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Physical Diagnosis I Exam One > Strokes > Flashcards

Flashcards in Strokes Deck (34)
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1

What is the #1 cause of nursing home admissions and #3 cause of death in the U.S.?

STROKES

2

What is the number one risk factor for a stroke?

High blood pressure

3

What are the two types of stroke?

Hemorrhagic and ischemic

4

What specific type of stroke has been associated with cervical manipulative therapy?

Vertebral artery ischemia

5

Is there evidence to support excess risk of vertebral artery stroke associated with chiropractic care compared to primary care?

No (roughly the same numbers)

6

What type of bone formation in the cervical spine can entrap the vertebral artery during head rotation and provoke a stroke (Bow hunter's stroke)?

Ponticulus ponticus

7

What is the typical age and sex of patients who have experienced a vertebral artery stroke?

30-45 year old women

8

What are the 5 D's and 3 N's of the symptoms associated with a vertebral artery stroke?

Dizziness
Diplopia
Difficulty walking
Dysphagia
Dysarthria
Nausea/vomiting
Numbness (unilateral facial)
Nystagmus

9

What physical exam procedures can be assessed to check for stroke possibility?

Bilateral carotid peripheral pulse
Carotid bruit auscultation
Measure bilateral BP

10

What are tests that limit vertebrobasilar blood flow?

Barre-Lieou's test
VBA maneuver
Deklyn's test

11

What is the term for a brief statement, in the patient's own words, regarding the reason they sought care?

Chief complaint/concern

12

What is the term for the detailed data collected from the clinical interview regarding the patient's chief complaint?

Present problem/illness

13

What does the acronym "IMIST" stand for in terms of a case history?

Illnesses
Medications
Injuries
Surgeries
Transfusions

14

What type of interview includes the biographic data, chief complaint, and the presenting problem data?

Problem focused history/interview

15

What type of interview includes IMIST and a review of the body systems related to the presenting problem?

Expanded problem focused history/interview

16

What kind of interview Includes a family history of illnesses and a work schedule/job description?

Detailed history/interview

17

What kind of interview includes a survey of all activities of daily living that may complicated the current condition, sexual/travel/military history, and a Review of Systems?

Comprehensive history/interview

18

What is an opening question of an initial case history?

An open ended question that elicits the reason why the patient is seeking care (example = "What brought you into my office today?")

19

What is the difference between a sign and a symptom?

Sign - objective finding as perceived by an examiner
Symptom - a subjective indication of a disease as perceived by the patient

20

What is the difference between clinical and differential diagnosis?

Clinical - based off the case history and physical examination alone
Differential - distinguishing between diseases with similar characteristics by comparing signs/symptoms

21

What are the top two reasons why people seek medical care?

1 respiratory complaints
2 musculoskeletal complaints

22

What are the top reasons why people seek chiropractic care?

Head, neck, back pains (with or without loss of motion)

23

Why is it more difficult to tell where pain is coming from if it involves deeper organs?

Poor localized pain

24

What is the term for the "pins and needles" sensation felt along specific skin demarcations?

Paresthesia

25

What is dermatomic pain?

Sharp, sometimes shooting pain that is well localized to specific skin demarcations

26

What is the difference between viscerosomatic and somatoviscera painl?

Viscerosomatic - damaged internal organ to tissue resulting in reflex dysfunction of a musculoskeletal region
Somatovisceral - neuromusculoskeletal disturbances that disrupt internal organ function

27

What is psychosomatic pain?

Emotional conflict being expressed through physical symptoms

28

What type of pain involves a muscle?

Cramping, dull, aching

29

What type of pain involves a nerve?

Sharp, shooting, burning, lightning-like

30

What type of pain involves bone?

Deep, nagging, dull