W1- Introduction to Diagnostic Imaging In Rehab

Question 1

What are some important considerations for imaging? (5)

Answer 1

• Safety
• State Legislation (and interpretation)
• Provider Competency
• Health Care Costs
• Access to Services

Question 2

Describe the steps for the Canadian C-Spine Rules.

Answer 2

1. ) Any high risk factor that mandates radiography (Age >65, dangerous mechanism, paresthesias in extremities)? (If yes, radiography)
2. ) Any low-risk factors that allows safe assessment or ROM? (If no, radiograph)
3. ) Able to rotate neck actively (45 degrees)? (If no, radiograph)

Question 3

What are the (5) NEXUS rules in order to be classified as having low probability of injury?

Answer 3

1. ) No midline cervical tenderness
2. ) No focal neurological deficit
3. ) Normal alertness
4. ) No intoxication
5. ) No painful, distracting injury

Question 4

What are the (5) Ottowa Knee Rules?

Answer 4

1. ) Age >55
2. ) Isolated tenderness of patella
3. ) Tenderness of head of fibula
4. ) Inability to flex knee 90 degrees
5. ) Inability to bear weight both immediately and in the ED for 5 steps

Question 5

What are the Ottowa Ankle Rules?

Answer 5

Pain At Malleolar Zone

• Bone tenderness at posterior edge or tip of lateral malleolus.
• Bone tenderness at posterior edge or tip of medial malleolus.
• Inability to bear weight both immediately and in the ED.

Pain At Midfoot Zone

• Bone tenderness at base of 5th metatarsal.
• Bone tenderness at navicular.
• Inability to bear weight both immediately and in the ED.