Ortho
5/17/99

George's CV Risk
Part I: pt Hx
1.	atherosclerosis
2.	hypertension/High blood pressure
3.	cervical spine spondylosis (spurring)
4.	Hx of neck sprain injury
5.	Certain meds--aspirin, anticoagulants, hormonal therapies for women (pill has less vascular risk)
6.	Transient ischemic attacks--at risk of a stroke
7.	Cardiovascular disease--valvular disease
8.	Diabetes--variety of vascular events
9.	Family Hx of strokes--parents, grandparents, sibling (how different is your lifestyles from these people)

•	Blood pressure should be basically the same
•	Looking of low systolic pressure (higher number)
•	10mmHg difference
•	palpate the pulsation of the low side radial artery and determine pulse
•	bruit--sound, in a vessel sounds like a whistle, usually should not make any noise
•	Maigne's test--functional test for George's test