The causes of lower quadrant pain or dysfunction vary widely; presentation of symptoms is equally wide ranging. Vascular conditions (e.g., arterial insufficiency, abdominal aneurysm), infectious or inflammatory conditions, gastrointestinal (GI) disease, and gynecologic and male reproductive systems may cause symptoms in the lower quadrant and lower extremity,1 including the pelvis, buttock, hip, groin, thigh, and knee. Some overlap may occur, but unique differences exist.
When screening is called for, the therapist looks at the client’s personal and family history, clinical presentation, and associated signs and symptoms. Knowledge of problems that can affect the lower quadrant, along with the likely history, pain patterns, and associated signs and symptoms, should guide the therapist with regard to the steps they should follow during screening.
The therapist must especially know how and what to look for to screen for cancer, cancer recurrence, and/or the delayed effects of cancer treatment. Cancer can present as primary chest pain with or without accompanying neck, shoulder, and/or upper back pain/symptoms. Basic principles of cancer screening are presented in Chapter 13; specific clues related to the chest, breast, and ribs will be discussed in this chapter. Breast cancer is always a consideration with upper quadrant pain or dysfunction.
In this chapter, we explore systemic and viscerogenic causes of shoulder and arm pain and take a look at each system that can refer pain or symptoms to the shoulder. This will include vascular, pulmonary, renal, gastrointestinal (GI), and gynecologic causes of shoulder and upper extremity pain and dysfunction. Primary or metastatic cancer as an underlying cause of shoulder pain also is included. The therapist must know how and what to look for to screen for cancer.
|Contact Hours: 10|
Text Course Format: Text
|Instructional Level: Intermediate||BOC Level of Difficulty: Advanced|
|State||Discipline||Approval Status||Provider Code||Expiration Date|
Course Goals & Objectives:
At the end of this course the professional will be able to:
- Recognize 7 signs of the “Sign of the Buttock.”
- List 6 systemic/medical causes of thigh pain.
- Identify symptoms of true nerve root irritation.
- Identify 6 causes of psoas abscess.
- Define insufficiency fractures.
- List 3 physical signs of sacroiliitis.
- Recognize 4 signs of sciatic neuropathy.
- Identify 9 signs and symptoms of osteonecrosis.
- Define ascites.
- List 4 screening tests for liver impairment.
- Identify 3 clinical signs and symptoms of cardiac arrest.
- List 11 clinical signs and symptoms of breast cancer.
- Identify 5 guidelines for breast cancer screenings.
- Recognize 9 clinical signs and symptoms of chest pain caused by anxiety.
- Identify which ribs are affected by costochondritis.
- Recognize 4 clinical signs and symptoms of Herpes zoster.
- Identify 4 neurologic clinical signs and symptoms of thoracic outlet syndrome.
- Recognize 8 risk factor populations more likely to develop pulmonary tuberculosis.
- Define Kehr’s sign.
- Identify 3 stages of CRPS (Type 1).
- List 7 clinical signs and symptoms of upper extremity deep venous thrombosis.
Contact Hours: 10
Target Audience: Physical Therapists, Physical Therapist Assistants, Certified Athletic Trainers
Instructional Level: Intermediate
Criteria for Completion: Criteria for Completion: A score of 70% or more is considered passing. Scores of less than 70% indicate a failure to understand the material and the test will need to be taken again until a passing score has been achieved
Financial –Elsevier - Course content is provided via a royalty based financial arrangement between the parties, Elsevier Inc. & Rocky Mountain Publishing, LLC, d/b/a HomeCEUConnection.com
Nonfinancial - no relevant nonfinancial relationship exists.
Content Disclosure: This course does not focus solely on any specific product or service
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