Health Assessment - Class 4 (Part 4)

If someone cannot shrug their ___, it points to a problem with CN XI (Spinal Accessory Nerve)

shoulders

Difficulty ___ can suggest a lesion in CN IX (9), CN X (10), or both

swallowing

Puff out cheeks and smile, which cranial nerve does this test?

cranial nerve VII (facial)

Which cranial nerve is responsible for the interior two thirds of the tongue?

cranial nerve VII (facial)

diaptheria, tetanus, pertussis, polio, haemophilus influenzae type B are all together in one vaccine called?

DTaP-IPV-Hib

Pneu-C-13 is which vaccine?

pneumococcal conjugate 13

rot-1 is which vaccine?

rotavirus

which 3 vaccines are given together at 2 and 4 months?

• dtap-ipv-hib

• pneu-c-13

• rot-1

dtap-ipv-hib is then given again at 6 months and then at ___

18 months

pneu-c-13 is given again at ___

1 year

what else is given at 1 year?

• men-c-c (meningococcal)

• mmr

what does mmr stand for

measles, mumps rubella

what is given at 15 mo

varicella

mmrv (measles, mumps, rubella, varicella) and tdap-IPV (tetanus, diptheria, pertussis, polio) are the two vaccines given at which age

4 years

what vaccines are given at grade 7

• men-c-acyw

• hpv-9

• hep B

tdap is given every ___ years

10s

since tdap (tetanus, diptheria pertussis) is given every 10 year, it is given at 4 years, then ___, then 24

14

At ___ children get first chickenpox vaccine

15 months

The important thing about ___, is that this may be the only type of cancer we can prevent (cervical cancer)

HPV

Shingles is a 2 dose series at ___, 1 now, 1 in 2-6 months

55

Pain from activation of normal pain receptors (nociceptors)

nociceptive pain

nociceptive pain is caused by actual or threatened ___ to non neural tissue

damage

Example: surgical incision, sprained ankle

these are examples of which kind of pain

nociceptive pain

what is the umbrella term for pain

nociceptive pain

Branch or subtype of nociceptive pain that originates in skin, muscles, bones, joints, or connective tissue

somatic pain

feels like sharp, aching, or throbbing pain

example of ___ pain is arthritis, muscle strain, laceration

somatic

another subtype of nociceptive pain is ___ pain which originates from internal organs and is dull, deep, cramping

visceral

visceral pain is poorly ___

localized

gallbladder attack, bowel obstruction produce ___ pain

visceral

Pain caused by damage or dysfunction of nervous system

neuropathic pain

how is neuropathic pain described

burning, shooting, tingling, electric shock

diabetic neuropathy, post herpetic neuralgia, carpal tunnel pain (compression of nerves), phantom pain are all examples of ___ pain

neuropathic

Pain perceived at a location different from source

referred

referred pain occurs when nerve fibers from different areas ___ on the same spinal neurons

converge

acute pain is sudden and only lasts for ___ months

3 to 6

acute pain usually has a clear cause such as…

surgery, infection, injury

acute pain is ___ as it alerts the body to harm

protective

___ pain is longer than 3 to 6 months and is not protective or beneficial like acute pain. it may continue without a clear cause

chronic

chronic pain impacts mood, ___, daily functioning 

sleep

chronic low back pain, fibromyalgia, ___ are all examples of chronic pain

osteoarthritis

this pain scale was initially developed to assess pain related cancers. now it goes beyond that

brief pain inventory

the brief pain inventory allows patients to rate their pain in relation to how it interferes with their ___ and abilities to function

feelings

The BPI has been shown to be an appropriate ___ for pain caused by a wide range of clinical conditions

measure

the ___ looks loess at subjective part of pain and assesses intensity and quality

Short Form McGill Pain Questionnaire

Short Form McGill Pain Questionnaire is a ___ tool for pain assessment

multidimensional

Critical Care Pain Observation Tool (CPOT) is for ___ or sedated patient

nonverbal

the CPOT has ___ parameters including facial expressions, body movements (such as restlessness), muscle tension, compliance with ventilator or vocalized (extubated)

four

Sports Concussion Assessment Tool (5th ed) is used for evaluating ___, for athletes 13+

concussions

___ constitute any of the items on list to ER for assessment

red flags

Red Flags (neck pain, ___, loss of consciousness, vomiting, confusion, etc.)

seizures

the main parts of SCAT5 is the immediate on-field assessment, then off-field assessment which looks for 22 ___ rated 0–6, e.g., headache, nausea, dizziness, fatigue, difficulty concentrating, emotional changes

symptoms

SCAT5 helps determine whether athlete should be ___ from play

removed

The SCAT5 is valid only within the first ___ after injury. After that, it’s less reliable, and follow-up tools or clinical evaluation should be used

72 hours