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Flashcards in Part II Chiro Boards Deck (33):
1

Health Hx includes what components?

Chief Complaint (CC)
Past Health History
Personal and Social/Family History
Review of System

2

History that covers the reason the px is seeking care and should be obtained in the PATIENT'S OWN WORDS

Chief Complaint History

3

Present Illness Components:

OPQRST

4

Types of Onset of systems and their meaning

Sudden onset - Specific time or event
Insidious - Unknown time = more dire

5

Most important factor in making a dx =

Age of patient

6

Nothing gets better and patient still getting worse after trial care of treatment. One should suspect:

Cancer

7

Cannot localize pain is an indicator of:

Organ pain

8

Past Health History Components:

Serious Illness
Previous injuries
Hospitalizations
Surgeries
Medications
Allergies

9

Family Health History components:

Cardiovascular Disease
Diabetes
Stroke
Cancer
Arthritis

10

Social/Personal History

Marital Status
Occupation
Diet
Exercise
Bowel/Urinary Patterns
Sleeps
Alcohol, Tobacco, Drug Use
Stress

11

Alcohol Questionaire Acronym:

CAGE:
C-Cutting down
A-Annoyed by others criticism
G-Guilty feelings
E-Eye openers

12

Pacreas pain referral:

T10-T12

13

Gall Bladder visceral referral:

RIGHT Shoulder, inferior angle of the RIGHT shoulder

14

Heart pain referral:

LEFT shoulder/down arm, LEFT Jaw (more prevalent in women)

15

Small intestine visceral referral:

periumbilical

16

Urinary bladder visceral referral:

suprapubic

17

Ureter visceral referral:

groin

18

Kidney visceral referral:

flank

19

Vital Signs: categories that fall under this

-Height and weight
-Temperature
-Pulse
-Respiratory Rate
-Blood Pressure

20

Temperature: Normal Values:

Oral:
Rectal and Tympanic:
Axilla:
Range:

Oral: 98.6 F
Rectal and Tympanic: 99.6 F
Axilla: 97.6 F
Range: 96-99.5 F or 35-37.5 C

21

Puse: Normal Values:

Adults:
Newborn:
Elderly:

Adults: 60-100
Newborn: 120-160
Elderly: 70-80

22

Respiratory Rate: Normal Rates:

Adult:
Newborn:

Adult: 14-18
Newborn: 44

23

Blood Pressure: Normal Values:

Adult:

Adult: 90-120/60-80.

Values increase in the elderly

24

Blood Pressure Values:

Hypertension:
Hypotension:

Hypertension: >140/90
Hypotension:<90/60

25

Palpatory Systolic Reading is meant to check for what?

-Auscultatory Gap
May be seen in hypertensive patients.

Auscultatory gap is the loss and reappearance of the pulsatile sound while listening with the stethoscope during cuff deflation.

26

Korotkoff sounds

low pitched sounds produced by turbulent blood flow in arteries

27

A difference of 10-15 mm Hg in systolic readings can indicate:

arterial occlusion such as Subclavian steal syndrome on the side of the decreased value.

28

Blood Pressure are 20% higher where?

Lower Extremities

29

List of Tests for Vertebrobasilar Artery Insufficiency: 6

(Nose points to the side being tested)

Barre-Lieou
DeKleyn's
Hallpike's
Hautant's
Underberg
Maigne's

30

Barre-Lieou test

Patient seated, examiner instructs the patient to rotate the head maximally from is to side. Done slowly at first then accelerated to patient tolerance

31

Dekleyn's test

Patient supine. The examiner instructs the patient to rotate and extend the head off the table then turn to each side for 15-45 seconds.

32

Hallpike

an enhanced Dekleyn's. Patient supine, head extended off the table. Examiner offers support for the skull. Examiner brings head into extension, rotation and lateral flexion.

33

Hautant's

Patient Seated, arms are extended forward to shoulder level with the hands supinated. Maintain position for a few seconds. Patient then closes the eyes, rotates and hyperextends the neck to one side. Repeated to the opposite side.