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68 Cards in this Set
- Front
- Back
Ausculatory Gap
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- artery collapses on itself prematurely
- heart disease as possible cause |
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Systolic pressure
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+ pressure against arteriole walls
left ventricle contraction |
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Diastolic Pressure
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+ pressure against arteriole walls
left ventricle RELAXATION |
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Lateralization
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noise is heard louder in one ear than the other
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Cardinal Field of Gaze
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extreme range of vision; ability of eyes to track from one extreme of vision to other
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Binaural
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recruiting both eyes
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Oculus dextra
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right eye
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Oculus sinestra
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left eye
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VBAI
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vertebrobasilar artery insufficiency
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Inclinometry
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OBJECTIVE methods of quantifying ROM of joints in the spine; its an objective assessment tool
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Pulse Characteristics (0 to +3)
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3 = full and bounding
2 = normal 1 = weak and thready 0 = absent |
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BP - Normal Range
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100/70
to 139/79 (pre - hypertensive) |
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BP - Stage 1 Hypertension Range
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140/90
to 159/99 (Mild) |
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BP - Stage 2 Hypertension Range
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160/100
to 179/109 (moderate) |
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BP - Stage 3 Hypertension Range
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180/110 and higher (severe)
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Korotkoff Sounds (5)
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I: Tapping (systolic)
II: swooshing III: knocking IV: muffling V: Silence (diastolic) T S K M S |
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The purpose of the VBAI test
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to determine whether or not a pt. is a candidate for a cervical adjustment
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history of chief complaint
O = |
Onset
- When did it start? - Date (as specific as possible) |
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history of chief complaint
MP3 = |
Mechanism (Cause ... How did it happen?)
Prior history Progression Prior care |
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history of chief complaint
P/P = |
Palliative (what makes it better?)
Provocative (what makes it worse?) |
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history of chief complaint
Q = |
Quality of pain.
Sharp/dull deep/superficial blunt/achy |
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history of chief complaint
R/R = |
Radiation (nerve)
Referral (scleratogenous—muscle, tendon, ligament) |
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history of chief complaint
S/S = |
Site (have pt. touch - don't rely on them)
Severity (What is your 10?) |
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history of chief complaint
T = |
Timing.
Best when? Worst when? |
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history of chief complaint
FID = |
Frequency
Intensity (least/worst/fluctuate) Duration |
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Occupational History (length)
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Job and duties for the past 15 years
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Roland Morris Questionnaire
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• For Functional disability
• By asking activities of daily living (ADL) • Use as an Outcome assessment tool • Score: X/24 w/ benchmark of 4 |
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2 INHERANT PROBLEMS WITH INCLINOMETRY
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1) Test should be repeated (6 times) but with each test patient will have an increased ROM (b/c “stretching tissues”)
2) Place dial in different places each time test is performed |
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Why do we screen w/ George's Test / Protocal?
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1) Hx of sig vascular disease
2) decrease in b/l BP (thrombus ? >20mm) 3) Bruits: musical ausculatory sound 4) Signs of dizziness, nausea, vomiting, or any other neuro symptoms while head is fixed in hyperext & rotated position |
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What are you screening for in Georges Test?
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5 D’s And 3N’s
Dizziness Diplopia: double vision Dropping attacks/fainting Dysarthria: difficulty speaking Dysphagia: difficulty swallowing Ataxia: uncoordinated mov’ts Nystagmus: rhym oscltns of the eyeballs Nausea Numbness |
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8 Parts to comprehensive physical exam
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1. Chief complaint Hx
2. Prior health Hx 3. Family Hx 4. Occupational Hx 5. Vitals 6. Review of systems 7. Outcome Assesment Tools (OAT) 8. Inform consent CPFO History > VROI NO LEADING ?'s |
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Mnemonic for history of chief complaint
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O
MP3 P/P Q R/R S/S T FID |
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Prior Health History Mnemonic
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I SHIP HAM
Injuries Surgeries Hospitalization Infections Psychological Disorders/Pregnancy Headaches Allergies Medications |
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Family History Mnemonic
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ABCDEFG (A - G)
Arthritis Blood disorder Cancer Diabetes Epilepsy Fatality Genetic disorders |
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NECK DISABILIY INDEX QUESTIONNARIE
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10 Sections A – F
1. Pain intensity Score 2. Personal care A-0 3. Lifting B-1 4. Reading C-2 5. Headaches D-3 6. Concentration E-4 7. Work F-5 8. Driving MAX SCORE = 50 9. Sleeping If less than previous score, means improvement 10. Recreation |
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3 Types of Arthritides
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Degenerative (DDD)
Inflamatory (RA) Metabolic (Gout) |
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Types of Blood Disorders
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Hypertension
High Cholesterol Anemia |
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Normal Temperature Range
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96.4°F – 99.1°F
< (Hypothermia) > (Hyperthermia) |
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Normal Pulse Range
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60 – 100 bpm
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Tachycardia
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pulse above 100 bpm
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Bradycardia
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pulse below 60 bpm
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Pulse ... check what 4 things
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1. Rate (bpm)
2. Rhythm (radial sync) 3. Amplitude (2 normal) 4. Compression (pal>compress>pal) |
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Normal vision
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20/20
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Snellen Eye chart keys
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eye level
20 ft away 1 eye at time (cover other open) Letters (until 3 wrong) Colors |
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Jaeger Eye chart keys
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portable
14 inches from pt nose |
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height and weight keys
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shoes off
face away from scale |
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Webers Test
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512 hz tuning fork
skull midline w. tines toward ears Pt. hear equally? |
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Rinnes Test (and sound ratios)
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512 hz tuning fork
Mastoid > by ear AC/BC 2:1 |
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VBAI Test (5)
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1. blood pressure
2. radial artery palpation 3. carotid arteries auscultate & palpate 4. supraclavicular fossa auscultation 5. Test (4) ALL B/L!!!!!!!!!! |
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Dyphagia
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Difficulty Swallowing
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Dysarthria
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Difficulty Speaking
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Nystagmus
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Rapid Oscillations of eyes (vertically indicates CNS problem)
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Maigne’s test
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seated (backless chair)
extend and rotate head 1 min (every 15 "Are you with me?) Watch eyes for nystagmus |
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DeKleyn’s Test
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supine / head over edge of the table in ext.
Turn head and hold (1 min drill) |
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Hautant’s Test
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seated with arms out in front
close eyes - move head into ext and rot (1 min drill) |
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Underberger’s Test
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stand with arms out in front
march in place with head ext and rot (1 min drill) |
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Degrees of C-Spine Flexion
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80-90
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Degrees of C-Spine Extension
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60-70
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Degrees of C-Spine Lat flex
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20-45
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Degrees of C-Spine Rotation
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70-90
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Degrees of T-Spine Flexion
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20-45
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Degrees of T-Spine Extension
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25-45
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Degrees of T-Spine Lat Flex
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20-40
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Degrees of T-Spine Rotation
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35-50
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Degrees of L-Spine Flexion
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40-60
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Degrees of L-Spine Extention
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20-35
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Degrees of L-Spine Lateral Flex
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15-20
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Degrees of L-Spine Rotation
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3-18
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