A 72 year old male presents with low back pain of insidious onset.  He has a history of prostate cancer 4 years ago that was successfully treated with chemotherapy.  His father was diagnosed with colon cancer when he was 75 years old.  He reports having 2-4 alcoholic drinks 3x per week and smoked 1 pack of cigarettes’ per day from the ages of 20-25 when he served in the military as a young man.  Which of the following findings is most concerning for possible cancer as a cause of back pain.

Reduced skin turgor is indicative of _______.

You’ve been treating a 4-year-old with Cerebral Palsy who is mostly non-verbal and lower physical functioning. This patient tends to have a saturated diaper on every session, appears dirty/unkept, and misses sessions frequently due to the parent’s schedule. At this session you asked about the results from the recent neurologist appointment and the parent states they missed it and had to reschedule it for the 3rd time. What would you do and why?

A physical therapist identifies edema in the lower leg of a 67 year old patient.  After depressing her thumb into the patients leg to approximately 4mm, the “pit” disappears in 11 seconds.  Which of the following is the most accurate grade for pitting edema?

Bleeding under the skin, nosebleeds, bleeding gums, and black stools require medical evaluation as these may be indications of:

You’ve suspected abuse of your 73yo patient for 2 months now; today your patient reports that their spouse has been sexually assaulting them but does not specifically ask you to report this nor gives you direct permission to report. What would you do and why?

Which stage of pressure ulcer exposes to the level of sub-cutaneous fat?

Which of the following blood disorders presents with this skin condition?  

Which stage is this pressure ulcer?  

Discussion 3: Describe the process of required communication between a successor and predecessor auditor.