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T3 Patient Interview

Powerpoint Q's

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.
Created by: Snowrow