How should a PT perform a systems review and why is it essential?

• A. Brief screen of cardiovascular, pulmonary, integumentary, musculoskeletal, neuromuscular systems to identify red flags and placement of tests.
• B. Full diagnostic imaging of all systems.
• C. Only anatomical palpation.
• D. Patient-only questionnaire ignoring exam.

Answer: (C)

A systems review is a quick, structured screen of multiple body systems to spot potential medical issues that could affect PT care. It’s essential because it helps you detect red flags and decide safe, appropriate next steps in evaluation and treatment. By briefly checking cardiovascular, pulmonary, integumentary, musculoskeletal, and neuromuscular systems, you gain information about overall medical status, function, and possible contraindications, guiding what tests or measures to perform next and whether a referral is needed. This isn’t a full diagnostic workup or imaging, and it isn’t limited to just palpation or a patient questionnaire. Palpation alone or a questionnaire cannot substitute for the hands-on, quick, multi-system screen that informs safe care.