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% Most of the following are not required for the majority
% of cheat sheets but are needed for some symbol support.
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% Document Info
\author{Siffi (Siffi)}
\pdfinfo{
  /Title (hx-taking-physical-exam.pdf)
  /Creator (Cheatography)
  /Author (Siffi (Siffi))
  /Subject (Hx Taking + Physical Exam Cheat Sheet)
}

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% Header and Footer
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\fancyhead[L]{
\noindent
\begin{multicols}{3}
\begin{tabulary}{5.8cm}{C}
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    \vspace{-7pt}
    {\parbox{\dimexpr\textwidth-2\fboxsep\relax}{\noindent
        \hspace*{-6pt}\includegraphics[width=5.8cm]{/web/www.cheatography.com/public/images/cheatography_logo.pdf}}
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\columnbreak
\begin{tabulary}{11cm}{L}
    \vspace{-2pt}\large{\bf{\textcolor{DarkBackground}{\textrm{Hx Taking + Physical Exam Cheat Sheet}}}} \\
    \normalsize{by \textcolor{DarkBackground}{Siffi (Siffi)} via \textcolor{DarkBackground}{\uline{cheatography.com/122609/cs/22965/}}}
\end{tabulary}
\end{multicols}}

\fancyfoot[L]{ \footnotesize
\noindent
\begin{multicols}{3}
\begin{tabulary}{5.8cm}{LL}
  \SetRowColor{FootBackground}
  \mymulticolumn{2}{p{5.377cm}}{\bf\textcolor{white}{Cheatographer}}  \\
  \vspace{-2pt}Siffi (Siffi) \\
  \uline{cheatography.com/siffi} \\
  \end{tabulary}
\vfill
\columnbreak
\begin{tabulary}{5.8cm}{L}
  \SetRowColor{FootBackground}
  \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Cheat Sheet}}  \\
   \vspace{-2pt}Not Yet Published.\\
   Updated 31st May, 2020.\\
   Page {\thepage} of \pageref{LastPage}.
\end{tabulary}
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  \vspace{-5pt}
  %\includegraphics[width=48px,height=48px]{dave.jpeg}
  Measure your website readability!\\
  www.readability-score.com
\end{tabulary}
\end{multicols}}




\begin{document}
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\raggedcolumns

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% www.emerson.emory.edu/services/latex/latex_169.html
\footnotesize % Small font.

\begin{multicols*}{2}

\begin{tabularx}{8.4cm}{x{2.32 cm} x{5.68 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{Hx Taking}}  \tn
% Row 0
\SetRowColor{LightBackground}
{\bf{Focused:}} & {\bf{Site}} - Where the pain is? Different site or local? Note their gestures \tn 
% Row Count 3 (+ 3)
% Row 1
\SetRowColor{white}
 & {\bf{Onset}} - \seqsplit{Spontaneous/gradual/sudden/traumatic}? \tn 
% Row Count 5 (+ 2)
% Row 2
\SetRowColor{LightBackground}
 & {\bf{Aggravating/relieving factors}} - Rest? Movement?posture? Have patient demonstrate movements/posture \tn 
% Row Count 9 (+ 4)
% Row 3
\SetRowColor{white}
 & {\bf{Quality of pain}} - Character of pain in patient's own words as much as possible, if they can't, give them a list - Burning, deep, dull, aching, sharp,throbbing, stabbing \tn 
% Row Count 16 (+ 7)
% Row 4
\SetRowColor{LightBackground}
 & {\bf{Radiation}} - Where the pain goes and what character it is? Different from local pain? \tn 
% Row Count 20 (+ 4)
% Row 5
\SetRowColor{white}
 & {\bf{Severity}} - 1-10 scale, functional disability (outcome measure) \tn 
% Row Count 23 (+ 3)
% Row 6
\SetRowColor{LightBackground}
 & {\bf{Time}} - length of time pain has been present - constant? intermittent? variable? 24 hr period? \tn 
% Row Count 27 (+ 4)
% Row 7
\SetRowColor{white}
 & {\bf{Associated symptoms}} - Stiffness, Swelling, crepitus, locking, instability, weakness and neurological signs - did you notice any other symptoms come on at the time of your pain? \tn 
% Row Count 34 (+ 7)
\end{tabularx}
\par\addvspace{1.3em}

\vfill
\columnbreak
\begin{tabularx}{8.4cm}{x{2.32 cm} x{5.68 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{Hx Taking (cont)}}  \tn
% Row 8
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{8.4cm}}{} \tn 
% Row Count 0 (+ 0)
% Row 9
\SetRowColor{white}
{\bf{General Hx}} & {\bf{Systems review}} - Is the pain coming from a certain system? Check organs \tn 
% Row Count 3 (+ 3)
% Row 10
\SetRowColor{LightBackground}
 & {\bf{Previous Health}} - previous trauma, operations, medical illnesses, investigations + treatment - similar past episodes/previous MSK disorders " Have you seen any other professionals about this? What did they do? Did it help?" \tn 
% Row Count 12 (+ 9)
% Row 11
\SetRowColor{white}
 & {\bf{Other Potential precipitating factors}} - infections, illnesses, surgery + stress \tn 
% Row Count 15 (+ 3)
% Row 12
\SetRowColor{LightBackground}
 & {\bf{Family Hx}} - Any joint/systemic diseases - ask about grandparents/parents + siblings \tn 
% Row Count 19 (+ 4)
% Row 13
\SetRowColor{white}
 & {\bf{Social Hx}} - Work + Home life - how does this pain/symptom affect them at work/home? Hobbies affected? - Outcome measure/goals for the patient \tn 
% Row Count 25 (+ 6)
% Row 14
\SetRowColor{LightBackground}
 & {\bf{Functional assessment}} - Loss of function? \tn 
% Row Count 27 (+ 2)
% Row 15
\SetRowColor{white}
\mymulticolumn{2}{x{8.4cm}}{} \tn 
% Row Count 27 (+ 0)
% Row 16
\SetRowColor{LightBackground}
{\bf{Red Flags}} & Clinical features - serious, uncommon conditions/diseases - {\bf{requires URGENT evaluation}} - Tumours, infection, f\#, neurological damage \tn 
% Row Count 32 (+ 5)
\end{tabularx}
\par\addvspace{1.3em}

\vfill
\columnbreak
\begin{tabularx}{8.4cm}{x{2.32 cm} x{5.68 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{Hx Taking (cont)}}  \tn
% Row 17
\SetRowColor{LightBackground}
{\bf{Yellow Flags}} & Psychosocial + Occupational factors that could increased the risk of chronicity - Bournemouth Questionnaire (BQ) \tn 
% Row Count 4 (+ 4)
% Row 18
\SetRowColor{white}
 & Attitudes + Beliefs about pain \tn 
% Row Count 6 (+ 2)
% Row 19
\SetRowColor{LightBackground}
 & Behaviours \tn 
% Row Count 7 (+ 1)
% Row 20
\SetRowColor{white}
 & Compensation issues \tn 
% Row Count 8 (+ 1)
% Row 21
\SetRowColor{LightBackground}
 & Diagnostic + Treatment Issues \tn 
% Row Count 10 (+ 2)
% Row 22
\SetRowColor{white}
 & Emotions \tn 
% Row Count 11 (+ 1)
% Row 23
\SetRowColor{LightBackground}
 & Family life \tn 
% Row Count 12 (+ 1)
% Row 24
\SetRowColor{white}
 & Work Life \tn 
% Row Count 13 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{x{2.08 cm} x{5.92 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{Physical Exam}}  \tn
% Row 0
\SetRowColor{LightBackground}
{\bf{Processes:}} & LOOK, FEEL , MOVE, SPECIAL TESTS \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
{\bf{Palpation:}} & Bony + Soft Tissue - Look for - Deformity, Warmth, Crepitus, Muscle Tone, shape + Size, Swellings, Tenderness \tn 
% Row Count 6 (+ 4)
% Row 2
\SetRowColor{LightBackground}
{\bf{ROM}} & AROM, PROM, RROM - End Feel, stiffness, Pain, Crepitus, locking. \{\{nl\}\} AROM + RROM - Muscular/contractile Tissue. \{\{nl\}\} PROM = Non-contractile tissue \tn 
% Row Count 12 (+ 6)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{x{4 cm} x{4 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{Mechanical Sensitivity}}  \tn
% Row 0
\SetRowColor{LightBackground}
- Neuromuscular Condition can be aggravated by various provoking factors & - Classed as Low/Moderate/High \tn 
% Row Count 4 (+ 4)
% Row 1
\SetRowColor{white}
\mymulticolumn{2}{x{8.4cm}}{- Effective Management Plan} \tn 
% Row Count 5 (+ 1)
% Row 2
\SetRowColor{LightBackground}
{\bf{Questions:}} & What Activity brings on the pain? \tn 
% Row Count 7 (+ 2)
% Row 3
\SetRowColor{white}
 & How long can the pt perform the activity before the onset of pain? \tn 
% Row Count 11 (+ 4)
% Row 4
\SetRowColor{LightBackground}
 & After onset - can they keep working, if so, how long for? \tn 
% Row Count 14 (+ 3)
% Row 5
\SetRowColor{white}
 & After stopping - How long does the pain take to settle? \tn 
% Row Count 17 (+ 3)
% Row 6
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{8.4cm}}{} \tn 
% Row Count 17 (+ 0)
% Row 7
\SetRowColor{white}
{\bf{Assessment Factors}} & Nature of activity that provokes symptoms \tn 
% Row Count 20 (+ 3)
% Row 8
\SetRowColor{LightBackground}
 & Intensity of the pain provoked \tn 
% Row Count 22 (+ 2)
% Row 9
\SetRowColor{white}
 & Time Span between onset + Offset \tn 
% Row Count 24 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{x{4.16 cm} x{3.84 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{High Sensitivity (Strong Reactor)}}  \tn
% Row 0
\SetRowColor{LightBackground}
Severe Pain - Provoked Easily & - Rapid Onset of Pain during activity \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
- Patient Ceases activity and pain occurs hours afterwards & - Radiation of Pain is Common \tn 
% Row Count 5 (+ 3)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{8.4cm}}{{\bf{Rx:}} {\bf{NOT RECOMMENDED FOR:}} Manipulation, Mobilisation, deep myofascial therapy \newline {\bf{Recommended:}} Drug Therapy, PIR + Gentle Massage}  \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{x{3.2 cm} x{4.8 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{Moderate Sensitivity (Mild Reactor)}}  \tn
% Row 0
\SetRowColor{LightBackground}
- Definite Pain free period & - Pain unusually Gradual Onset - Slow then builds up during activity \tn 
% Row Count 3 (+ 3)
% Row 1
\SetRowColor{white}
- Patient ceases Activity & - Pain stops after 1 or 2 hours after stopping activity \tn 
% Row Count 6 (+ 3)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{8.4cm}}{{\bf{Rx:}} Mobilisation + Moderate Myofascial therapy + less intense forms of manual therapy}  \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{x{4 cm} x{4 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{Low Sensitivity (Weak Reactor)}}  \tn
% Row 0
\SetRowColor{LightBackground}
- Long delay in onset of pain & - Strenuous activity provokes it \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
- Pain level rises slowly, patient can continues with the activity & - When the patient stops activity - pain settles rapidly - within 15-30 minutes \tn 
% Row Count 6 (+ 4)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{8.4cm}}{{\bf{Rx:}} Any form of manual therapy - low chance of reaction}  \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}


% That's all folks
\end{multicols*}

\end{document}