2014-2015 Residency Case Study Presentation Series: Case 3
- Health & Wellness
- Brooks Rehabilitation Hospital, Jacksonville FL
Screening for Medical Referral and Differential Diagnosis
June 22, 2013
Course Description: An essential part of rehab professional’s toolbox is having the knowledge to recognize specific signs and symptoms that are not appropriate for evaluation and treatment. Physical Therapists in particular will learn many of the common yellow and red flags that should trigger a referral back to a physician. Due to advancing levels of responsibility and privileges that therapists are granted today, due in part to ‘direct access’, it is not surprising that there is greater potential for more lawsuits aimed at finding therapists ‘negligent’ or ‘having practiced below the normal standard of care’ when they miss important signs/symptoms. Consider the therapist who treats a patient for low back pain for weeks without clinical and functional improvement who later discovers that she has an ovarian cyst. Or consider the therapist who can’t link ‘vertigo-ataxia-diplopia’ together as possible s/s consistent with a Chiari malformation. Will you be ready to connect the dots that will help you recognize the signs and symptoms of a patient with a ballooning abdominal aortic aneurysm that is enlarged and at risk of rupture? This course is appropriate for both the new graduate beginning physical therapist as well as an intermediate level physical therapist and is taught by a practicing PT. The material presented will have clinical relevance across the entire continuum of care. It will also include pertinent case studies and clinical scenarios that have been carefully selected by the instructor in an effort to highlight specific clinically relevant points of the history-taking and physical examination.
· Identify relevant problems discovered during the initial history taking and physical examination by conducting a Review of Systems
· Compare and Contrast the terms ‘Differential Diagnosis’ and ‘Screening’ and what that means during your examination.
· Determine whether ‘Subjective’ reports correlate with “Objective’ findings
· Explain how and why systemic disease can be disguised as ‘Musculoskeletal problems’
· Differentiate between true vestibular and non-vestibular pathology when trying to accurately identify the etiology of dizziness and vertigo.
· Identify and explain normal and abnormal cardiopulmonary function when it becomes a co-morbidity in 80% of your caseload.
· Recognize the signs and symptoms of a patient who may need a Neuropsychiatric referral
· Become familiar with normal and abnormal routine lab values and diagnostic test results
· Explain the differences in ‘scope of practice’ of your medical and healthcare colleagues
· Analyze the Pathophysiology of the organs and various tissue types to help allow you to differentiate between a patient you should evaluate and treat versus a patient you shoulder refer back to the physician.
· Explain the manifestations of the major organ-related diseases that healthcare practitioners typically encounter during patient care.
Patrick A. Tino, PT, DPT
PT/PTA’s, OT/COTA’s, ATC’s, RN’s
*8 contact hours (0.8 CEUs) for PT, PTA, OT, OTA and RN
Brooks Post-professional Education Programs
Brooks Rehabilitation is a leader in post-professional clinical education for healthcare practitioners focused in the area of rehabilitation. This is demonstrated by its active involvement in providing residency and fellowship level training as well as through providing world class continuing education courses for all clinicians in the field of rehabilitation practice. Currently Brooks has four post-professional education programs including a multidisciplinary Geriatric Residency (includes residents from OT, Nursing, SLP, and PT), a PT Neurologic Residency, a PT Orthopaedic Residency, and an Orthopaedic Manual Physical Therapy Fellowship. Brooks Rehabilitation offers over 25 post-professional continuing courses each year that includes a wide variety of course offerings for multiple disciplines and a variety of specialty practice areas. The speakers include both nationally renowned experts from around the country as well as nationally recognized clinical experts that currently practice within Brooks.
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