A process that differentiates when musculoskeletal conditions need further examination or consultation by a PT or when they need to be referred to another practitioner
Differentiate between Examination and Evaluation
Examination - History from background info, systems review, tests and measures
Evaluation - Make clinical judgments regarding the information gathered during the exam regarding musculoskeletal conditions
What are some red flags in the cervical spine?
1. Cancer (metastasis to the spine and ribs) 2. Fracture 3. Cardiovascular problem 4. RA 5. Meningitis 6. Cervical myelopathy 7. Vertebrobasilar artery insufficiency
What is the purpose of the screening process?
1. Differentiate neuromusculoskeletal impairments from medical conditions 2. Identify patterns that suggest origin of pain/symptoms 3. Identify signs and symptoms (yellow and red flags) that warrant attention 4. First step in making a diagnosis
Name the 5 steps in the medical screening process
1. Past medical history 2. Risk factor assessment 3. Clinical presentation 4. Associated signs and symptoms 5. Systems review
Name the red flags you are looking for in a patient's medical history
1. Family history of cancer 2. Upper respiratory infection 3. Recent history of trauma (MVA, fall, etc) 4. Osteoporosis/osteopenia