Midterm -- Pt2 Flashcards Preview

Subluxation -- Hagen > Midterm -- Pt2 > Flashcards

Flashcards in Midterm -- Pt2 Deck (39)
Loading flashcards...
1

For nervoscope findings, what do we call it when the needle deflects over MULTIPLE segmental levels/dermatomes? It this normal?

Heat Swing; yes, it is normal physiology and it's the bodies natural thermal fluctuations

2

For the nervoscope findings, what do we call it when the needle deflects over a SINGLE segmental level/dermatome?

Break

3

T/F. Breaks are repeatable

True

4

What is the ideal movement of the needle for a Break?

ldeal 2 increments or more

5

How do you tell if a stool is the correct height for the doc?

docs inferior patella should be at top of stool

6

Which way to the angled legs face of the stool?

face back

7

What is proper patient preparation in order to run a scope on someone?

- access to spine from occiput to S2 tubercle (shirt off/gown)
- Remove: glasses, hats, chains
- ideal acclimation time to room temp = 10mins

8

Cervical Glide:
1. doctor stance
2. patent placement
3. scope grip
4. Probe width

1. scissored; forward knee touching outside of stool
2. seated to back of stool
3. 1 hand grip
4. parallel to inward

9

Cervical Glide:
1. Start at
2. Finish at
3. Marking break
4. Misc. needs

1. T1
2. 1/2" onto occiput (bowel level w/ occiput)
3. 1/4" below mid thermocouple on side of 1st deflection
4. hair sweep OR forehead stabilization

10

Thoracolumbar Glide:
1. doctor stance
2. patent placement
3. scope grip
4. Probe width

1. scissored; forward knee touching inside of stool
2. seated hand widths forward from back of stool
3. dual hand grip
4. parallel to outward

11

Thoracolumbar Glide:
1. Start at
2. Finish at
3. Marking break
4. Misc. needs

1. C7
2. S2
3. 1/2" above mid thermocouple on side of 1st deflection
4. full access to S2 before start

12

Seconds per segment:

Cervical

Thoracolumbar

Cervical-- 3 secs (~18-21 total)

Thoracolumbar-- 2 secs (~35-38 total)

13

For occiput - C1 where is usually the break location?

Suboccipital-- b/w the 2 segments (upper cervical)

14

For C2-T3 where will the break location typically be?

interspinous space below

15

For T4 where will a typically break location be?

at its own spinous level

16

For T5-T9 where will a typically break location be?

interspinous space above

17

For T10-T12 where will a typically break location be?

at its own spinous level

18

For L1-L5 where will a typically break be?

lower 25% of spinous of involved segment

19

For the given segments, where can one expect to see the break?
1. Occiput - C1
2. C2-T3
3. T4
4. T5-T9
5. T10-T12
6. L1-L5

1. suboccipital--b/w 2 segments
2. interspinous space below
3. at its own spinous level
4. interspinous space above
5. at its own spinous level
6. lower 25% of spinous of involved segment

20

For documentation of a Break, what is all needed?

- segmental level
- direction of break (1st deflection)
- amplitude (increments)

Ex: T8/Lt/3
or C2/Rt/2

21

What components of the VSC would the Tytron fall under?

Neuropathology-- thermoregulation

Histopathology -- inflammation, edema

22

What componenets of the PART system would the Tytron usuage fall under?

T-- Tissue/tone changes

23

When using the Tytron, what is the patient placement? What is the doctor stance?

Patient seated to back of stool, feet out, hands in lap and access from S3 to C1

No kneeling or squatting

24

Using the Tytron:
1. Starting location
2. Trigger?
3. When do you start?
4. Stopping location

1. rollers over S3, barrels over S2
2. pull trigger and hold
3. start moving on 2nd beep
4. release trigger at C1

don't forget hairsweep

25

How many seconds per segment when using the Tytron?

1 second/segment

26

Describe the barrel positioning when using the Tytron.

as close to skin but w/o touching and follow disc plane lines

27

How do you do the Mastoid Fossa Scan using the Tytron?

- press "F" for fossa Scan
- 1st Right barrel Right ear
- 2nd Right barrel Left ear
- hold barrow 90 degrees to fossa
- hold trigger for 3 seconds

28

What is considered significant for the Mastoid Fossa scan?

greater that 0.5 degrees Celsius

29

When using the Tytron, what do you press to get the Bar graph?

"B"

30

When usuing the Tytron what do you press to get the anatomy?

"A"