Back pain Flashcards
(13 cards)
Farcture of dens
hyperectension or hyperflexion
bone graft iliac crest
Whip lash
anterior longitudinal ligament is torn
which curves of spine are secondary?
cervical and lumbar- lordosis
Kyphosis?
thoracic and sacral
slipped disk?
L4/L5 posteriorlateral dislocation of nucleus pulosus
Cauda equine syndrome
What are osteophytes?
new bone growth
describe simple (mechanical back pain) and how would you treat it?
may radiate to buttock and leg
often worse at end of day
simple analgesics, tricyclic anti-depressants
Describe Sciatica
L4-S3
back, leg and below the knee
pins and needles in the leg, foot drop loss of ankle jerk
Describe inflammatory back pain
buttock pain, nocturnal pain and early morning stiffness, worse with rest
Describe ankylosing spondylitis
young men, large joint oligoarthritis, IBD, psoriasis
Describe pagets disease
raised alkaline phosphatase
Describe neurogenic claudication
spinal stenosis
bilateral leg symptoms-weakness, tingling, worse on standing
describe cauda equine syndrome
difficulty with micturition
loss of anal sphincter tone
saddle anaesthesia
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