Cervical conditions

Question 1

cervical facet syndrome/dysfunction

Answer 1

ss- insidious onset of pain, referral pattern to shoulder

px- tender to palp, increased pain with extension and rot, neuro WNL

Question 2

cervical sprain/strain

Answer 2

ss- trauma/overuse, muscle pain or soreness, whipae

px- tender to palp, arom limited, pain w muscle testing

Question 3

C spine questions

Answer 3

High risk- Age>65, dangerous, numbness

Low risk- simple MVA, sitting pos in ED, ambulatory, delayed onset of pain, absence of midline pain

ROM- rotate 45 deg

Question 4

disc radiculopathy

Answer 4

ss- numbness/tingling/weakness/shooting down arm

px- spurlings/jacksons/valsalva/cervical compression, neuro changes, decreased DTRs

POM- conserv

Question 5

CSM- ss, px, pom

Answer 5

ss- slow and progressive neuro conditions that occurs when spinal cord becomes compressed

px- Atrophy of hand mm, absent c5/6 reflex but hyper c7, ankle clonus, babinski, hoffmans,

POM- MRI, conserve

Question 6

Erbs palsy

Answer 6

superior part of cord usually c5/6

px- paralysis of delt/biceps/bracialis/brachioradialis
-present w shoulder med rotated, and elbow ext

Question 7

Kulpkes palsy

Answer 7

inf part of cord C8,T1

paralysis of intrinsic hand muscles (claw hand) and ulnar nerve distribution numbness

Question 8

VBI

Answer 8

ss- loss of vision, double vision, dizziness/vertigo, numbness, nausea, slurred speach, loss of balance coordination, difficult swallowing

px- CN screen abnormalities

POM- ER

Question 9

arom C/s (flex, ext, lat, rot, tmj)

Answer 9

flex- 60
ext- 60
lat- 45
rot- 80
tmj- 35-50mm