common c-spine fractures and imaging Flashcards

1
Q

where are most cervical spine fractures?

A

between c5-c7

(then C1-C2)

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2
Q

whats a jefferson fracture?

A

axial loading injury at C1

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3
Q

what is a hangman fracture?

A

extension injury
fx of posterior elements of C2

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4
Q

what is an odontoid process fracture?

A

flexion or extension injury more common in elderly

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5
Q

this question is back related: what are the red flags to image someone early on for back pain?

A

severe progressive neuro deficit
minor trauma in osteoporotic pts
major trauma in all other patients
prolonged corticosteroid use
hx of cancer or unintentional wt loss
recent bact infx
fever
immune suppression

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6
Q

where do compression fractures most frequently occur?

A

middle lower thoracics and upper lumbar

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7
Q

what is the major cause of morbidity in geriatric pop?

A

compression fx

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8
Q

what do punches out lesions of brain mri indicate?

A

multiple myeloma

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9
Q

what is the most primary bone malignancy?

A

multiple myeloma

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10
Q

whats the imaging of choice for sinusitis?

A

CT

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11
Q

is imaging indicated for uncomplicated sinusitis?

A

NO: COMPLICATED SINUSITIS GETS CT ONLY

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12
Q

whats the modality of choice for eval facial and skull fx?

A

CT

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13
Q

whats the modality of choice for acute head/neck trauma?

A

CT

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14
Q

whats the modality of choice for detecting acute hemorrhage?

A

CT

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15
Q

whats the modality of choice for eval spinal cord and intracranial abnormalities?

A

MRI

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16
Q

what intracranial abnormalities get an MRI?

A

head and neck tumors
white matter dz
multiple sclerosis
congenital brain abnormalities

17
Q

WHAT IS FIRST LINE imaging in eval most injuries and arthritis?

A

CT d/t bone detail and fracture fragment eval

18
Q

what imaging choice shows occult fx?

A

MRI

19
Q

what is the imaging of choice for detecting skeletal metastases?

A

bone scan

20
Q

what are the AABCS?

A

adequacy
alignment
bone
cartilage
soft tissues

21
Q

are fracture lines opaque or lucent?

A

lucent