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Physical therapist recognition of signs and symptoms of infection after shoulder reconstruction: A patient case report

机译：肩关节重建术后理疗师对感染体征和症状的认识：患者病例报告

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Study design: Patient case report. Background: Clinical reasoning associated with patient evaluation leads physical therapists to one of three choices: 1) treat; 2) treat and refer; or 3) refer. Patients seen postoperatively require screening for potential complications, including infection. Inconsistent or unusual signs and symptoms following orthopedic surgery should lead to consultation and referral, and modifications to the physical therapy plan of care. Case description: A 35-year-old female with Type II glenohumeral instability was referred to physical therapy 5 weeks after a capsular shift surgical procedure of the right shoulder. During the initial physical therapy examination, unexpected complaints were noted including bilateral diffuse multi-joint arthralgia as well as fatigue that significantly limited the patient's abilities and functions. These and other atypical signs were recognized by the physical therapist as indicative of a possible infection or other type of medical complication. Recognition of the atypical findings led the therapist to immediately contact the referring physician, an action which influenced the timely addition of antibiotic therapy. After antibiotic therapy was added to the medical care of the patient, she was able to fully participate in postoperative rehabilitation and successfully completed postoperative rehabilitation within the expected time frame. Discussion: This case illustrates the importance of physical therapists recognizing and reporting atypical signs and symptoms during postoperative care. Prompt communication between the physical therapist and the referring physician in this case led to appropriate medical management in the addition of antibiotic therapy that facilitated patient recovery.
机译：研究设计：患者病例报告。背景：与患者评估相关的临床推理使理疗师选择以下三种选择之一： 2）对待和推荐;或3）参考。术后看到的患者需要筛查潜在的并发症，包括感染。整形外科手术后出现不一致或异常的体征和症状应导致会诊和转诊，并对物理治疗计划进行修改。病例描述：一名35岁女性II型盂肱不稳的女性在右肩囊膜移位手术后5周接受了物理治疗。在最初的物理治疗检查中，发现了意想不到的不适，包括双侧弥漫性多关节关节痛和疲劳，这严重限制了患者的能力和功能。这些和其他非典型症状被理疗师认可为指示可能的感染或其他类型的医学并发症。对非典型发现的认识导致治疗师立即联系推荐医生，这一行为影响了及时添加抗生素治疗。将抗生素治疗添加到患者的医疗服务后，她能够完全参与术后康复，并在预期的时间内成功完成了术后康复。讨论：该病例说明了物理治疗师在术后护理过程中识别和报告非典型症状和体征的重要性。在这种情况下，理疗师和推荐医生之间的及时沟通导致增加了有助于患者康复的抗生素治疗，从而进行了适当的医疗管理。

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