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B3Chiro:Best's
BEST diagnostic test or lab for conditions
| Question | Answer |
|---|---|
| + Homan's | Doppler US (suspected DVT from squeezing the calf) |
| Ulnar deviation | SANA(suspected collegen sero+ disease like RA) |
| Not bright on T2 MRI | Cortex dark on T2 (things that are bright on T2 are bursa, ligament, and tendinitis) |
| Suspect Instability | x-ray flexion/extension |
| Suspect Osteoid Osteoma | Tomogram(looking for nidus) |
| Appendicitis | CBC with diff(looking for shilling shift) |
| Food poisoning | Culture(looking for organism) |
| Test not used for disc | x-ray |
| Suspected COPD | ABG(Arterial Blood Gas) |
| Suspect mitral valve prolapse | ECHO |
| Visualized Boutonniere Deformity(more than 1 answer) | RA and SLE |
| Pt. is Swollen with LBP | Creatinine Clearance |
| Pt. has LBP. What Blood tests are you going to do? | HLA-B27, HCG, Chlamydia |
| Multiple Myeloma(more than 1 answer) | phoretic study (electrophoesis) and ESR |
| Anemia | TIBC(total iron binding capacity) |
| Suspected Gout | Aspiration |
| Suspected HIV | CD4 count is the best |
| Suspected HPV | 16&18(The most common of the high-risk strains of HPV are types 16 and 18, which cause about 70% of all cervical cancers.) |
| Pale Stool | Bilirubin |
| Suspected Heart problem | SGOT& troponin |
| Suspected Mets | Scintigraphy |
| Suspected Pars Fracture(more than 1 answer) | Dynamic x-rays(to see instability), SPECT study(to see hard tissue metabolic activity), and Oblique L/S films(to see the fracture) |
| Brodie's Abscess(more than 1) | CBC w/diff. and Tomography |
| Suspected Myasthenia gravis(more than 1) | Tensilon and Single fiber EMG |
| Best lab for Suspected Hodgkin's | CBC with diff. |
| Best lab for Suspected Stroke | CPK |
| Best lab for suspected AS | FANA |
| Best lab for suspected Anemia | Indices |
| Best lab for patient who was prescribed coumadin after their surgery? | Prothrombin time |
| Best test for suspected Lytic mets(Biopsy, arteriogram, or x-ray) | x-ray |
| Best test for suspected stroke(CT, Stress, nuclear or nuclear profusion) | CT |
| Best test for 50yo with severe low back pain(PET scan, scintigraphy, or DEXA) | Scintigraphy |
| Best initial test for patient with head trauma? | CT |
| Best initial test(s) for Neck Pain | Ortho/Neuro and ROM |
| Best initial test for indigestion | Food History |
| Patient gets runny eyes & nose after upper cervical adjustment. How do you manage this pt.? (continue adjusting, take full spine radiographs, tell them to take antihistamine) | Tell them to take Antihistamines |
| Best treatment for neck pain what is musculoskeletal in nature?(UV, McKenzie exercises, IFC) | IFC |
| What is your adjustment preference for a 75yo? (full spine, covered thumb aka thumb pisiform, or upper cervical only | covered thumb aka thumb pisiform |
| Best patient position when they have trochanteric bursitis? | Involved side up |
| What do you suspect with a + murphy's punch? | uritis |
| What do you suspect with a + shilling's test? | Numb hands |
| What do you suspect with a decreased chest expansion test B/L | Emphysema or COPD |
| What do you suspect with abdominal pain & flatulence? | Appendicitis or Scleroderma |
| What do you suspect with a - ANA?(scleroderma, RA, Sjogren's or Psoriatic) | Psoriatic |
| What do you suspect with + labs? ( Myofacial Syndrome, fibromyalgia, DISH, or OA) | DISH |
| Lab Least useful for cholecystitis(WBC, bilirubin, stool evaluation or creatinine) | creatinine |
| Lab Least useful for a stroke(MRI, tomography, CPK-BB, or ANA) | tomography |
| Lab Least useful for chronic shoulder pain? arthroscopy, MRI, baby arm or PET scan | PET scan |
| Lab Least useful for neurogenic claudication? SPECT, harvard step test, kemps, or enzyme panel | enzyme panel |
| Lab Least useful for ADI instability? MRI, CT, Dynamic x-ray, or scintigraphy | Scintigraphy |
| Lab Least useful for A.S.? ANA, EST, TIBC, or chest expansion | TIBC |
| Lab Least useful for scleroderma? CBC, Endoscopy, peripheral vascular exam, or FANA | CBC |
| Lab Least useful for Neurofibromatosis? Skin exam, MRI, US, or CT | US |
| Lab Least useful for dizziness? caloric test, maigne, EEG or EKG | EKG |
| Lab Least useful for scheuermann's? MRI, CSF aspiration, x-ray, or ROM | CSF aspiration |
| Lab Least useful for Muscular dystrophy? Enzyme panel, EMG, NCV, or x-ray | x-ray |
| Lab Least useful for syringomyelia? CT, MRI, bone scan, or PET scan | PET scan |
| Lab Least useful for pancoast tumor? scintigraphy, NCV, lymph biopsy or lung biopsy | lymph biopsy |
| Lab Least useful for Nephrolithiasis? helical CT, UA, CBC with diff., or US | CBC with diff. |
Created by:
dettschiro
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