CAD Flashcards
cervical artery dysfunction
abnormal blood supply to the brainstem resulting in neurovascular signs and symptoms - rare but serious
risk factors for vascular pathologies of cervical spine
smoking
HTN
recent trauma
migraine
high colesterol
Family Hx stroke
recent infection
birth control
reported symptoms for dissection events
headache
neck pain
visual disturbance
paraesthesia UE/Face
dizziness
signs of VBA dissection
unsteady/ataxia
dysphasia/aphasia/dysarthria
weakness
dysphagia
nausea/vomiting
facial palsy
dizziness
signs of ICA Dissection
ptosis
weakness
facial palsy
dysphasia/aphasia
unsteadiness/ataxic
nausea
subjective interview questions
do you have a headache now
do you have neck pain how
do you suffer from 5Ds or 3Ns (dizziness)
5Ds 3Ns
dizziness
drop attacks
diplopia
dyaphagia
dysphasia
nausea
numbness
nystagmus
tinnitus
risk factors for upper cervical instability
trauma
throat infection
down syndrome
inflammatory arthritis
recent surgery or hair appointment
positive subjective + positive objective =
NO manipulation or end ROM, REFER back to PCP
Negative subjective + Negative objective =
high velocity thrust or end range rotation
positive subjective + negative objective =
or
negative subjective + positive objective =
clinical judgement
if adverse event occurs..
STOP, first aid, emergency assistance
