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Waddell's signs are a group of physical signs, first described in a 1980 article in Spine, and named for the article's principal author, Professor Gordon Waddell (1943–2017), a Scottish Orthopedic Surgeon. [1] [2] Waddell's signs may indicate non-organic or psychological component to chronic low back pain.
patient clenches fist over chest when asked to describe pain Lhermitte's sign: Jean Lhermitte: neurology: lesions of cervical cord dorsal columns or caudal medulla, MS, chemotherapy, Behçet's disease: electrical sensation down the back and into limbs with neck flexion or extension Liebermeister's rule: Carl von Liebermeister: internal medicine
It is used for alert (conscious) people, but often much of this information can also be obtained from the family or friend of an unresponsive person. In the case of severe trauma, this portion of the assessment is less important. A derivative of SAMPLE history is AMPLE history which places a greater emphasis on a person's medical history. [2]
Low back pain is not a specific disease but rather a complaint that may be caused by a large number of underlying problems of varying levels of seriousness. [30] The majority of low back pain does not have a clear cause [1] but is believed to be the result of non-serious muscle or skeletal issues such as sprains or strains. [31]
Letter Aspect Example Questions S Site Where is the pain? Or the maximal site of the pain. O Onset When did the pain start, and was it sudden or gradual? Include also whether it is progressive or regressive. C Character What is the pain like? An ache? Stabbing? R Radiation: Does the pain radiate anywhere? A Associations
An admission note is part of a medical record that documents the patient's status (including history and physical examination findings), reasons why the patient is being admitted for inpatient care to a hospital or other facility, and the initial instructions for that patient's care.
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