Podcast Beta
Questions and Answers
Musculoskeletal History & PE ORDER
History - MOA, location, duration = First Inspection then palpation = Second ROM/Strength = Third Special Tests = Fourth
If a patient was involved in a motor vehicle accident, you must ask specific details about the crash.
True
You should always ask about headache when it comes to neck pain
True
What special test is used to help dx cervical disk herniation or spondylosis by rotation or lateral flexion, and compression that causes reproduced pain down arm.
Signup and view all the answers
What test is conducted by having the patient take a seat, pt’s hand relaxed, cradled in yours, flick long fingernail, look for flexion of index finger/thumb, if present it indicates cervical myelopathy.
Signup and view all the answers
A patient was involved in a head on car accident. The patient reports cervical neck pain a few hours after the accident and headache that is worse with movement. There are no signs of neurological defects. What is likely?
Signup and view all the answers
A patient experiencing localized pain/spasm in trapezius presents with head tilted, what is likely?
Signup and view all the answers
If a patient does not have neck pain or tenderness, no history of LOC, no mental status changes, no symptoms that refer to the neck, and no distracting injuries, you can clinically rule out cervical fracture.
Signup and view all the answers
A patient presents with limited ROM, neck/shoulder pain worse with upright activity, radiating radicular pain. This condition is caused by Produced by growth of bone spurs, protrusion of ligamentum flavum, and/or disc herniation. What is this condition?
Signup and view all the answers
What can be used to localize nerve root involved in Cervical Spondylosis?
Signup and view all the answers
Narrowing of sagittal diameter of cervical canal that is often asymptomatic until acute hyper-flexion/extension of c-spine neurologic signs.
Signup and view all the answers
Compression of the spinal cord leading to clumsiness in hands and gait imbalance is called:
Signup and view all the answers
A younger patient presents with neck pain and radicular pain with numbness/parathesias in distribution of cervical nerve root that improves with placing hands on top of their head. This is most likely Cervical radiculopathy. What is the common cause for this patient?
Signup and view all the answers
Nucleus pulposis extrudes through annulus fibrosis (the jelly squirts out of the doughnut).
Signup and view all the answers
A patient presents with thoracic back pain that is worse with sitting/bending forward. The patient reports occasionally weakness/ numbness in extremities. What is likely?
Signup and view all the answers
The lateral curvature of the spine is called
Signup and view all the answers
Sagittal imbalance of the spine that results in a "hump back"
Signup and view all the answers
If a patient is diagnosed with a spinal deformity such as Scoliosis or Kyphosis as an adolescent, their curve needs to be followed into adulthood!
Signup and view all the answers
Conservative spinal deformity management
Signup and view all the answers
What is not a listed common cause of T-spine fractures?
Signup and view all the answers
What type of T-spine fracture is this???
Signup and view all the answers
A patient presents with pain with inspiration and coughing after hard chronic coughing. You diagnosis this as a fib fracture. What is the treatment?
Signup and view all the answers
Study Notes
Musculoskeletal History and Physical Examination
- In cases of motor vehicle accidents, it is essential to ask specific details about the crash.
- Neck pain assessments should always include questions about headaches.
Cervical Spine Injuries and Conditions
- The Spurling test is used to help diagnose cervical disk herniation or spondylosis by rotating or laterally flexing the cervical spine, which causes reproduced pain down the arm.
- The inverted supinator reflex test is conducted by having the patient sit, with their hand relaxed and cradled in the examiner's hand; a flick of the long fingernail is performed, and flexion of the index finger or thumb indicates cervical myelopathy.
Whiplash and Neck Pain
- A patient experiencing neck pain and headache after a head-on car accident, with no signs of neurological defects, likely has a whiplash injury.
- A patient presenting with localized pain/spasm in the trapezius, with a tilted head, likely has a strain or spasm of the trapezius muscle.
Cervical Fracture and Spondylosis
- In the absence of neck pain, tenderness, loss of consciousness, mental status changes, or distracting injuries, cervical fracture can be clinically ruled out.
- Cervical Spondylosis is a condition caused by the growth of bone spurs, protrusion of the ligamentum flavum, and/or disk herniation, leading to limited ROM, neck/shoulder pain worsened by upright activity, and radiating radicular pain.
Cervical Radiculopathy and Nerve Root Localization
- The Spurling test can be used to localize the nerve root involved in Cervical Spondylosis.
- Cervical Radiculopathy presents with neck pain and radicular pain with numbness/paresthesias in the distribution of the cervical nerve root, which often improves with placing hands on top of the head.
Thoracic Spine Conditions
- A patient presenting with thoracic back pain worsened by sitting or bending forward, with occasional weakness/numbness in the extremities, likely has a Thoracic Spine condition.
Spinal Deformities
- The lateral curvature of the spine is called Scoliosis.
- Sagittal imbalance of the spine resulting in a "hump back" is known as Kyphosis.
- Patients diagnosed with spinal deformities such as Scoliosis or Kyphosis as adolescents require follow-up into adulthood.
- Conservative management is an option for spinal deformities.
Thoracic Spine Fractures and Fib Fractures
- Not all thoracic spine fractures are caused by motor vehicle accidents.
- A patient presenting with pain on inspiration and coughing after a hard, chronic coughing episode is likely to have a fib fracture, which may be treated with conservative management.
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
