If you are marketing direct access in a cash based practice (you SHOULD BE doing this already!) you need to be able to identfiy medical red flags when present.  This is where medical screening comes in.  So you can correctly identify what patients need more diagnostic imaging, referred to a physician or surgeon.

I am making a cash based practice evidenced based medical screening “cheetsheet” with the best likelihood ratios and most sensitive screening tools we can use to help us identify medical red flags that we could see in a direct access cash based setting.  I am looking to expand on this list with evidenced based tests and measures to use with high sensitivity and likelihood ratios.  Can you add anything else?

Cash Based Medical Screening List



Major Depression

Reiter Syndrome



Pre-manipulative cervical screening

Stress Fractures




Pancoast Tumor

Horner’s Syndrome

Ankylosing Spondylitis

Canadian C-Spine Rules

Visceral Pain Patterns

Ottowa Ankle Rules

Lumbar Cancer

Vertebral Compression Fracture

Cauda Equina Syndrome

Pittsburgh Knee Rules

DVT – Well’s Criteria

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