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Chiropractic Practice > Patient Care, Community Health, Occupational Health > Flashcards

Patient Care, Community Health, Occupational Health Flashcards

1
Q

CARING

A 
Communicate clearly
Accept pt w/o judgement
Respect pt by allowing them to make their own decision about their health
Inspire confidence in who you are
Nurture the pt
Give of yourself
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2
Q

Absolute contraindication

A

AAA, acute muscle spasm, C1-2 instability, bone tumor, cancer, cauda equina syndrome, dislocation, fx, hypermobility, inflammatory arthridities (RA, AS), leukemia, lymphoma, myelopathy, osteomyelitis, osteogenesis imperfecta, LCP disease, radiculopathy w/atrophy or severe muscle weakness, undiagnosed pain, VBAI (diplopia, dizziness, drop attacks, dysarthria, ataxia, nausea, dysphagia, numbness, nystagmus)

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3
Q

Relative contraindication

A

Anticoagulants (Warfarin, Coumadin), DM, Ehlers-Danlos, Fibrous dysplasia, spinal canal stenosis, osteoporosis, pregnancy, spondylolisthesis, syringomyelia

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4
Q

Side effects of a chiropractic adjustment:

A

Local discomfort in area of treatment, fatigue, headache, nausea, dizziness

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5
Q

Cancer referrals:

A 
Bone - ortho
Brain - neuro
GI - gastroenterologist
Lung - pulmonologist
Ovarian - gynecologist
Skin - dermatologist
Uterine - gynecologist
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6
Q

SOL referrals:

A

Spine - neurologist
Chest - thoracic surgeon
Abdomen - General surgeon
Pelvis female and male - gynecologist and urologist

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7
Q

Changes in vitals to be sent to hospital:

A

BP <90/60, pulse>120 bpm, respiration >28/min, cyanosis, change in LoC, active vaginal bleeding in a pregnant woman

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8
Q

Exercises for:
LBP
Overweight
Poor posture

A

Core strengthening
Aerobic exercise
Core strengthening

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9
Q 
Dietary advice for:
Allergies
Celiac
DM
Gout
HTN
Obesity
Urinary stones
A

Allergies: Elimination of wheat products
Celiac: GF diet
DM: Avoid simple sugars, eat more complex starches, supplement chromium polynicotinate
Gout: Avoid alcohol and high purine containing food
HTN: Avoid excess salt
Obesity: Smaller portions of low fat, high protein and low carbs
Urinary stones: avoid dark green leafs

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10
Q

Massage for
Chronic muscle strain:
RTC Injury:
Chronic LBP:

A

Chronic muscle strain: transverse friction massage (not if DVT)
RTC Injury: Codman’s exercises
Chronic LBP: William’s exercises

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11
Q 
Supplements for:
Hypercholeterolemia
Inflammatory conditions
Iron deficiency
nerve damage
osteoporosis
Osteoarthritis
Recurrent infections
Wounds
Yeast infection
Strokes
A 
Hypercholeterolemia: Niacin
Inflammatory conditions: Omega 3, Vit D
Iron deficiency: Iron w/Vit C
nerve damage: Vit B1, B6 and magnesium
osteoporosis: Calcium, Vit D3, natural progesterone
Osteoarthritis: glucosamine
Recurrent infections: Zinc
Wounds: Zinc
Yeast infection: L. acidophilus
Strokes B12
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12
Q

Omega 6’s have linoleic acid which produces what substances in the inflammatory process?

A

Leukotrienes
Prostaglandins
Prostacyclins

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13
Q 
Modalities for:
Acute sprain/strain vs chronic
Deep joint pain
Acute injury vs chronic
Traction
A

Ice vasoconstricts and reduces swelling, heat vasodilates and promotes healing
IFC
US vs low level laser for mitochondrial activity and healing
Relieve muscle spasm or tight capsules or break down scar tissue

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14
Q

ART

A

Leahy 1985 Scar tissue break up

Scar tissue from acute injury, micro-trauma or hypoxia

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15
Q 
Prevention
1o
2o
3o
4o
A

Specific measures taken to forestall devo of illness
Stopping development to previously unaffected individuals or populations: exercise, hand washing, balanced diet, immunizations
Limit recurrence of illness in patients all ready affected: health screening for cervical cancer
Reducing disability or impact of established disease by restoring function and decreasing disease related complication: rehab
Mitigating consequence of excessive or unnecessary interventions in health system: use of EBCP

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16
Q

SAID Principle

A

Specific adaptation to imposed demands

Human body can adapt to and function w/in a wide range of external condition given regular exposure

17
Q 
DOA
FDA
EPA
USDA
OSHA
CDC
HSA
NIH
A

Department of agriculture: inspect meat/milk
Food and Drug Admin: quality of drugs, cosmetics, food and medical devices
Environmental protection agency: Water and air quality
United States Dairy Association: Quality of dairy products
Occupational Safety and Health Admin: workplace safety, hazardous material
Centers for Disease Control: epidemiological studies and health stats
Health services admin: care to underprivileged
National institute of health: disease research and funding

18
Q

Incidence vs prevalence:

A 
# of new cases in population over specific time period
# of existing disease cases in defined population during a specific time period
19
Q 
Health Screenings:
Ab US
Breast exam
Cholesterol
Colonoscopy
DEXA
Fasting blood sugar
Fecal Occult Blood
Mammogram
Pap smear
PSA
A 
Ab US: for >65 years and smoking
Breast exam: for >20 years
Cholesterol: >35 in males, >45 in females
Colonoscopy: >50 years
DEXA: Females >65
Fasting blood sugar: >45 years
Fecal Occult Blood: >50 years
Mammogram: Females >40 years
Pap smear: Females >21, <65
PSA: Males >50, <70
20
Q

Tobacco use is linked with?
Alcohol
Cocaine
Marijuana

A

Lung, esophageal, bladder cancers
Cirrhosis, brain atrophy, spousal and child abuse
Heart attack, criminal addictive behaviour
Pulmonary disease, criminal addictive behaviour

21
Q 
Nutrient Use Source
Biotin (B7)
Chromium
Copper
Folic Acid
Iodine
Iron
Magnesium
Niacin (B3)
Riboflavin (B2)
Selenium
Thiamine (B1)
B12
C
D
A
K
E
Zinc
A

Nutrient Use Source
Biotin (B7): carboxylation reactions - Liver, egg yolks, nuts, legumes, cauliflower
Chromium: Glucose transport - Liver, brewer’s yeast, whole grains
Copper: ETC - Nuts, peas, mushrooms, shellfish
Folic Acid: DNA/RNA synth - Fresh green leafy vegetables
Iodine: Thyroid hormone synthesis - seafood iodized salt, eggs and dairy products
Iron: Formation of hemoglobin, ETC - beef, liver, clams, peaches, dark green leafy veg
Magnesium: ATP complexes - nuts, whole grains, seafood, green leaves
Niacin (B3): precursor for NAD/NADP - whole grain, legume, fish, red meat, liver
Riboflavin (B2): Cofactor for FADH2 - eggs, milk, cheese, meat, liver
Selenium: protection from free radicals - meats, plants
Thiamine (B1): Cofactor in pyruvate kinase - whole grains, legumes, nuts meat
B12: Synthesis of DNA, methionine from homocysteine and succinyl CoA - meat, fish, eggs, milk + milk products
C: hydroxylation of proline in collagen synth - citrus fruits, tomatoes, broccoli, sweet peppers
D: calcium and phosphate absorption - UV light, egg yolks, fish liver oil
A: Formation of rhodopsin - Dark green leafy/yellow veg and liver
K: Formation of prothrombin and other clotting factors - Green leavy veg, liver, soy beans, veg oils and bacteria in colon
E: intracellular antioxidant protection from free radicals - veg and wheat germ oils and nuts
Zinc: carbonic anhydrase - meat, oysters, liver, eggs, peanuts

22
Q

Metabolic syndrome/Syndrome X

A

Presence of >/=3
Elevated fasting blood sugar, HTN, raised triglycrides and increased ab girth (>40” and 35” in females)
Increased risk of T2DM, CVD, stroke

23
Q

Ideal cholesterol/HDL ratio

A

4:1 200mg to 50mg

Higher ratio increases risk of heart attack and strokes

24
Q

Top 5 most dangerous occupations:

A

Loggers, Fisherman, Airline pilots, Roofers, Refuse and recyclable waste collectors

25
Q

Water purification
1o tx
2o tx
optional steps

A

1o tx: filtration, flocculation (add aluminum sulfate), sedimentation, sludge digestion (add anaerobic bacteria)
2o tx: sand filtration (remove anaerobic bacteria), aeration (kill anaerobic bacteria), chlorination
optional steps: softening (add calcium/magnesium), fluorination (promote dental health)

26
Q 
Pasteurization methods:
Batch
Flash
Ultra-high
Sterilization
A

145oF - 30 mins
161oF - 15 s
191oF - 2-5 s
274oF - 15 minutes

27
Q 
Coal miners get?
Sugarcane workers get?
Cheese makers get?
Cotton textile workers get?
Parrot handlers get?
Iron ore miner gets?
Quarry worker/sand blaster gets?
Rabbit skinners get?
A 
Anthracosis
Bagassosis
Brucellosis
Byssinosis
Psittacosis
Siderosis
Silicosis
Tularemia
28
Q 
Chagas disease is found where? Caused by?
Coccidiomycosis?
Espundia?
Lyme disease?
Amebic encephalitis?
Histoplasmosis?
A 
Brazil/South America - Trypanosome cruzi
San Joaquin valley - Coccidioides immits
Brazil, South America - Leishmania brasiliensis
Northeast USA Borrelia burgdorferi
Florida in summer - Naegleria fowleri
Ohio valley Histoplasma capsulatum

Chiropractic Practice (2 decks)

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