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Murphy 1
Murphy1
41
Anatomy
Professional
10/04/2012

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Cards

Term
what are the three questions of diagnosis
Definition
1. are the patients symptoms reflective of a visceral disorder or a serious or potentially life threatening illness
2. where is the pain arising from
3. What has gone wrong with the patient as a whole that would cause the pain experience to develop
Term
What is the most common of the patients symptoms reflet of a visceral disorder or a serious or potentially life threatening illness
Definition
Cancer
Term
Previous history of CA, no position of relief, fever, constitutional symptoms, weight loss
Definition
cancer
Term
Localized severe pain, no position of relief, dramatic relief with NSAID, pain on percussion
Definition
benign tumor
Term
History of fever and/or chills, fever on examination, pinpoint tenderness, redness or heat
Definition
infection
Term
History of trauma, history of osteoporosis, pain on percussion
Definition
fracture
Term
Hx of iritis, AM stiffness, improvement with exercise, family Hx
Definition
seronegative spondyloarthropathy
Term
GI complaints, relation of pain to certain foods, abdominal examination
Definition
GI disease
Term
GU complaints, bleeding, spotting, unusual discharge, GU examination
Definition
GU disease
Term
Gait difficulties, bowel/bladder dysfunction, UMN signs, spasticity, sensory level
Definition
Myelopathy
Term
Bowel/bladder difficulties, saddle anesthesia, decreased anal sphincter tone
Definition
cauda equina syndrome
Term
What are 4 signs that help to distinguish the origin of a patient pain
Definition
centralization, segmental pain provoction, neurodynamic signs, muscle palpation signs
Term
This examination involves moving the spine to end range in various directions and monitoring the mechanical symptomatic response to these movements
Definition
McKenzie Centralization technique
Term
What sign involves the clinician attempting to reproduce the patients pain by application of maneuvers designed to stress segmental tissues
Definition
segemtnal pain provocation
Term
How do you test for segmental pain provocation?
Definition
segmental palpation
Term
what sign involves the reproduction of pain resulting from tests designed to apply stress to neural structures
Definition
neurodynamic
Term
what are the most common causes of neurodynamic pain
Definition
lateral canal stenosis and disc protrusion
Term
What is the key factor for muscle palpation findings?
Definition
Knowing pain referral maps and comparing to the pain described by the patient
Term
Perpetuation of spinal pain with a person with fear will have
Definition
dynamic instability (impaired motor control)
Term
Perpetuation of spinal pain with a person with a catastrophizing event will have
Definition
oculomotor dysfunction
Term
Perpetuation of spinal pain with person who is passively coping or dealing with depression will have
Definition
central pain hypersensitivity
Term
___is a state in which an alteration has occurred in the manner in which nociceptive information is received, processed and modulated, which serves to heighten the pain experience
Definition
central pain hypersensitivity
Term
increased pain sensitivity and decreased pain thresholds have been found in patients with
Definition
chronic neck, low back, & headache
Term
What is a procedure that is developed to identify behavioral components in LBP
Definition
waddell
Term
patients with chronic neck pain after trauma and in patients with chronic tension type head- ache are seen in
Definition
oculomotor trauma patients
Term
What can contribute to present disability and future disability and can be measured in the clinic
Definition
passive coping
Term
how do you measure depression
Definition
questionairres
Term
segmental provocation signs and significant fear beliefs rule out
Definition
infection
Term
impaired motor control and CPH are
Definition
centralization signs
Term
segmental pain provocation signs and neurodynamic signs, fear, and catastrophizing events rule out
Definition
myelopathy
Term
what is the management strategy for a person with a visceral disorder
Definition
referral
Term
What is the management strategies for a person with centralized issues
Definition
loading stretches and strengthening
flexion distraction (disc)
Term
What is the best option of management for patients with segmental provocation signs with/without centralization
Definition
end range loading first
centralization only utilized after end range loading does not work
Term
what is the last form of treatment with patients with segmental provocation signs
Definition
radiofrequency denervation
Term
In the acute stage ___ is thought to be largely chemical due to inflammation
Definition
disc protrusion
Term
In the chronic stage of disc herniation what is the first line of approach
Definition
end range loading
Term
what are the 2 categories of spinal pain
Definition
specific and non specific
Term
spinal pain that can be diagnosed pathoanatomical
Definition
specific
Term
spinal pain from a source that can be non anatomical
Definition
non specific
Term
what is the system to identify surgical vs non surgical
Definition
quebec task force and mckenzie
Term
Delitto classifies patients with spinal pain into what four categories
Definition
1. mobilization
2. immobilization
3. Specific exercise
4. traction
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