Term
| Decision-making process (7 steps) |
|
Definition
1. ID problem
2. Collect data
3. Evaluate info
4. Develop PT dx
5. Develop Px
6. Intervention
7. Outcome msmt |
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|
Term
| Phases of dx decision-making (J. Jamison) (4 steps) |
|
Definition
1. Detect abnormality
2. match presenting problem c known disease
3. Determine working dx
4. Make definitive dx (practice pattern from PT Guide) |
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Term
| Themes in dx decision-making (3) |
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Definition
1. Pattern recognition
2. Probability reasoning
3. Causal thinking |
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Term
| Extraneous factors affecting decision making process (5) |
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Definition
1. Time sched
2. Pt behavior (compliance)
3. Facilities
4. ++ comorbidities
5. Reimbursement |
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Term
| Pitfalls in Decision-Making (5) |
|
Definition
1. Based on external factor only
2. Failure to recognize alternative dx
3. Failure to select critically (valid tests)
4. Inappropriate assessment tools
5. Invalid assessment |
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Term
| Categories of McGill Pain Questionnaire (4) |
|
Definition
vascular,
neurogenic,
musculoskeletal,
emotional lability |
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Term
|
Definition
1. Location
2. Description of sensation (P&N, boring, etc)
3. Intensity
4. Duration
5. Frequency
6. Pattern |
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|
Term
| Systemic pain descriptors (4) |
|
Definition
constant,
night,
very intense,
not well localized |
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Term
|
Definition
1. bradycardia c chest pain
2. pauses >3sec
3. HR>90 c chest pain/fainting/SOB
4. CHF, CAD
5. RHR >140 in elderly
6. Fainting/chest pain in elderly |
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|
Term
|
Definition
>180/110 (MD)
>22/130 (ER)
diffuse thoracic pain c hx of HTN (MD)
incr systolic BP disproportional to incr work load
decr BP c ex
∆BP >20 mmHg |
|
|
Term
|
Definition
>100ºF c sorethroat, wheezing, diffuse aching, back/neck/abd/flank pain
>100ºF c SOB, cough, DOE
>99ºF in elderly
<97ºF in elderly/fatigued |
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|
Term
|
Definition
<12 c SOB
>20 at rest
Persistent cough in pt c disc probs
>20 while on O2 |
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|
Term
|
Definition
1. Call practitioner
2. Provide pt's name, age, descrip of sx/dx
3. Urgent prob: state concern, provide sx & vitals
4. Discuss appropriate referral (office, ER, 911) |
|
|
Term
|
Definition
1. Fe deficiency
2. Dietary
3. Chronic disease
4. Infectious disease
5. Neurologic condition |
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|
Term
| Thrombocytopenia watch-fors (4) |
|
Definition
spontaneous bleeding,
GI,
CNS (UMNL signs),
swelling |
|
|
Term
| Thrombocytopenia avoid (3) |
|
Definition
BP cuff,
IASTM/STM/etc,
bearing down ex |
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|
Term
Hematologic ex-contraind values
WBC
Hct
Hgb
Platelets
PT |
|
Definition
WBC: <5000/mm3
Hct: <25%
Hgb: <8 g/dL
Platelets: <20,000/mm3
PT: ≥2.5x ref range |
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Term
| Non-cardiac causes of chest pain (5) |
|
Definition
1. Pleuropulmonary
2. Musculoskeletal
3. Neurologic
4. GI
5. Breast pain |
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|
Term
|
Definition
1. mod/severe DOE c 1 flight of stairs
2. awakened at night c SOB
3. relief by leaning forward/pursed lip breathing (emphysema, COPD) |
|
|
Term
|
Definition
pulmonary,
L-sided heart failure; CHF
valve dysfxn, position induced |
|
|
Term
|
Definition
1. LE pain > UE pain
2. sharp, dull, ache, throb, burning
3. pitting edema
4. skin discoloration, trophic ∆s
5. skin blanch p ex |
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|
Term
| Cardiac red flags (MD) (5) |
|
Definition
1. "Viselike" pain behind sternum; radiates to shoulder, neck
2. Nausea
3. Diaphoresis
4. Throbbing pain, incr c ex
5. "Pulsating abd mass" |
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|
Term
| Heart valve disease s/sx (5) |
|
Definition
1. Easily fatigued
2. Dyspnea
3. Edema
4. Chest pain
5. Tachycardia/palpitation |
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|
Term
| Vascular disorder s/sx (4) |
|
Definition
1. Pain at rest or c walking
2. Cold probs
3. Sensitivity
4. Decr blood flow |
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|
Term
| Cardiac meds side effect red flags (ER) (3) |
|
Definition
Abd pain
Dyspnea
Difficulty swallowing |
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|
Term
| Pain pattern: Tracheobronchial |
|
Definition
|
|
Term
|
Definition
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Term
| Pain pattern: Diaphragmatic pleura |
|
Definition
| costal; sharp pain in traps, shoulder |
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|
Term
|
Definition
1. Rapid drop in BP c weak, rapid pulse
2. Confusion c decr ventilation
3. Fainting
4. Diaphoresis
5. Hyperventilation s pain/anxiety |
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|
Term
| Pleuropulmonary ACUTE conditions (5) |
|
Definition
PE,
DVT,
Cor pulmonale,
Pleurisy,
Pneumothorax |
|
|
Term
|
Definition
Spirometry,
MRI,
XR,
CT,
Auscultation |
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