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Diff Di > Cervical spine pain > Flashcards

Cervical spine pain Flashcards

1
Q

pt has no objective neurological deficits, but has numbness, tingling, weakness

A

most likely referral from facet joint

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2
Q

fever and neck stiffness

A

possible meningitis

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3
Q

neck pain associated with severe headache that is worse than any headache ever experienced

A

red flag for infection, tumor, or vascular

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4
Q

isolated weakness or numbness

A

nerve root

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5
Q

numbness or tingling in diffuse or ill-defined pattern

A

referred pain from facet or trigger points

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6
Q

lateral flexion injury causes

A

compression injury on side of movement

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7
Q

forced flexion injury causes

A

compression fracture, myelopathy from stenosis

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8
Q

associated urinary dysfunction means

A

myelopathy

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9
Q

over use injuries are most often

A

postural injuries

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10
Q

cervical compression test: local pain on extension and/or rotation

A

facet involvement

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11
Q

cervical compression test: radiating pain down the arm

A

nerve root involvement

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12
Q

Lhermitte’s causes electric shock sensations

A

multiple sclerosis or cervical myelopathy

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13
Q

brachial plexus stretch test, aka upper limb tension test, is positive

A

means cervical radiculopathy

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14
Q

compression injury to top of head or forehead

A

do xrays to look for fracture

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15
Q

whiplash type injury with radiating pain, numbness, tingling, weakness, and produces radiation into arms

A

do xrays; cerival disc lesion or foraminal encroachment suspected

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16
Q

lateral flexion injury with weakness, numbness, tingling in the arm

A

cervical stinger

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17
Q

head trauma with loss of consciousness, associated signs of headache dizziness and memory difficulty

A

possible subdural or epidural hematoma

18
Q

nontraumatic neck and arm pain with recurrent bouts of pain; exam shows any myotomal weakness, dermatomal patterns, hyporeflexia, possible disc disease on xray, reproduction of complaints with compression

A

foraminal encroachment or cervical disc lesion

19
Q

nontraumatic neck and arm pain with recurrent bouts of pain; but no objective sensory findings, muscle weakness, reflex changes, compression causes local pain

A

facet irritation

20
Q

positional related arm numbness/tingling and neck complaint is secondary; TOS test is positive

A

conservative care

21
Q

positional related arm numbness/tingling with negative TOS findings; shoulder stability test reproduced complaints

A

instability may be causing nerve traction

22
Q

acute onset of pain with severe global restrictions but no fever; active ROM severely restricted while passive ROM only minimally affected

A

acute muscle spasm

23
Q

one or two ROM’s restricted with local pain on cervical compression

A

probable facet syndrome

24
Q

motor supply to deltoid and biceps, biceps reflex, sensory to outer shoulder

A

C5 nerve root

25
Q

motor supply to biceps and wrist extension, brachioradialis reflex, sensory to outer forearm

A

C6 nerve root

26
Q

motor supply to triceps, finger extensors, and wrist flexors, triceps reflex, sensory to middle finger

A

C7 nerve root

27
Q

motor supply to finger flexors, no reflex, sensory to little and ring fingers

A

C8 nerve root

28
Q

motor supply finger abduction/adduction, no reflex, sensory to medial arm

A

T1 nerve root

29
Q

disc herniation at C4/C5 affects

A

C5 nerve root

30
Q

hypertrophy changes to C5 uncinate process affects

A

C5 nerve root

31
Q

disc herniation at C5/C6 affects

A

C6 nerve root

32
Q

hypertrophy changes to C6 uncinate process affects

A

C6 nerve root

33
Q

disc herniation of C6/C7 affects

A

C7 nerve root

34
Q

hypertrophy changes of C7 uncinate process affects

A

C7 nerve root

35
Q

disc herniation of C7/T1 affects

A

C8 nerve root

36
Q

hypertrophy changes of T1 vertebral body affects

A

C8 nerve root

37
Q

pt presents with bilateral symptoms of clumsiness of the hands, difficulty walking, urinary dysfunction, shooting pains into arms

A

cervical myelopathy

38
Q

pt presents with diffuse arm symptoms, numbness and tingling, pain down inside of arm to 4th and 5th fingers, made worse by overhead activity

A

TOS

39
Q

associated conditions with TOS

A

cervical rib, scalenus anticus or medius, costoclavicular syndrome, pec minor

40
Q

pt reports traumatic or insidious onset of neck and arm pain, pain doesn’t follow a specific dermatome

A

facet or referred pain

Diff Di (8 decks)

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