Midterm Cards Flashcards

(55 cards)

1
Q

a limited examination of the affected body area or organ system. Simple. Straightforward. Minimal history reviewed. Low medical decision-making

A

Problem focused

*exam only affected area

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2
Q

a limited examination of the affected body area or organ system and any other symptomatic or related body area(s) or organ system(s). Low, possibly moderate, medical decision-making

A

Expanded problem focused

*exam affected area and other symptomatic or related areas

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3
Q

an extended examination of the affected body area(s) or organ system(s) and any other symptomatic or related body area(s) or organ system(s). Moderate to high medical decision-making

A

Detailed

*exam of affected areas, similar to expanded problem focused but higher level medical decision making

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4
Q

a general multi-system examination (all systems are considered except for eye or psychiatric), or complete examination of a single organ system and other symptomatic or related body area(s) or organ system(s). Moderate to high medical decision-making

A

Comprehensive

*exam of almost all systems or complete exam of single system and other related areas/systems

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5
Q

Soft Tissue

A

Direct, Passive

Repetitive 1-2 sec, hold for inhibitory

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6
Q

MFR

A

Direct or indirect, passive

Triplanar barrier, add muscle movement for INR, may add breath assist

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7
Q

MET

A

Direct, active

post iso relaxation: take to direct barrier, pt force towards neutral and physician force toward barrier, hold 3-5 sec

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8
Q

BLT

A

Indirect, passive

Triplanar indirect barrier, test respiratory phases, hold in phase of ease to air hinger, repeat and microadjust

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9
Q

FPR

A

Indirect, passive

Flatten curve (F neck or E T-spine), compress, place in triplanar indirect barrier, hold 5 sec, return to neutral

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10
Q

Still Technique

A

Indirect and Direct, passive

Place in indirect barrier, compress, move through direct barrier

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11
Q

Counterstrain

A

Indirect, passive

  1. Find tenderpoint
  2. Establish pain scale
  3. Place in 70% pain reduction position
  4. Hold 90 sec
  5. Slow return to neutral
  6. Recheck tenderpoint
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12
Q

HVLA

A

Direct, passive

Load into direct barrier, thrust through

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13
Q

OA diagnosis

A

F or E

S and R opposite

  • OA is 2 different letters so 2 different directions for S and R
    i. e. OA F RlSr
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14
Q

AA Diagnosis

A

Rotation only!

i.e. AA Rr

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15
Q

C2-7 Diagnosis

A

Type 2 Mechanics

F or E

S and R same side

i.e. C3 F SrRr

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16
Q

Type 1 Mechanics

A

Neutral

Group

Opposite S and R

(TONGO = type one neutral group opposite)

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17
Q

Type 2 Mechanics

A

F or E

Single segment

S and R same direction

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18
Q

Innominate Diagnosis

A

Lateralize with STANDING forward bend test

Check landmarks (ASIS, PSIS, medial malleolus, pubic tubercle)

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19
Q

Innominate diagnosis:

Inferior ASIS and medial malleolus
Superior PSIS

A

Anteriorly rotated innominate

*anterior rotation rolls hip forward, making the leg longer

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20
Q

Innominate diagnosis:

Superior ASIS and medial malleolus
Inferior PSIS

A

Posteriorly rotated innominate

*posterior rotation rolls hip back, making the leg shorter

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21
Q

Sacral Diagnosis

bend, spring, sphinx, respiratory

A

SEATED forward bend test to lateralize

+ Lumbar spring test = resistance to springing = E sacrum

+ Backward bend test = worsened assymetry = E sacrum

Respiratory motion = E on Inhale, F on exhale

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22
Q

Sacral torsion bases/ILAs

A

Same movement on same side
Opposite movement on opposite side

i.e. 
L base posterior
L ILA posterior
R base anterior
R ILA anterior

PA
PA

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23
Q

Sacral unilateral flexion bases/ILAs

A

Opposite movement on same side
Same movement on opposite side

i.e. 
L base posterior
L ILA anterior
R base anterior
R ILA posterior

PA
AP

24
Q

Key Rib determination

A

BITE

Bottom of group in Inspired Rib SD

Top of group in Expired Rib SD

25
Inhaled Rib Dysfunction | restricted in expiration
It is stuck up so push it down! Ribs 1-10: depress key rib on exhalation Ribs 11-12: quadratus lumborum *BITE: Inhaled SD so treat bottom rib!
26
Exhaled Rib SD treatment *restricted in inhalation
It is stuck down so pull it up! Rib 1: Ant/Med scalene (pull down from forehead) Rib 2: Post scalene (pull down from forehead) Rib 3-5: Pec minor (adduct arm) Rib 6-8: Serratus anterior (elbow to cieling) Rib 9-10: Lat dorsi (elbow someone behind them) Rib 11-12: Quad lumb
27
Radial Head movement
Radial head moves posterior with pronation anterior with supination
28
Fibular head movement
Fibular head moves posterior with plantarflexion (also inversion) moves anterior with dorsiflexion
29
Viscerosomatic Levels: Head/Neck/Upper esophagus
T1-5
30
Viscerosomatic Levels: Heart
T1-6
31
Viscerosomatic Levels: Lungs
T1-7
32
Viscerosomatic Levels: Upper GI
T5-10
33
Viscerosomatic Levels: SI and Ascending colon
T9-11
34
Viscerosomatic Levels: Ascending/Transverse colon
T10-11
35
Viscerosomatic Levels: Descending/Sigmoid colon/rectum
T12-L2
36
Viscerosomatic Levels: Adrenals
T5-10
37
Viscerosomatic Levels: GU and Ureters
T10-L2
38
Viscerosomatic Levels: Upper extremities
T2-7
39
Viscerosomatic Levels: Lower Extremities
T11-12
40
Erysipelas vs Cellulitis vs Abscess
Erysipelas: superficial, well demarcated Cellulitis: deep, poorly demarcated borders Abscess: cellulitis with pus filled mass
41
Bacteremia vs Sepsis
Bacteremia: bacteria in the blood Sepsis: bacteremia w/ organ dysfunction/failure
42
McMurray's Test: pain or clicking on EXTERNAL rotation of the tibia
Medial meniscus injury
43
McMurray's Test: pain or clicking on INTERNAL rotation of the tibia
Lateral meniscus injury
44
Definition of fever (temp)
>38 C or 100.4 F
45
Febrile illness for 3 weeks or longer without an etiology despite a one-week inpatient evaluation
Fever of unknown origin
46
Sensitivity
Helps rule out disease A (-) result on a sensitive test will allow you to be confident that the result is a true negative **Leukocyte esterase is very sensitive => (-) result means WBC in urine likely not due to infection
47
Specificity
Helps rule in disease A (+) result on a specific test will allow you to be confident that the result is a true positive **Nitrate is very specific => (+) result means infection very likely
48
Antipyretics for fever treatment
APAP (mostly central) NSAIDs (central and peripheral) Aspirin *NSAIDs risky in pts with liver dz
49
Esophagus chapman points
2nd ICS parasternally Lateral to T2 spinous process
50
Stomach chapman point
5th and 6th ICS on the Left Lateral to T5 and T6 spinous process on the Left
51
Liver chapman point
5th and 6th ICS on the Right Lateral to T5 and T6 spinous process on the Right
52
Gallbladder chapman point
6th ICS on the Right Lateral to T6 spinous process on the Right
53
Pancreas chapman point
7th ICS on the Right Lateral to T7 spinous process on the Right
54
Small Intestine chapman point
8th, 9th, 10th ICS Bilaterally Lateral to T8 T9 T10 spinous process Bilaterally
55
Orthostatic hypotension definition
Sustained drop of SBP by 20 or drop of DBP by 10, 3 minutes after standing