LabDx

9/13/99

 

Case Study from a peer review article

• Use flow chart for sections (can skip analysis of positive findings)
• 2 pages
• No assigned due date right now
• What is the quality of the evidence
• Case studies—not much quality
• Trials—not much quality

 

 

Barriers

• Financial
• Transportation
• Access
• Denial/Fear
• Physiological changes due to aging or such
• Personal beliefs—is there problem appropriate to be addressed
• Age
• Risk Factors

 

Chief Complaint

• Onset
• Temporal—time reference
• Qualitative—
• Chronic—after 3wks
• Acute—up to 7 days
• Subacute—7-21 days
• Provocative
• Vascular problems mimics NMS
• If move and get pain and when stop the pain stops—NMS
• Palliative
• Quality
• What kind of pain
• What cognitive function does to follow
• Want them to use emotional terms
• Chronic pain is an emotion
• Acute pain is somatic problem—aches
• Radiation
• If it is in a dermatome bilaterally is a red flag—image early (CT or MRI)—radicular pain
• Severity/site
• VAS, don't emphasize the pain
• Don't want pain management
• Site
• Where is the tissue injury
• Leg pain is for declining patient's—surgical decompression
• Root compression in degenerative disease
• From history and physical exam
• Timing
• When does the c/c tend to occur
• Seasonal, time of day, annual,
• Frequently w/AM pain is rheumatic pain, AS
• PM—osteoarthritis