Part II Chiro Boards Flashcards
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:
OPQRST
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:
Cancer
Cannot localize pain is an indicator of:
Organ pain
Past Health History Components:
Serious Illness Previous injuries Hospitalizations Surgeries Medications Allergies
Family Health History components:
Cardiovascular Disease Diabetes Stroke Cancer Arthritis
Social/Personal History
Marital Status Occupation Diet Exercise Bowel/Urinary Patterns Sleeps Alcohol, Tobacco, Drug Use Stress
Alcohol Questionaire Acronym:
CAGE: C-Cutting down A-Annoyed by others criticism G-Guilty feelings E-Eye openers
Pacreas pain referral:
T10-T12
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:
periumbilical
Urinary bladder visceral referral:
suprapubic
Ureter visceral referral:
groin
Kidney visceral referral:
flank
Vital Signs: categories that fall under this
- Height and weight
- Temperature
- Pulse
- Respiratory Rate
- Blood Pressure
Temperature: Normal Values:
Oral:
Rectal and Tympanic:
Axilla:
Range:
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:
Adults:
Newborn:
Elderly:
Adults: 60-100
Newborn: 120-160
Elderly: 70-80
Respiratory Rate: Normal Rates:
Adult:
Newborn:
Adult: 14-18
Newborn: 44
Blood Pressure: Normal Values:
Adult:
Adult: 90-120/60-80.
Values increase in the elderly
Blood Pressure Values:
Hypertension:
Hypotension:
Hypertension: >140/90
Hypotension:<90/60
Palpatory Systolic Reading is meant to check for what?
-Auscultatory Gap
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.
Korotkoff sounds
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?
Lower Extremities
List of Tests for Vertebrobasilar Artery Insufficiency: 6
Nose points to the side being tested
Barre-Lieou DeKleyn's Hallpike's Hautant's Underberg Maigne's
Barre-Lieou test
Patient seated, examiner instructs the patient to rotate the head maximally from is to side. Done slowly at first then accelerated to patient tolerance
Dekleyn’s test
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.
Hallpike
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.
Hautant’s
Patient Seated, arms are extended forward to shoulder level with the hands supinated. Maintain position for a few seconds. Patient then closes the eyes, rotates and hyperextends the neck to one side. Repeated to the opposite side.
