Differential Diagnosis for the Orthopedic Physical Therapist by James Meadows

By James Meadows

Handbook muscle checking out is a cornerstone job in actual and occupational treatment. Designed to enrich, no longer complement current tomes within the literature, this e-book provides details that's contained, yet no longer effortlessly obtainable within the different books. each one muscle or muscle team is gifted on a web page unfold. every one unfold is chock filled with info, containing an image of the muscle attempt, step by step directions for appearing the attempt, the muscle's starting place and insertion issues, and so on.

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In addition, be careful of cases in which there is no apparent cause. The vast majority of these patients will be straightforward musculoskeletal problems, but it is from this group that the systemic arthritic and cancer patients will be drawn. 16 Part 1 General Principles of Differential Diagnosis Pain Quality The nature or type of pain the patient is experiencing is vital in assess­ ing the condition. There are a number of different classifications for pain, but for the purposes of differential diagnosis the following is as good as any and better than most.

Tionnaire filled :hese questions I presentations. io~n_s _ I do not look at the results of imaging tests until after I have examined the patient. There are two reasons for this. First, the imaging results tend to bias my interpretation of the results of the clinical examination. If the x-ray says degeneration is present, I usually find it clinically. Second, if the imaging results or the image itself agree with my clinical diag­ nosis, I am considerably more confident of my conclusion. On the other hand, the specificity and sensitivity of many tests are not fully under­ stood yet.

However, by itself this may not be an indication of an improving condition. The decrease in pain may simply be the result of good compliance with the instruction to rest the area. On the resumation of normal or even increased activities, the pain returns. Both function impairment and pain must decrease for op­ timal resolution of the patient's condition. Severity and Disability The severity of pain can be very difficult to establish. The therapist can­ not feel the patient's pains, nor is there a valid or reliable way to ob­ jectively quantify pain.

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