M5: Reading Guide 2 Flashcards
sx of upper cervical instability and associated cervical cord compression
these reproduced by active or passive neck movements
- drop attacks
- facial or lip paresthesia
- bilateral or quadrilateral limb paresthesia
- nystagmus
Why is it so important to ID rheumatic disease?
- can lead to sublux
- pressure on SC
rheumatic disease: most common sublux and what happens
- C1 on C2
- degeneration of transverse ligament
How does AS affect risk of cervical fx?
increases
- bony ankylosis
- OP
These may occur up to a mont prior to acute MI
- weakness
- fatigue
- trouble sleeping
- nausea
Key sign of acute mI in women
unexplained, severe, episodic fatigue that interferes with performing daily activities
s/s of acute MI
- prolonged, uncomfortable pressure, fullness, squeezing pain in center of chest
- pain spreads to neck, throat, back, jaw, shoulder, arms
- chest discomfort with lightheadedness, dizziness, sweating, pallor, nausea, or SOB
- prolonged sx unrelieved by antacids, nitroglycerine, or rest
sx of cervical myelopathy
- LE weakness, spasticity, hyperreflexia
- UE changes, fine motor control, atrophy
- neck stiffness/pain
- UQ pain
- widespread numbness/paresthesia
- b/b changes
Cluster of 5 tests used to rule in/out cervical myelopathy
- age over 45
- (+) Babinski
- (+) Inverted supinator sign
- (+) Hoffman
- Spastic, wide-based, or ataxic gait
Rule OUT cervical myelopathy
absence of a positive finding OR presence of 1 of 5 tests
Rule IN cervical myelopathy
3 of 5 positive tests
Which nerve root is most commonly involved with cervical radiculopathy?
C7 » C6 » C8
Multilevel involvement of C5-7 as well
When does cervical radiculopathy most often seen?
4th or 5th decade
How does cervical radiculopathy affect the nerves and blood supply?
- ischemia
- block of conduction along affected axons
What causes radicular pain with cervical radiculopathy?
- NOT compression of axons
- due to compression of DRG
