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Term
| magnified or inappropriate illness behavior: treatment response |
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Definition
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Term
| magnified or inappropriate illness behavior: time pattern |
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Definition
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Term
| magnified or inappropriate illness behavior: weakness |
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Definition
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Term
| magnified or inappropriate illness behavior: numbness symptoms |
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Definition
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Term
| magnified or inappropriate illness behavior: pain symptoms |
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Definition
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Term
| magnified or inappropriate illness behavior: pain adjectives |
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Definition
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Term
| magnified or inappropriate illness behavior: pain drawing |
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Definition
| nonanatomic/regional/magnified |
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Term
| How to recognize a major depressive disorder |
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Definition
| 5+ characteristcs for most of the day daily for at least 2 weeks |
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Term
| red flags for the low back region and a back related tumor: (4) |
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Definition
| age over 50, history of cancer, unexplained weight loss, failure of conservative therapy |
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Term
| how to rule out presence of cancer. 100% sensitive |
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Definition
| pt not over 50, no hx of cancer, no unexplained weight loss, responsiveness of conservative therapy |
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Term
| Red Flags for Osteomyelitis or Back related infection (3) |
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Definition
| recent infectin, IV drug user/abuser, concurrent immunosuppressive disorder |
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Term
| red flags: cauda equina syndrome (5) |
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Definition
| urine retention or incontinence, fecal incontinence, saddle anesthesia, global/progressive weakness of LE's, sensory/motor deficits at L4-S1 |
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Term
| Red Flags: Spinal Fracture (3) |
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Definition
| history of trauma, prolonged corticosteriod use, age over 70 |
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Term
| key questions for all in examination process |
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Definition
| when was your last physical |
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Term
| key questions in examination process for males |
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Definition
| did your physician examine your prostate |
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Term
| key questions in examination process for females (3) |
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Definition
| when was the last time you had a bresat exam? Do you see your OB/GYN regularly? When was the last time you had a PAP smear? |
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