Red flags

Question 1

General red flags

Answer 1

• Onset of new complaint <20 or >50
• Night pain
• loss of appetite
• weightloss
• SOB
• Frequent nausea and vomitting
• recent onset headche
• neurological signs that are progressive or cover more than one dermaome or is bilateral

Question 2

Headaches

Answer 2

S- systemic, signs of infection, pregnacy, cancer, stiff neck with photophobia, meningitis
N- neurological signs,
O-onset, suddent and abrupt, new
Older- >50
P- previous HA history, changed or become ing more frequent or wore

Question 3

Acute neck pain and back pain

Answer 3

SSx or risk factors for infection
history of trauma or minor trauma if older
use of corticosteroids
past history of malignancy
> 50 years
failure to improve with ttx
unexplained weight loss
progressie neuro signs in limbs
dysphagia, headache, vomitting, 
CV risk factors
changes in bowel or bladder function 
sadle paraestheisa
Sexual dysfunction

Question 4

contraindications

Answer 4

weak bone
vascular insufficienty
lack of working diagnosis
lack of informed consent
excessive tissue feedback
progressive neurological dysfunction

Question 5

relative contraindications

Answer 5

patients general health and well being 
disc herniation
pregnancy
long term corticosteroid use
psychological dependency
adverse reactions to treatment
treatment in the last 24 hours