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Viceritome Patterns for the PT (Step Two)
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Viceritome Patterns for the PT (Step Two) - March 21, 2006 12:33:00 PM
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Andrew M. Ball PT PhD
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Joined: July 28, 2002
From: Charlotte, NC
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Step two is to recognize which organ systems should be SUBJECTIVELY screened for a particular set of NMS signs and symptoms. For example:
Left to Right Shoulder Pain:
Cardiovascular
Pulmonary
Gastrointestinal
Thoracic Spine Pain:
Cardiovascular
Peripheral Vascular Pulmonary
Gastrointestinal
Urogenital
Lumbo-Pelvic Pain:
Gastrointestinal
Urogenital
Peripheral Vascular
Left or Right Knee Pain:
Peripheral Vascular
Inconsistent Symptomatic Pain Pattern:
Psychologic
Endocrine
Neurologic
Rheumatic
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Dr. Andrew M. Ball, PT, DPT, Ph.D.
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Re: Viceritome Patterns for the PT (Step Two) - March 21, 2006 12:54:00 PM
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SJBird55
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If anyone wants to see a single page deal full of various symptoms and the potential system(s) involved, look down to that WAY overly complex thread. Chris popped in a PDF of a patient's medical systems review - click on the BIG font one.
Drew is mentioning pain on the above post, but pain isn't the only indication that can help one determine that the complaints may not be completely neuromusculoskeletal in nature. Sometimes the other symptoms are what tip it off in my head.
The bottom of my medical systems review has the health screening questions.
The only thing missing at this point would be questions related to violence... not sure how I could include them on that form.
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Re: Viceritome Patterns for the PT (Step Two) - March 21, 2006 1:22:00 PM
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Andrew M. Ball PT PhD
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Joined: July 28, 2002
From: Charlotte, NC
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You will also find the general health screening questions, that, (as SJ correctly points out), are not always issues of pain, in the GENERAL HEALTH SCREENING thread.
Please remember, however, that visceritome review is the SECOND phase, the general health screening comes first.
Good point SJ, just wrong thread.
Drew
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Dr. Andrew M. Ball, PT, DPT, Ph.D.
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Re: Viceritome Patterns for the PT (Step Two) - March 21, 2006 3:48:00 PM
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Dr.Wagner
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I like your ideas...it is a nice and very simplistic view of patterns. Much of the real utility lies in interpretation, but I think it is a very nice approach.
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Dr. Wagner DO
Moderator of Medical Complexity Forum
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Re: Viceritome Patterns for the PT (Step Two) - March 21, 2006 4:46:00 PM
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SJBird55
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From: Michigan
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Drew, I just do mine all at once. Saves me time. It is a lot easier for me to take my subjective form stuf and then just look at the medical systems review which does have the health screening stuff too. There is only so much time for an evaluation and utopia would be to just screen what's necessary, but it sure is a lot easier to just take a lump of information and go from there versus me asking additional questions just based upon the subjective information. I use my forms to drive my questions so that things move along expediently. The only negative is that everything is screened versus just the parts I might really want to screen, but it saves me time - and time is money.
All I was saying, Drew, was that the patient may have pain that is referred, but from my experience, many times there will be other symptoms that I find on the medical systems review that when pieced together alert me more to another issue than just where the pain is located or not located.
And technically, I don't believe it really matters what order things are screened in - as long as they are screened. Everyone probably has preferences but there isn't a right or a wrong preference.
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Re: Viceritome Patterns for the PT (Step Two) - March 21, 2006 8:53:00 PM
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Andrew M. Ball PT PhD
Posts: 855
Joined: July 28, 2002
From: Charlotte, NC
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Dr. Wagner,
Thanks. My thought is that in order to be useful for the patient of the worst portal-of-entry therapist out there --- it must be quick, it must be simple. Not everything will be caught, but it will catch more than not asking any questions at all in a non systematic way.
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Dr. Andrew M. Ball, PT, DPT, Ph.D.
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