Cervical Spine Adjusting-2 Flashcards
1
Q
What are the 5Ds And 3Ns?
A
Dizziness Drop attack Diplopia Dysarthria Dysphagia Ataxia Nausea Numbness Nystagmus
2
Q
Contraindications for cervical adjustment?
A
Diabetes Hypertension High blood pressure Connective tissue disorders Hypolipodemia Following trauma Elderly Osteophytes on carotid or vertebral arteries Arteriosclerosis
3
Q
What types of VAD can you have?
A
Subadventitia
Subintima
4
Q
Do you think chiro manipulation causes stroke, please explain?
A
It was probably already going to occur, although the chiropractic may have contributed to the VAD. Therefore chiro may be at fault if a proper history and physical exam was not taken
5
Q
Arteriosclerosis
A
Less blood supply to brain. If patient was to have VAD, more chance of larger impact. One artery can still bring enough blood
6
Q
What things do you look for while doing your screening test for VAD?
A
Slurred speech Giddiness Change in voice pattern Lack of context in speech Inappropriate reactions to situations
7
Q
Liability complications
A
- Failure to recognise and document the event
- Failure to monitor and document the patient following onset of problems
- Failure to manage the situation properly and in a timely manner
- Readjusting the patient
- Sending patient home in unstable state
- Taking a casual approach to seeing another provider
- Being less than honest and explicit in the record
8
Q
Who is at risk of VAD?
A
Female, younger, healthy, not first visit
