Counterindications Flashcards
What are the countraindications of Cauda equina syndrome?
- bowel (sometimes constipated)
- bladder (retention common)
- saddle anesthesia
- Widespread neuro symptoms
Does Cauda equina require a referral? If so under what conditions? If symptoms are recent how soon should the referral be?
Yes
Immediate w/ bladder retention or rapid deteriorating neuro deficits.
Referral same day
T/F Cauda equina is a relative contraindication.
False
When is an abdominal aortic aneurysm an immediate referral?
life threatening
48hr if AAA is in the range of 3.5 - 6cm w/ acute back
When is an abdominal aortic aneurysm urgent (same day)?
AAA > 6cm w/ acute back
With pulsating mass, dropping blood pressure (like shock), dizziness, disorientation and nausea/vomit what would you become suspicious of? Then what kind of referral would it require?
abdominal aortic aneurysm
emergent referral
What kind of contraindication is inflammatory arthritis?
potential relative contraindication
What would lead you to believe that a patient might have inflammatory arthritis?
- gradual onset b/4 40yo
- marked morning stiffness
- persistent decrease ROM
- Family history
- associated: iritis, colitis, urethral discharge
T/F is a disc herniation an absolute contraindication?
False
Relative - significant/progressive motor defect
no marked neuro deficit - needs chiro care
A disc herniation w/o marked neuro deficit should not receive HVLA under what condition?
If adjustment increases leg symptoms
What kind of contraindication is AAA?
Absolute contraindication, until determined otherwise
What are the primary and secondary reasons for increased risk with AAA?
primary - not instituting proper referral
secondary - spontaneous rupture (90% mortality)
Can plain films detect AAA?
Yes
the abdominal aorta would need to be 50-75% calcified
