OMM: Acute vs. Chronic changes

[Apoplexy__]

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Is there a cutoff point in time at which you expect a somatic dysfunction to be chronic vs. acute? For example, the tenderness indicating an acute dysfunction typically goes away within...3 days? 7 days? A month?

I'm asking because I've gotten QBank questions where they give you a patient with a SD lasting 1 day and you have to give them the characteristics of the SD (pick the answer choice with acute findings). I could see them putting more ambiguous periods of time.

 

[001100010010011]

I think that they'll probably differentiate it by giving your extremes in time (1d like your question, or months) and you might be able to differentiate it from an acute vs. chronic dysfunction based on the characteristics of the lesion.

I haven't done any COMLEX questions yet, though. Which bank are you using?

 

[Apoplexy__]

I think that they'll probably differentiate it by giving your extremes in time (1d like your question, or months) and you might be able to differentiate it from an acute vs. chronic dysfunction based on the characteristics of the lesion.

I haven't done any COMLEX questions yet, though. Which bank are you using?

Yeah like you said, out of about 5 of these types of questions I've gotten (out of 180 OMM questions), 1 day was the longest acute change I've had (others were 3 hours, etc.). It would just be nice if someone happened to know a source that definitively says either way.

Oh and I'm using Combank.

 

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When is your exam?

 

[Apoplexy__]

When is your exam?

5/29 haha. Just decided to study up on OMM since it's points I would kick myself if I missed.

 

[NeuroLAX]

Not sure if there is a cut-off in time, but if you have DiGiovanna's An Osteopathic Approach to Diagnosis and Treatment, Table 4.1 has a good representation of Acute vs Chronic characteristics of SDs. It might help you narrow down the answer choices if you see all but one acute or all but one chronic.

If you don't have the book, scroll down to Chapter 4, bottom of pg 17:
http://books.google.com/books?id=to...ronic symptoms of somatic dysfunction&f=false

 

[Apoplexy__]

Not sure if there is a cut-off in time, but if you have DiGiovanna's An Osteopathic Approach to Diagnosis and Treatment, Table 4.1 has a good representation of Acute vs Chronic characteristics of SDs. It might help you narrow down the answer choices if you see all but one acute or all but one chronic.

Thanks. I got those tables down pretty well, I just would rather not have to rely on the strategy you mentioned. There's probably no cutoff time haha, just figured I'd ask.