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    ClinicalReasoning ObjectivePlanningwk3

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    liz
    This document provides guidance for objectively planning a physical examination of a patient presenting with left glute and right lower back pain. It lists possible structures that could be causing the symptoms and tests that should be examined and why. It also discusses how the severity, irritability or other nature of the condition could impact the physical exam and potential treatment approach.

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    ClinicalReasoning ObjectivePlanningwk3

    Uploaded by

    liz
    20 views4 pages
    This document provides guidance for objectively planning a physical examination of a patient presenting with left glute and right lower back pain. It lists possible structures that could be causing the symptoms and tests that should be examined and why. It also discusses how the severity, irritability or other nature of the condition could impact the physical exam and potential treatment approach.

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    clinical reasoning worksheet

    Original Title

    ClinicalReasoning-ObjectivePlanningwk3

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    This document provides guidance for objectively planning a physical examination of a patient presenting with left glute and right lower back pain. It lists possible structures that could be causing the symptoms and tests that should be examined and why. It also discusses how the severity, irritability or other nature of the condition could impact the physical exam and potential treatment approach.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    20 views4 pages

    ClinicalReasoning ObjectivePlanningwk3

    Uploaded by

    liz
    This document provides guidance for objectively planning a physical examination of a patient presenting with left glute and right lower back pain. It lists possible structures that could be causing the symptoms and tests that should be examined and why. It also discusses how the severity, irritability or other nature of the condition could impact the physical exam and potential treatment approach.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    You are on page 1of 4

    CLINICAL REASONING – OBJECTIVE PLANNING.

    To be completed after the subjective prior to the objective assessment

    1. Name all the possible structures which could be a source of the

    symptoms: Symptomatic Area –

    Left glute, thigh


    Right LB

    Structure Under Area –

    Glute max, med, min


    Pirif and ER mm
    Hamstrings
    Lumbar spine, sacrum

    Structures which can refer to the area –

    LB spine
    pirif

    2. What needs to be examined today and why?

    Clear LB
    Neuro testing
    SIJ cluster tests

    3. Will a neurological examination be required and why?


    Yes

    4. Behaviour of symptoms

    a) Is the condition severe? Explain why.


    no

    b) Is the condition irritable? Explain why.


    yes—aggravated through exercise

    c) Are there any precautions or contraindications?

    no
    5. How is the severity, irritability or nature of the condition going to affect
    your physical examination and treatment?

    May need to be more aggressive with special tests to try to reproduce symptoms

    6. Will the comparable sign be easy or hard to find? Explain why.


    Hard—may have multiple pathologies

    7. What subjective findings indicate likely physical findings?

    Subjective Physical

    8. What other factors need to be examined as reasons why the structure has
    become symptomatic?

    9. What is your clinical diagnosis?


    To be completed after the objective assessment:

    1. Were your hypotheses supported or negated? Why?

    2. What is you main hypothesis now with regard to the primary disorder and the
    dominant pain mechanism?

    3. Is there anything about your physical exam that would indicate caution in
    your management?

    4. How will you manage this patient?

    5. What comparable signs will you check on return?

    6. Indicate your treatment progression over time.

    7. What is the patients prognosis? Justify:


    8. What goals do you expect to achieve?

    9. Would you expect the patient to have residual signs and symptoms at the end
    of the course of treatment?

    10. How many treatments would be required?

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