Midterm -- Pt2 Flashcards
For nervoscope findings, what do we call it when the needle deflects over MULTIPLE segmental levels/dermatomes? It this normal?
Heat Swing; yes, it is normal physiology and it’s the bodies natural thermal fluctuations
For the nervoscope findings, what do we call it when the needle deflects over a SINGLE segmental level/dermatome?
Break
T/F. Breaks are repeatable
True
What is the ideal movement of the needle for a Break?
ldeal 2 increments or more
How do you tell if a stool is the correct height for the doc?
docs inferior patella should be at top of stool
Which way to the angled legs face of the stool?
face back
What is proper patient preparation in order to run a scope on someone?
- access to spine from occiput to S2 tubercle (shirt off/gown)
- Remove: glasses, hats, chains
- ideal acclimation time to room temp = 10mins
Cervical Glide:
- doctor stance
- patent placement
- scope grip
- Probe width
- scissored; forward knee touching outside of stool
- seated to back of stool
- 1 hand grip
- parallel to inward
Cervical Glide:
- Start at
- Finish at
- Marking break
- Misc. needs
- T1
- 1/2” onto occiput (bowel level w/ occiput)
- 1/4” below mid thermocouple on side of 1st deflection
- hair sweep OR forehead stabilization
Thoracolumbar Glide:
- doctor stance
- patent placement
- scope grip
- Probe width
- scissored; forward knee touching inside of stool
- seated hand widths forward from back of stool
- dual hand grip
- parallel to outward
Thoracolumbar Glide:
- Start at
- Finish at
- Marking break
- Misc. needs
- C7
- S2
- 1/2” above mid thermocouple on side of 1st deflection
- full access to S2 before start
Seconds per segment:
Cervical
Thoracolumbar
Cervical– 3 secs (~18-21 total)
Thoracolumbar– 2 secs (~35-38 total)
For occiput - C1 where is usually the break location?
Suboccipital– b/w the 2 segments (upper cervical)
For C2-T3 where will the break location typically be?
interspinous space below
For T4 where will a typically break location be?
at its own spinous level
For T5-T9 where will a typically break location be?
interspinous space above
For T10-T12 where will a typically break location be?
at its own spinous level
For L1-L5 where will a typically break be?
lower 25% of spinous of involved segment
For the given segments, where can one expect to see the break?
- Occiput - C1
- C2-T3
- T4
- T5-T9
- T10-T12
- L1-L5
- suboccipital–b/w 2 segments
- interspinous space below
- at its own spinous level
- interspinous space above
- at its own spinous level
- lower 25% of spinous of involved segment
For documentation of a Break, what is all needed?
- segmental level
- direction of break (1st deflection)
- amplitude (increments)
Ex: T8/Lt/3
or C2/Rt/2
What components of the VSC would the Tytron fall under?
Neuropathology– thermoregulation
Histopathology – inflammation, edema
What componenets of the PART system would the Tytron usuage fall under?
T– Tissue/tone changes
When using the Tytron, what is the patient placement? What is the doctor stance?
Patient seated to back of stool, feet out, hands in lap and access from S3 to C1
No kneeling or squatting
Using the Tytron:
- Starting location
- Trigger?
- When do you start?
- Stopping location
- rollers over S3, barrels over S2
- pull trigger and hold
- start moving on 2nd beep
- release trigger at C1
don’t forget hairsweep
How many seconds per segment when using the Tytron?
1 second/segment
Describe the barrel positioning when using the Tytron.
as close to skin but w/o touching and follow disc plane lines
How do you do the Mastoid Fossa Scan using the Tytron?
- press “F” for fossa Scan
- 1st Right barrel Right ear
- 2nd Right barrel Left ear
- hold barrow 90 degrees to fossa
- hold trigger for 3 seconds
What is considered significant for the Mastoid Fossa scan?
greater that 0.5 degrees Celsius
When using the Tytron, what do you press to get the Bar graph?
“B”
When usuing the Tytron what do you press to get the anatomy?
“A”
T/F. A normal thermoregulation should be constant.
False!! It should fluctuate
What is the Pattern analysis aspect when using the Tytron?
- pattern of thermal fixation
- once “pattern” is noted, all future scans are compared to established “pattern”
(do not want a pattern, that means body ins’t adapting well)
What would an Adaptive scan outsome look like for the Tytron?
- normal changes in thermoregulation that fluctuate with patient’s presentation and env.
- tend to be smooth gradual line presentations
- DO NOT follow a pattern of consistency
- NOT reproducible
T/F. A Break is reproducible.
True
What would a Stress scan outcome look like for the Tytron?
- abnormal changes in thermoregulation
- tend to be sharp and irregular line presentations
- Not reproducible
- can be results of: pain, caffeine, drugs, emotional stress….
T/F. Adaptive scans are not reproducible, and Stress can outcomes are.
False– BOTH are NOT reproducible
What would a pattern scan outcome look like for the Tytron?
- abnormal fixation of thermoregulation
- can be smooth and sharp in line presentation
- REPRODUCIBLE
What makes a Pattern scan outcome different than an Adaptive or Stress scan outcome when using the Tytron?
The Pattern scan outcome is REPRODUCIBLE (the other two are NOT reproducible)
Does the Tytron have a Neurocalometer ability?
Yes
