Place-trichy Date-11/06/2014
Pain
Radiculopathy
Severity
Chronicity
Numbness/burning/tingling and other neurological symptoms
Pain upon coughing/sneezing
Pain upon sitting/standing/walking
Wether pain present upon rest
Wether morning stiffness present or not
Any history of RTA/TRAUMA
Any history of LAMINECTOMY/DISCECTOMY
Any history of chronic physical strain
Any history of continuous travelling esp in two wheeler
Any history of sitting before computer
Other relevant occupational history
XRAY/MRI/NEURO
REPORT/DOPPLER/CT SCAN ???
SLR-ZERO TO NINTY
DEGREE, OR NEGATIVE
Gait, wether
painful, spasmatic, trendelenberg, limping
Tenderness +ve to ++++ve
Slight or mild tolerable
discomfort on palpation
More severe pain on ordinary palpation,
which the patient prefers not to tolerate
More intolerable pain even with
light palpation or pressure
Pain which may be caused by even a
mild stimulus such as a sheet touching the joint often characteristic of acute
gout
Swelling +ve to ++++ve
Join swelling which may not be
apparent on casual inspection, but should be recognizable to an experienced
examiner
Joint swelling obvious even on
casual observation
Markedly abnormal swelling
Joint swelling to a maximally
abnormal degree
Limitation of motion 0 to 100%
About 25% loss of motion
About 50% loss of motion
About 75% loss of motion
100% loss of motion or complete
ankyloses of the joint
DTR
:
Biceps jerk-diminished, aggravated,
absent, brisk, normal
Triceps jerk-
Knee jerk-
Ankle jerk-
Heel
to toe walking-wether heel walking or toe walking
more painful, or both normal or either of one painful.
Power of upper and lower limbs
·
Grade 0: No
contraction or muscle movement
·
Grade 1: Trace of
contraction, but no movement at the joint
·
Grade 2: Movement at
the joint with gravity eliminated
·
Grade 3: Movement
against gravity, but not against added resistance
·
Grade 4: Movement
against external resistance, but less than normal
·
Grade 5: Normal
strength
Modified Medical
Research Council Scale for measuring hand muscles
Grade 5: full active range of motion & Normal muscle
resistance
Grade 4: full active range of motion & Reduced muscle
resistance
Grade 3: full active range of motion & No muscle resistance
Grade 2: Reduced active range of motion & No muscle resistance
Grade 1: No active range of motion & Palpable muscle
contraction only
Grade 0: No active range of motion & No palpable muscle
contraction
.......every information from the mouth of the patient is valuable, meant for beginners, thank you !
