Scanning! and Lumbar diff. diagnosis (by Martin)

Question 1

3 goals of scanning in an examination

Answer 1

establish dx
assess neuro status
detect serious pathology

Question 2

pt says: flexion (bending forward) increases my burning leg pain,u think…

Answer 2

disc injury

Question 3

pt says: it hurts when i extend, rotate and SB, u think…

Answer 3

facet

Question 4

parts of a scan…

Answer 4

observation
AROM
Dural tests (slump, SLR, PKF)
Myotomes
(Fatigueing weakness)
Dermatomes
SIJ provocation tests
UMN tests (clonus, reflexes, babinski)
special tests

Question 5

diff. between dermatomal pain (spinal nn) and peripheral nerve pain

Answer 5

dermatomes= ill defined, vague pain

peripheral nerve= well-defined pt can map it out for you, larger area usually too

Question 6

lumbar disc red flags*

Answer 6

• coughing
• yelling
• crying
• rotational force that they felt something give way

Question 7

today’s disc injury is tomorrow’s _______

Answer 7

instability

Question 8

test for disc injury with _____________?

Answer 8

compression

Question 9

med. meniscus red flags*

Answer 9

• trauma
• joint line pain
• catching/locking

Question 10

suprascapular nerve palsy red flags*

Answer 10

• direct trauma

* fatiguing weakness with ER is the only symp.