Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Physical Diagnosis > Cerebrovascular Blood Flow Assessment > Flashcards

Cerebrovascular Blood Flow Assessment Flashcards

1
Q

How many strokes are there per year in US?

A

700,000

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

The third leading cause of death in US?

A

strokes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is the #1 cause of nursing home admission?

A

stroke

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is the #1 risk factor for stroke?

A

hypertension

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What are the two types of stroke?

A

hemorrhagic and ischemic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What type of stroke has been associated with chiropractic adjustments?

A

ischemic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What specific ischemia is associated with chiro adjustments?

A

vertebral artery ischemia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

The vertebral artery ischemia affects what part of the brain?

A

brainstem and cerebellum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Have cervical adjustments been implicated in strokes originating from carotid arteries?

A

no

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

The carotid arteries supply which part of the brain?

A

anterior 2/3 rds

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Are vertebral artery strokes common with chiropractic?

A

no

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Injury to the vertebral artery wall may cause what?

A

vasospasms, dissecting aneurysms, clots, and/or emboli that result in ischemia or occlusion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What can entrap the VA during head rotation and provoke a stroke?

A

ponticulus ponticus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is it called when a ponticulus ponticus gets entrapped and causes a stroke?

A

Bow Hunters stroke

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What are some worrisome symptoms suggesting the possibility of cerebrovascular ischemia? *****

A

sudden, severe, onset of a headache NEVER EXPERIENCED PREVIOUSLY and originating over, behind the ear and down the neck on one side

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What are the chances of VBS happening to you?

A

1 in 25 chiropractors during a 40 year practicing career

17
Q

What type of adjustments have been involved in the majority of VBS cases?

A

high velocity low amplitude thrusts

18
Q

What is the typical age and sex of patients who have experienced VBS?

A

30-45 year old women

19
Q

When do the symptoms of VBS appear?

A

63% began immediately, all but 8% within 24 hours

20
Q

What are some worrisome immediate or delayed post adjustment symptoms? 5D’s 3N’s

A 
dizziness
diplopa
dysarthria
dysphagia
difficult walking
nausea/vomiting
unilateral facial numbness
nystagmus
21
Q

If you suspect they are stroking what do you look for? STTR

A 
smile (symmetrically)
talk (coherently)
tongue in cheek
raise both arms
(if they can't the need emergency care)
22
Q

Should you readjust the cervical area if adverse symptoms follow an adjustment?

A

NO

23
Q

What should you do?

A

perform noninvasive vascular and neurologic assessment procedures

24
Q

If symptoms do not subside rapidly then what do you do?

A

call 911 for transport to hospital

25
Q

Side effects of adjustments are common in nature but are _____ and ____?

A

benign and short duration (24 hours or less)

26
Q

what are reactions in order of prevalence?

A 
headache
stiffness
local discomfort
radiating discomfort 
fatigue
27
Q

What has Palmer recommended to assess potential risk and need for further eval?

A

1) risky ADL, current and past diseases (smoking, fat, alcohol, atherosclerosis, diabetes, HBP, heart/vessel diseases, blood thinners
2) Possible symptoms of TIA (5D’s 3N’s)
3) Physical exam procedures
4) Vertebrobasilar artery maneuver

28
Q

What are some of the physical exam procedures that can assess potential TIA risk?

A

measure BP bilaterally
compare carotid pulses
auscultate carotid pulses bilaterally for bruit

29
Q

What are the 4 things to asses risk?

A

1) recognize the classic headache pattern
2) recognize typical patient profile
3) recognize assoc. or transient episodes of 5D’s 3N’s
4) perform routine vascular procedures on all patients or at lease when risk factors are present

30
Q

What is diplopia?

A

double vision

31
Q

What is dysarthria?

A

trouble talking

32
Q

What is dysphagia?

A

difficulty swallowing

Physical Diagnosis (6 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions