Flashcards in Part II Chiro Boards Deck (33):
Health Hx includes what components?
Chief Complaint (CC)
Past Health History
Personal and Social/Family History
Review of System
History that covers the reason the px is seeking care and should be obtained in the PATIENT'S OWN WORDS
Chief Complaint History
Present Illness Components:
Types of Onset of systems and their meaning
Sudden onset - Specific time or event
Insidious - Unknown time = more dire
Most important factor in making a dx =
Age of patient
Nothing gets better and patient still getting worse after trial care of treatment. One should suspect:
Cannot localize pain is an indicator of:
Past Health History Components:
Family Health History components:
Alcohol, Tobacco, Drug Use
Alcohol Questionaire Acronym:
A-Annoyed by others criticism
Pacreas pain referral:
Gall Bladder visceral referral:
RIGHT Shoulder, inferior angle of the RIGHT shoulder
Heart pain referral:
LEFT shoulder/down arm, LEFT Jaw (more prevalent in women)
Small intestine visceral referral:
Urinary bladder visceral referral:
Ureter visceral referral:
Kidney visceral referral:
Vital Signs: categories that fall under this
-Height and weight
Temperature: Normal Values:
Rectal and Tympanic:
Oral: 98.6 F
Rectal and Tympanic: 99.6 F
Axilla: 97.6 F
Range: 96-99.5 F or 35-37.5 C
Puse: Normal Values:
Respiratory Rate: Normal Rates:
Blood Pressure: Normal Values:
Values increase in the elderly
Blood Pressure Values:
Palpatory Systolic Reading is meant to check for what?
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.
low pitched sounds produced by turbulent blood flow in arteries
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.
Blood Pressure are 20% higher where?
List of Tests for Vertebrobasilar Artery Insufficiency: 6
(Nose points to the side being tested)
Patient seated, examiner instructs the patient to rotate the head maximally from is to side. Done slowly at first then accelerated to patient tolerance
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.
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.