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24 Cards in this Set
- Front
- Back
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What does HIPPIRONEL stand for?
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History
Inspection Palpation Percussion Instrumentation Range of Motion Orthopedics Neurologics Ex-ray Labs and special tests |
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What are the 2 exceptions to the HIPPIRONEL sequence?
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1) With trauma x-rays should be taken before patient is moved.
-HIPPIERONL or HIEPPIRONL 2) With abdominal examination listening before palpation to not disturb contents: HIIPPRONEL |
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What are the 5 components of history?
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"CARP-V"
Cheif complaint Additional history Review of systems Patient Assessment forms Vital signs: objective segue to exam |
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What questions should be asked with a history of chief complaint?
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Onset
Palliative Provacative Quality Radiation/Referral Severity Timing |
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What are 6 additional history questions to asked the patient?
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Past history
Family history Chirpractic history Medical history Social history Occupational history |
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What 6 systems need to be reviewed in a patient history?
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1) EENT and Skin
2) CV and Respiratory 3) GI and GU 4) Endocrine 5) Neurologic 6) Musculoskeletal |
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What 6 vital signs should be taken?
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1) height
2) weight 3) blood pressure 4) pulse rate 5) respiration rate 6) temperature |
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What should you look for in a patient INSPECTION (5)?
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1) standing posture in all directions
2) gait analysis walking and running 3) antalgia, gross deformities & symmetry 4) bones: alignement & position 5) soft tissue: swelling, atrophy, scars, symmetry, moles, color, shiny, texture, loss of hair, etc. |
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What 4 things should be looked at during palpation?
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1) temperature increase or decrease
2) bones: pain, shape, abnormal or normal relationship 3) soft tissue: pain, spasm, atrophy or swelling 4) motion: normal, abnormal, accessory, end play of joints |
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What 5 things should be looked at during Percussion?
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1) rule in or out fracture or pathology
2) SPs & other superficial bones 3) Nuchal ligament & supraspinous ligaments 4) Reflex hammer or finger tapping 5) Thorax & abdomen: rule our visceral pain and referral |
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What 6 things should be looked at during Instrumentation?
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1) 128 Hz tuning fork for fracture
2) Auscultate for heart sounds 3) Auscultate for lung sounds 4) Auscultate for abnormal borborygmus 5) Auscultation of peripheral vessels for bruits 6) Technique specific instrumentation |
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What does a "5" mean in neurologics: muscle strength?
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-Normal
-Full ROM with gravity & full resistance |
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What does a "4" mean in neurologics: muscle strength?
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-Good
-Full ROM with gravity & some resistance |
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What does a "3" mean in neurologics: muscle strength?
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-Fair
-Full ROM with gravity & No resistance |
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What does a "2" mean in neurologics: muscle strength?
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-Poor
-Full ROM with gravity eliminated |
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What does a "1" mean in neurologics: muscle strength?
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-Trace
-slight contractility; no joint motion |
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What does a "0" mean in neurologics: muscle strength?
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-None
-No evidence of contractility |
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What 7 things should occur when checking for sensory neurologics?
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1) compare bilaterally
2) vibration sense: 128 Hz tuning fork 3) sharp and dull: both ends of safety pin 4) sharp/pain: pinwheel 5) light touch: whisp of cotton 6) temperature: hot and cold vials 7) stereognosis: familiar objects |
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What does a "0 R" stand for in reflexes of a neurologic exam?
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No response
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What does a "1 +" stand for in reflexes of a neurologic exam?
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Somewhat diminished
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What does a "2+" stand for in reflexes of a neurologic exam?
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Average
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What does a "3+" stand for in reflexes of a neurologic exam?
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Brisker than average
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What does a "4+" stand for in reflexes of a neurologic exam?
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Hyperactive
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What does a "R" stand for in reflexes of a neurologic exam?
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Reinforcement
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