* Thoracic and cervical spinal structures * The thorax * Gastrointestinal, Cardiopulmonary and renal Systems
With thoracic dysfunction, pain may arise from… (list 3)
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Thoracic Spine
The following are risk factors of pain in which region?
* concurrent MSK pain * Growth spurt or physical abnormalities * Lifestyle and social * Backpack * Postural * Psychological * Environmental factors
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Trauma involved, age, puberty, use of corticosteroids (suspected with compression fracture), psychological factors, use of a backpack, occupation, exercise regimen, coughing and abnormal sleep patterns
What are the key targets for the T-spine? (10 key components)?
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PSFS (Patient Specific Functional Scale)
Which outcome measure specifically is an activity limitation assessment?
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OSPRO
Which self reported outcome measure is essentially a yellow flag scale and looks into psychological factors?
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STarT Back
Which self reported outcome measure looks at stratifying those who need additional care (specifically cognitive aid)?
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Orebro
Which self reported outcome measure identifies those at risk for long term problems?
When analyzing our patients posture we need to watch for…
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Scalenes, Upper traps, Pec Major and Minor
When looking at the t-spine region, which muscles do we examine to see for tightness?
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Cervical Rib (1 & 2)
Which structure could limit ROM of the upper thoracic region?
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Neurogenic cause
What is a possible underlying cause of scapular winging?
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Kyphosis
A breast mass could contribute to what seen in a patient’s posture?
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Breast examination
Which red flag is palpation beneficial but as an test not good in ruling ( _____) out?
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Henschke’s Cluster for a vertebral compression fracture
It terms of a ( ___________) (___________) fracture what is the name of the cluster below
* Female * Age >70 * Significant Trauma * Prolonged use of corticosteroids
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Cook’s cluster for a compression fracture
It terms of a ( ___________)__ fracture what is the name of the cluster below
* Age > 52 * No Presence of leg pain * BMI < 22 * Does not exercise regularly * Female
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Spondylodiscitis
There are not any good tests for screening (_________) besides that there is a presence of a fever.
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Murphy’s Sign for Cholecystitis
What is the test used to screen the gallbladder, having the patient bend their knees, have them push out behind their head and you palpate medial to the rib angle (push in when they breath out)?
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Reproduction of Pain
When palpating the liver what are we looking in terms of this examination?
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4 cm or greater
When palpating the aorta what is the width that we are concerned about a possible aneurysm being present?
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Rule Out Pulmonary Embolism
The following cluster is to rule out which diagnosis
* Age
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Cervical and Lumbar Spine
Which other areas do you rule out with over pressure when examining?