Lab Handout-Neck and C spine Flashcards
the mandible, SCM, and midline make up __
anterior triangle
SCM, trapezius, clavicle, and omohyoid crossing lower portion of this area __
posterior triangle
when do you see generalized LAD?
HIV/aids, infectious mono, lymphoma, leukemia, sarcoidosis
__=infectious cervical lymphadenitis
scrofula
degrees of motion of neck flexion? extension?
F=45-90
E=70-90
degrees of motion of rotation? SB?
R=70-90
SB=20-45
findings for these thyroid pathologies: Goiter? Graves? Hashimotos? Thyroiditis?
goiter-simple or multinodular
graves-soft
hasimotos-firm
thyroiditis-tenderness
where does C2 nerve root exit?
between C1 and C2
Cervical nerve roots exit above the numbered vertebra
name the nerve root responsible for the following:
- Finger abduction-
- Scapular elevation-
- Finger flexion-
- shoulder abduction-
- elbow flexion (biceps), wrist extension-
- elbow extension (triceps), wrist flexion-
finger abduct=T1 scapular elev=C2-4 finger flex=C8 shoulder abd=C5 elbow flex, wrist ext=C6 elbow ext, wrist flex=C7
dermatomes:
- Superior shoulder/lateral neck-
- lateral upper arm (over deltoid)-
- medial elbow and upper arm-
- middle finger-
- lateral forearm-
- ring/little finger, medial wrist and forearm-
superior shoulder/lat neck=C4 lat upper arm=C5 med elbow and upper arm=T1 middle finger=C7 lat forearm=C6 ring/little, med wrist, forearm=C8
DTR for Biceps? Brachioradialis? Triceps?
biceps=C5
brachioradialis=C6
Triceps=C7
Compression and spurlings, Neck distraction, and valsalva test all test for __ neuropathy
central
what is a positive neck distraction test?
relief of pain with cervical distraction –> indicates central compression or central neuropathy
boundaries of thoracic outlet?
1st ribs
1st thoracic vertebra
manubrium
contains: brachial plexus, subclavian a and v
special tests for thoracic outlet syndrome?
ROOS or EAST test, Adson, wrights hyperabduction, costoclavicular test
a + ROOS/EAST test indicates compression of __
subclavian a
a + adson test indicates compression of __
subclavian a between scaliness, cervical rib or 1st rib
looking toward dysfunctional side in adson test is testing for __ etiology
1st rib
looking away from dysfunctional side in adson test is testing for __ etiology
tight scalene muscles
a + wrights hyperabduction test indicates neurovascular entrapment by __
pec minor
+ costoclavicular test indicates thoracic outlet d/t decreased space between __
rib 1 and clavicle
which test for meningitis involves flexion of the neck? which one is flexion of both hips and knees?
neck=nuchal rigidity
hips and knees=brudzinskis
which cervical vertebra is most commonly injured in a MVA?
C1 most common
Jefferson fx is C_
Hangmans fx is C_
Clay shovelers fx is C_
1
2
6 & 7
