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T3 Patient Interview
Powerpoint Q's
Question | Answer |
---|---|
What is another common name for Scheuermann’s disease? | Juvenile kyphosis |
What are common signs and symptoms of Scheuermann’s disease? | Hunched posture, Back pain in thracolumbar region, Stiffness and loss of flexibility, Scoliosis, Sleep discomfort |
Scheuermann’s disease is most prevalent in which gender? Age? | Young (teen) males |
A patient presents with shoulder pain and their daily activities include reaching behind their back and over their head. What is the likely DDX? | Shoulder Impingement Syndrome |
What are the two possible tendons being pinched with a shoulder impingement? | Biceps tendon and Supraspinatus tendon |
What motion would be painful for a patient with a shoulder impingement? | Pain increases with motions reaching behind the back and overhead |
Is the pain associated with rheumatoid arthritis isolated to a single joint? | No, RA is a systemic disease that effects multiple joints and other body structures |
Which gender is more affected by rheumatoid arthritis? | Women are 2 to 3 times more likely to suffer from RA than men |
How does the pain experienced in rheumatoid arthritis present? | RA pain comes on in episodic flares and presentation typically starts in the fingers and commonly progresses to other joints of the body, including the cervical spine, wrists, knees, and hips. |
True/False....Radiculopathy of spinal nerve S1 results in pain from the lateral aspect of the foot. | True |
What nerve root is affected by a L5/S1 Radiculopathy? | S1 |
Will a patient present with radiating pain on the anterior leg and/or thigh with a L5/S1 disc lesion with Radiculopathy? | NO! |
What are the symptoms of Benign Proxysmal Positional Vertigo? | Nausea, headache, blurred vision, sense of spinning, and lightheadedness. Symptoms come and go lasting less than one minute. |
What are the three vestibular organs associated with Benign Proxysmal Positional Vertigo? | Utricle, saccule, three semicircular canals |
What is the cause of Benign Proxysmal Positional Vertigo? | Otoconia (tiny calcium crystals) detach from the utricle. The crystals then travel and get stuck in one of the semi circular canals. |
What is an alternate name for lateral epicondylitis? | Tennis Elbow |
What are the signs and symptoms of lateral epicndylitis? | Pain or burning on the outer part of your elbow, weak grip strength, morning stiffness |
What are treatment options for lateral epicondylitis? | *Non-surgical (80-95% success rate) *Rest *NSAIDS – temporary pain relief *Physical Therapy *Chiropractic – Ex: Graston’s *Brace *Surgical If your symptoms do not respond after 6 to 12 months of nonsurgical treatments, surgery may be recommended. |
T/F A patient who has popliteus tendinitis will experience pain with internal rotation of the tibia? | (False, external rotation |
What is the major action of the Popliteus muscle? | rotation to “unlock” the knee |
What would be a suspected DDX for a patient who has been running many miles a day on a hard surface and is experiencing pain in the posterolateral knee? | Popliteus Tendinitis |
What is one symptoms that occurs prior to and during Migraine episode? | Light & Sound sensitivity |
How long does a Migraine attack usually last? | 4-72 hours |
Which population group is most likely to suffer from Migraines? | Adult women |
What kind of joint is the temporomandibular joint? | Bi-arthrodial hinge joint |
True or False: TMJ capsulitis may be chronic or acute. | True |
True or False: Chiropractors can treat TMJ capsulitis. | True |
What are the other names for facet syndrome? | Spinal osteoarthritis, facet joint osteoarthritis, and spinal arthritis |
What causes facet joint syndrome? | Occurs when the cartilage that lines the facet joints deteriorates |
Which of the following is NOT a sign/symptom of facet syndrome at C5/6? A. intermittent acute pain B. discomfort with extension C. morning stiffness | C. morning stiffness |
Prostate cancer is most common in men over what age? | 50 |
What antigen is used to diagnose prostate cancer? | Prostate specific antigen |
What are the 3 most common risk factors for prostate cancer? | Obesity, Age (over 50), Family history of cancer |
What causes a cervicogenic headache? | poor posture, stress, trauma (whiplash or heavy lifting) |
What are symptoms of a cervicogenic headache? | Unilateral headache which originates from the upper cervical region |
Are men or women more likely to have cervicogenic headache? | Women are 4 times more likely to suffer from cervicogenic headache |
Piriformis syndrome can produce similar symptoms to what other condition? | Sciatica |
What is the more invasive therapy for Piriformis Syndrome? | BOTOX Injections |
What is the main cause of Piriformis Syndrome? | The piriformis muscle compressing the sciatic nerve |
Is osteoid osteoma a benign or malignant tumor? | Benign |
True/false: Osteoid osteoma is hereditary | False |
What is the standard treatment for a patient with osteoid osteoma? | Surgical removal |
What nerve is compressed in Pronator Syndrome? | Median Nerve |
What are some symptoms that are present in Pronator Syndrome? | Weakness of forearm flexors |
What is the cause of the compressed nerve in Pronator Syndrome? | Entrapment of the median nerve between the two heads of the pronator teres muscles |
According to the risk factors, which is the most likely patient at risk for idiopathic scoliosis? | A female age 10-12 with a family history of scoliosis |
What orthopedic test is generally used to help diagnose idiopathic scoliosis? | Adam’s forward bending test |
What abnormal shape or curvature does idiopathic scoliosis produce? | An abnormal side-to-side “S”- or “C”-shaped curvature. The curve is in one or more planes. |