(5.1) Cervical Spine Clinical Interview Flashcards
1
Q
What is the structure of the Clinical Interview?
A
- PC
- HPC
- PMHx
- DHx
- SHx
2
Q
What is involved in PC?
A
- Area
- Nature
- Behaviour
- Special Qs
3
Q
What is asked when looking at area?
A
- localised/diffused (+/- arm/hand; scapula-thoracic)
- Central / unilateral / bilateral
- Referred pain?
4
Q
What is asked when looking at the nature?
A
- Pain (quality & severity)
- Stiffness
- Upper limb paraesthesia and/or numbness
- Upper limb weakness
- Headaches
- Heavy head sensation
5
Q
What is looked for when asking about behaviour of symptoms?
A
- Constant / intermittent / episodic
- Aggs & Eases
- 24 hour cycle
6
Q
What are the special red flag questions for cervical spine injuries?
A
- sensory disturbance in hands
- bowel and bladder disturbances
- Ages over 50
- Previous Hx cancer
- Occipital headaches and numbness
- 5 D’s
- 3 N’s
- Fever / chills / night sweats
7
Q
What are the 5 D’s?
A
- Dysarthria
- Drop attacks
- Double vision
- Dysphagia
- Dizziness
8
Q
What are the 3 N’s?
A
- Nystagmus
- Nausea
- Numbness
9
Q
What is involved when asking about the HPC?
A
- Onset
- Progress
- Previous similar problems
- Treatment so far
- Investigations
10
Q
What is noted about the onset of the condition?
A
- Duration
- How? Sudden / gradual
- Traumatic / non-traumatic
11
Q
What is the patient centered problem list?
A
- Biological (pain / stiffness / decrease function)
- Psychological (emotional health / thoughts & beliefs)
- Social (return to work/ family impact)
