Case history

Question 1

what does the first S in socrates stand for

Answer 1

Site- where is the pain broad and specific

point to the area

Question 2

what does the O in socrates stand for

Answer 2

Onset- when did it happen
- was it sudden or gradual
- what caused it

Question 3

what does the C stand for in socrates

Answer 3

Chraracter- what does the pain feel like
- sharp, dull
- let patient descrive it then try help them

Question 4

what does the R in socrates stand for

Answer 4

Radiation- does the pain move
- is is radiculopathy or referred pain
- radiation can be muscular

Question 5

what does the A stand for in socrates

Answer 5

Associated symptoms- any symptoms that you feel are related to the pain
- headaches, fever sweats, cold

Question 6

what does the t in socrates stand for

Answer 6

Timing- is it continous or episodic
- when does it feel worst and best

Question 7

what does the E in socrates stand for

Answer 7

Exaserbating or releving factors- what makes it feel better or worse
- sports , sleep, posture, activites

Question 8

what does the second S in socrates stand for

Answer 8

Severity- how bad is the pain on different scales

VAS- from 1-10
what is it like now
what is it like at its worst
ADL- how does it affect activity in daily life
QOL- how does it affect quality of life

Question 9

what is a differential diagnosis vs working diagnosis

Answer 9

diff- list of possible conditions that could explain symptoms

working- provisional diagnosis based on clinical evidence

Question 10

what is the order of a consultation

Answer 10

-introduction of yourself
- consent and explanation
-Standing exam
-palpatation
-Arom
-Ortotests
- accesory tests
-Prom

Question 11

what questions go into the past medical history section

Answer 11

s- when and where abouts

RTA?- details

opp- date- what happend

ill- serious, need medicine

tx- who with when

inf- what, when, medication

injury

H in a circle- hopsitalisation- why

Question 12

what is the difference between a contraindication and a reg flag

Answer 12

red flag- sign or symptom that could indicate systemic problem

contraindication- not able to perform that technique on the pateint

Question 13

what are the constitutional signs

Answer 13

weight loss
fatigue
maliase
annarexia- loss of appitite
constant pain
night sweats
night pain
idiopathic onset
insedious onset
cathexia- loss of weight all over muscular atrophy