MOTOR VEHICLE ACCIDENT CASE HISTORY

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MOTOR VEHICLE ACCIDENTCASE HISTORY

• Dr. Deborah Denno, DC
• NMS II

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Detail the Complaint

• Note the onset of the complaint
• Immediate
• Over a few hours or days
• Up to 2 weeks later

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Mechanism of Impact

• Focus on the initial direction or angle of
  impact.
• Head-on
• Rear-ended
• Side impact or T-bone
• Which side was hit?
• Were there multiple impacts?

4
Key Points

• Position in the car?
• Driver, Passenger, Front or Back Seat
• Use of Seat Belt?
• Air Bags deploy?

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Key Points

• What physical position were they in?
• Head turned, arm out to brace a passenger
• Did they hit any part of the car interior?
• Multiple impacts

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Key Points

• What kind of Car were you in?
• What speed were you going or were you stopped?
• What kind of Car hit you?
• What speed were they going?

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Key Points

• What damage was done?
• Was there a police report filed?

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Key Points

• Was any care given on site or at the Emergency
  Room.
• Describe the care given
• X-rays or diagnostic studies
• Medications or home remedies
• Soft collar

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Whiplash

• Dx Cervical Strain/Sprain
• Caused by hyperextension/hyperflexion
• Predominant Signs and Symptoms
• Pain and Decreased Range of Motion

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Whiplash

• Other S/S
• Headache
• Stiffness
• Dizziness
• TMJ pain and dysfunction
• Dysphagia or Dysphasia

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Whiplash

• Radiating Pain?
• Unilateral vs Bilateral
• Causes of radiating pain.
• How to diagnose?
• Treat or Refer?

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Whiplash

• Post Concussion Syndrome
• Loss of mental focus
• Poor short-term memory
• How to monitor for improvement
• Have the patient remember something.