CET Samples 2009 Printable

CET Samples 2009 Printable - CET SAMPLE #1 Established...

Info iconThis preview shows page 1. Sign up to view the full content.

View Full Document Right Arrow Icon
This is the end of the preview. Sign up to access the rest of the document.

Unformatted text preview: CET SAMPLE #1 Established Findings: • Left Short Leg ½” • Listing for potential adjustment: ASLA Today’s Findings: • Radiographic findings reveal no abnormalities • Fossa: .72 R • Legs Even • Palpatory tenderness noted over right posterior arch • Patient reports mild headache CET KEY #1 This is a This is a Partial Pattern (Rationale Below) • Left DT shows a completely reproducible scan (sign of pattern) supporting a “full blown” pattern. The discrepancy at the top is negligible. • Delta T, however, shows similarity in the uppermost portion but swings opposite in the middle and bottom (signs of adaptation) • Right DT also shows similarity in the upper portion but, again, shows opposite swings in the middle and bottom sections (signs of adaptation) • These scans show signs of both pattern and adaptation so collectively demonstrate a “partial pattern” and require an evaluation of secondary findings Secondary Findings • Fossa: + + + • Leg Check: - • Palpation: + + • Symptomatology: + Conclusion • Due to the presence of a “partial pattern”, the secondary findings must be evaluated. The propensity of “+” findings indicate that the patient should be adjusted ASLA. CET SAMPLE #2 Established Findings: • Right Short Leg 1/4” • Listing for potential adjustment: SpRt-BP, ESL* Today’s Findings: • Radiographic findings reveal an extended right mastoid process • Fossa: .43 R • Right Short Leg ½” • No abnormalities detected upon static palpation • Patient reports thoraco-lumbar discomfort CET KEY #2 This is a Partial Pattern (Rationale Below) • Left DT shows a reproducible scan supporting a “full blown” pattern • Delta T shows reproducibility(sign of pattern) throughout the scan however at the uppermost portion one scan is swinging the opposite direction of the other (adaptation) • Right DT shows one scan swinging opposite (sign of adaptation) in the upper half but then is similar, but diminished (sign of adaptation), on the bottom half • These scans show signs of both pattern and adaptation so collectively demonstrate a “partial pattern” and require an evaluation of secondary findings Secondary Findings • Fossa: - - • Leg Check: + + • Palpation: - • Symptomatology: + Conclusion • Due to the presence of a “partial pattern”, the secondary findings must be evaluated. The propensity of “-” findings indicate that the patient should not be adjusted. CET SAMPLE #3 Established Findings: • Right Short Leg 1/4” • Listing for potential adjustment: AILP Today’s Findings: • Radiographic findings reveal an extended left mastoid process • Fossa: .64 R • Left Short Leg ½” • Muscle hypertonicity noted over right posterior arch • Patient reports minor lumbar pain CET KEY #3 This is a Partial Pattern (Rationale Below) • Left DT shows reproducible scans in the upper and middle sections (signs of pattern) however, in the bottom 1/3 the two scans swing in opposite directions (sign of adaptation) • Delta T shows the two scans swinging in opposite directions in the upper 1/3 section (sign of adaptation, however, the remainder of the two scans show reproducible swings (sign of pattern) • Right DT shows reproducible scans in the upper and middle sections (signs of pattern), however, in the bottom 1/3 the two scans swing in opposite directions (sign of adaptation) • These scans show signs of both pattern and adaptation so collectively demonstrate a “partial pattern” and require an evaluation of secondary findings Secondary Findings • Fossa: + + + • Leg Check: - • Palpation: + + • Symptomatology: + Conclusion • Due to the presence of a “partial pattern”, the secondary findings must be evaluated. The propensity of “+” findings indicate that the patient should be adjusted AILP (alt). CET SAMPLE #4 Established Findings: • Right Short Leg 1/4” • Listing for potential adjustment: SpLt-BP*, ESR Today’s Findings: • Radiographic findings reveal an altered right C1 transverse process • Fossa: .39 R • Left Short Leg ½” • Muscle hypertonicity noted over right posterior arch • Patient reports no symptoms CET KEY #4 This is a Full Blown Pattern (Rationale Below) • Left DT shows a completely reproducible scan (sign of pattern) supporting a “full blown” pattern. • Delta T also shows a completely reproducible scan (sign of pattern) supporting a “full blown” pattern. • Right DT shows a completely reproducible scan (sign of pattern) supporting a “full blown” pattern. The discrepancy at the very top is negligible and can be attributed to the hairline. Secondary Findings • Fossa: - - • Leg Check: - • Palpation: + • Symptomatology: Conclusion • Due to the presence of a “full blown” pattern, it is not necessary to evaluate the secondary findings to determine if an adjustment should be rendered. The pattern alone, in this case, provides sufficient reason to adjust SpLt-BP*, ESR despite the secondary findings. CET SAMPLE #5 Established Findings: • Left Short Leg 1/4” • Listing for potential adjustment: ASRP Today’s Findings: • Radiographic findings reveal an extended left styloid process • Fossa: .56 R • Left Short Leg ½” • Palpatory tenderness noted over the left C1 transverse process • Patient reports a mild temporal headache CET KEY #5 This is a Full Blown Reversal (Rationale Below) • Left DT shows completely opposite scans (sign of adaptation) supporting a “full blown” reversal. • Delta T also shows completely opposite scans (sign of adaptation) supporting a “full blown” reversal. • Right DT also shows completely opposite scans (sign of adaptation) supporting a “full blown” reversal. Secondary Findings • Fossa: + + + • Leg Check: + + • Palpation: + + • Symptomatology: + Conclusion • Due to the presence of a “full blown” reversal it is concluded that the patient is completely adaptive and it is not necessary to evaluate the secondary findings to determine if an adjustment should be rendered. The pattern alone, in this case, provides sufficient reason not to adjust ASRP despite the secondary findings. CET SAMPLE #6 Established Findings: • Left Short Leg 1/2” • Listing for potential adjustment: AIL Today’s Findings: • Radiographic findings reveal an extended left mastoid process • Fossa: .41 R • Left Short Leg ½” • Palpatory tenderness noted over the right lamina-pedicle junction • Patient reports extreme sinus pressure and pain CET KEY #6 This is a Partial Pattern (Rationale Below) • Left DT shows similarity throughout the top and middle of the scan (sign of pattern) but then the scans swing opposite in the lower 1/3 (sign of adaptation). • Delta T also shows similarity (sign of pattern) in the upper half but it is somewhat diminished (sign of adaptation) and then the scans run opposite throughout the bottom half (sign of adaptation). • Right DT also shows similarity throughout the entire scan (sign of pattern), however, one is clearly diminished relative to the other (sign of adaptation). • These scans show signs of both pattern and adaptation so collectively demonstrate a “partial pattern” and require an evaluation of secondary findings Secondary Findings • Fossa: - - • Leg Check: + + • Palpation: + • Symptomatology: + Conclusion • Due to the presence of a “partial pattern”, the secondary findings must be evaluated. The propensity of “+” findings indicate that the patient should be adjusted AIL. ...
View Full Document

Ask a homework question - tutors are online