Red Flags

Question 1

Must go to ER

Answer 1

• LOC or AMS
• shock
• B&B dysfunction
• severe non mechanical pain
• angina and heart related symptoms
• Compromised blood flow
• spinal column instability

Question 2

Progressive neuro deficits - must go to Er

Answer 2

Rapid onset of

• weakness, numbness, tingling
• blurred/decreased vision
• other CN changes
• loss of speech
• dizziness, loss of balance
• sudden severe HA
• uncontrolled seizure
• acute infection associated w/ neuro signs

Question 3

Things to get checked out

Answer 3

-myelopathy symptoms (atrophy, fasciculations)
-abnormal reflexes
-changes in vitals
-bi or unilateral radiculopathy or paresthesias
-Neuro signs unrelated to dx
-unexplained referred pain
Unexplained sig UQ/LQ weakness

Question 4

Unstable symptoms (fatigue)

Answer 4

Fluctuating BP
Fluctuating HR
Fluctuating pain, weakness, numbness