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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
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]
Losing weight can nix this risk factor for low back pain by decreasing the demand on your spinal structures, says Dr. Landon Uetz, PT, DPT, a physical therapist at TeachMe.To.
Each letter stands for an important line of questioning for the patient assessment. [ 3 ] [ 4 ] This is usually taken along with vital signs and the SAMPLE history and would usually be recorded by the person delivering the aid, such as in the "Subjective" portion of a SOAP note , for later reference.
A back examination is a portion of a physical examination used to identify potential pathology involving the back. A spinal assessment is a way to examine the back for potential pathology. Medical inclinometers can be used to assess range of motion. This kind of assessment can help diagnosis scoliosis, kyphosis and degenerative disc disease. [1]
• The information needs to be interpreted in the context of the physical examination elsewhere (e.g. chest, abdomen, neurological examinations in the case of the limping child or in the presence of any “red flags” in the unwell child. • Documentation of findings in the case notes is simple using a grid (see free resources)