PHTY301 Lecture Notes - Lecture 1: Sciatic Nerve, Construct Validity, Lumbar Vertebrae
Document Summary
Lecture 1: clinical reasoning in the patient interview for the. Lecture summary: patient interview (p/i) objectives, key sections, relevance & scope. Find: patie(cid:374)t(cid:859)s (cid:373)ai(cid:374) p(cid:396)o(cid:271)le(cid:373)(cid:894)s(cid:895, patie(cid:374)t(cid:859)s li(cid:373)itatio(cid:374)s i(cid:374) te(cid:396)(cid:373)s of icf (cid:373)odel (cid:894)i(cid:373)pai(cid:396)(cid:373)e(cid:374)t, fu(cid:374)(cid:272)tio(cid:374), pa(cid:396)ti(cid:272)ipatio(cid:374)(cid:895, patie(cid:374)t(cid:859)s e(cid:454)pe(cid:272)tatio(cid:374)s, (cid:271)eliefs & goals efe(cid:396)e(cid:374)(cid:272)e: Chap 3 p99-103 and chap 6 lumbar spine p255-265. Patient information: name, gender, dob/age, address/contact numbers, referring practitioner and review date-progress letters. 10 at its worst, on average: relationship between symptomatic areas. Radicular pain (irritation/ compression of nerve root: from irritation to nerve root, shooting or lancinating, band like, distribution of numbness, p&ns, dermatome map, can determine level, aggravating/ easing factors. Is the pain/ ache there all the time: constant but varying, 24-hour behaviour, night pain* inflammatory state or serious pathology. Spontaneous vs pain with movement (e. g. rolling in bed) Ask sleep position, mattress if relevant: mo(cid:396)(cid:374)i(cid:374)g (cid:862)ho(cid:449) is it (cid:449)he(cid:374) (cid:455)ou fi(cid:396)st get out of (cid:271)ed i(cid:374) the (cid:373)o(cid:396)(cid:374)i(cid:374)g? (cid:863) Wakes with pain & stiffness: inflammatory disorder.
