Peter Zhu

Chicken Nuggets

[Peter Zhu @PeterZhuDPT]

Pt is a 77 yo Parkinson’s patient with history of falls and new onset osteoporosis. Assessment reveals poor anticipatory postural adjustment and poor single limb balance. First step of treatment, patient education on important of fall prevention!

[Peter Zhu @PeterZhuDPT]

@TC_DPT *retweet*

[Peter Zhu @PeterZhuDPT]

@GisselleSPT Very helpful ty

[Peter Zhu @PeterZhuDPT]

@EddigerWestphal #basic

[Peter Zhu @PeterZhuDPT]

Pt. is a 54 yo female with acute cervical radiculopathy. Research indicates that short term (1-week) cervical immobilization via collar may be beneficial. Pt declines bc “ugly” —> improvised with airplane neck pillow! Pt approves. Yass .

[Peter Zhu @PeterZhuDPT]

Clinical Pearl of the week: Skin folds along the spine can give you valuable insight into a patients movement pattern and can be great as a form of visual feedback to retrain movement so as not to impart excessive forces on these “hinge” points.

[Peter Zhu @PeterZhuDPT]

Pt is a 32 yo female with posterior elbow pain only @ end range elbow ext & flex. MOI is pulling herself out of the pool. X-ray & MRI neg. Pt with full ROM, normal end feels. Strong n painless for all MMT. Accessory motion good. What next?? #SendHalp

[Peter Zhu @PeterZhuDPT]

Pt 4 weeks s/p 2nd total knee revision surgery. Very apprehensive about weaning off four wheeled walker due to fear of falling. MMT and balance assessment indicate she is safe to walk without AD but pt unwilling to even switch to SPC. How to proceed?

[Peter Zhu @PeterZhuDPT]

Pt is a 45yo female with upper back pain and (B) UE pain/paresthesia that occurs first thing in the morning lasting 1.5-2hours. Neuro screen is non remarkable, cervical/shoulders cleared, cardiovascular cleared, TS manip helped! T4 Syndrome??

[Peter Zhu @PeterZhuDPT]

Pt presents s/p 7 surgeries within 4 months necessitated by fall off a 50 foot bridge. C/o of intense pain w/ any movement. Neurological and orthopedic deficits are plentiful. Have 40 mins to eval. On top of that, need a translator! Where to start? 🤯

[Peter Zhu @PeterZhuDPT]

Pt is 3 weeks s/p non-op proximal humerus fx who c/o progressive numbness/tingling/pain in arm and hands without a clear dermatomal or PN pattern. C-spine cleared & no upper motor neuron signs --> possible brachial plexus injury sustained during fall? Monitor for prog. or refer?

[Peter Zhu @PeterZhuDPT]

When asked why she did that, pt reports that her HEP instruction packet said to push into the towel. Clearly a misunderstanding of what is doing the pushing- this is why it’s important to go over therex with pts! 😂😂😂

[Peter Zhu @PeterZhuDPT]

Pt presents to PT s/p TKA and reports having done her quad set exercises religiously. When asked to demo the quad sets w towel rolled underneath knee - instead of pushing knee into towel, pt pushes towel with her HAND w/o contracting quad.

[Peter Zhu @PeterZhuDPT]

Pt w/ chronic LBP w radicular sx. Expresses that she “doesn’t believe that PT will help and is only doing it because it’s a prerequisite for lumbar fusion surgery”. Another pt in room overhears convo and tells of her success with PT for the same problem. Pt now more optimistic!

[Peter Zhu @PeterZhuDPT]

65 y.o female presents to PT 5 months s/p (L) sided TKA. Still presents with 5 degree extension lag with hard endfeel. Soft tissue contracture? Or less than optimal sizing and fit of replacement? 🤔🤔🤔

[Peter Zhu @PeterZhuDPT]

@juliehershberg

[Peter Zhu @PeterZhuDPT]

“Dude, where’s my car?”

Common forgetfulness or Dementia? —> Check out this chart for proper differential dx!

[Peter Zhu @PeterZhuDPT]

Are you suspecting a brain-stem lesion? Here’s a quick & dirty cranial nerve screen you can do for your patients! Can you do it within 5 minutes? #PT546week12 @juliehershberg

[Peter Zhu @PeterZhuDPT]

Did your child sustain a concussion? If symptoms get worse or last >2 weeks, further work-up is necessary! #pt546week11 @LibbyKrauseDPT @juliehershberg

[Peter Zhu @PeterZhuDPT]

@juliehershberg @LibbyKrauseDPT #PT546week10

[Peter Zhu @PeterZhuDPT]

Not all headaches are created equal! Check out this handy-dandy algorithm for proper differential dx! Of note, look out for red flags SNOOPPPP!