Sports Med

ROM

Range of Motion

AROM

Active range of motion

Pt

Patient

c/c

Chief complaint

P!

Pain

y/o

Year old

Hx

History

Dx

Diagnosis

c -

With

s-

Without

TTP

Tenderness to palpation

Fx

Fracture

(-)

Negative/normal test

(+)

Positive/abnormal test

WB

Weight bearing

NWB

Non-weight bearing

XR

X-ray

Antalgic gait

Limping

O in oldcaarts

Onset , how did it happen/start

L in oldcaarts

Location , where does it hurt

D in oldcaarts

Duration , how long has it been happening

C in oldcaarts

Characteristics, What does it feel like

A’s in OLDCAARTS

Aggravating + Alleviating , what makes it feel better or worse

R in OLDCAARTS

Radiation , does the pain go anywhere else

T in OLDCAARTS

Timing , is there a certain time when it hurts more

S in OLDCAARTS

Severity , 1-10 pain scale

Palpation

Examining the body by touch

History

Record of patients past and present heath info

Concussion

Traumatic brain injury that makes brain move rapidly back and forth inside the skull

Detecting Concussion

SCAT 5 , Pupil evaluation, PERRLA

Evaluation

Assessing patients health to reach diagnosis

S in SOAP

Subject , what the patient tells you, OLDCAARTS answers

O in SOAP

Objective , what you observe or test, vital signs, visual deformities and palpation results, ROM/ special test

A in SOAP

Assessment , what you think the injury is, 2-5

P in SOAP

Plan , what do you plan to do next, Treatment, recovery timeline, etc

Symptom Score

0-6 scale

Immediate recall

5 word list, digits backwards, months in reverse order

Balance

Double leg stance, single leg stance, tandem stance

Delayed recall

Saying back words from immediate recall