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CONDITION/DISORDER SYNONYM
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562 Diverticula of intestine
562.01 Diverticulitis of small intestine (without mention of hemorrhage)
562.11 Diverticulitis of colon (without mention of hemorrhage)
Associated physical therapy diagnoses
718.45 Contracture of joint, pelvic region and thigh
781.2 Abnormality of gait
728.89 Other disorders of muscle, ligament, and fascia
728.2 Muscular wasting and disuse atrophy, not elsewhere classified
729.9 Other and unspecified disorders of soft tissue
719.70 Difficulty in walking involving joint site unspecified
782.3 Edema
315.4 Developmental coordination disorder
786.05 Shortness of breath
780.7 Malaise and fatigue
786.0 Dyspnea and respiratory abnormalities
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PREFERRED PRACTICE PATTERN
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As of June, 2014, the APTA Guide to Physical Therapist Practice does not include practice patterns for organ system pathology. Therefore, the associated or secondary musculoskeletal, cardiovascular/pulmonary, or potential neuromuscular patterns would be indicated.
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PATIENT PRESENTATION
Patient is a 46-year-old female who presents to your clinic with dull left lower back and pelvic pain. She denies any movements that make the pain worse or better. The patient also reports a crampy lower abdominal pain that increases after eating. Further interview of the patient reveals she frequents the restroom with urgency and that her stools are dark. In addition, the patient states that she has trouble getting through her day as she has felt more fatigued recently.
Patient is a direct access, self-pay, without a physician’s referral. During the initial physical therapy examination, palpation of the thoraco-lumbar musculature does not reveal pain. Active and passive movements at trunk rotation, side bending, and forward flexion do not increase low back pain but result in increased abdominal discomfort. Hip flexion also does not reveal increased pelvic discomfort. Special tests such as palpation of McBurney point and the Pinch-an-inch test are positive for increased abdominal tenderness. Palpation of the left iliopsoas muscle and resisted left hip flexion does not increase low back pain; however, the tests do reproduce abdominal tenderness.
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Focal inflammation of the diverticula (sacs) in any part of the digestive tract but most commonly in the large intestine1
Secondary problems such as weakness, gait abnormalities, and limited aerobic endurance
May be acute, postoperative, ...