Conditions of the spine Flashcards Preview

SMB 4 > Conditions of the spine > Flashcards

Flashcards in Conditions of the spine Deck (35):
1

Cervical sprain- Eti

MVA or other high impact with resistance

2

Cervical sprain- Sx

Occipital HA, blurred/ double vision, dysphagia, jaw pain, vertigo, Pain, decreased ROM on neck.

3

Cervical sprain- Dx

Clinical & x-ray to rule out further trauma

4

Cervical sprain- Tx

Soft immobilization, reassurance to use full ROM, bed rest

5

Acute lumbosacral strain- Eti

Pain following lifting or twisting

6

Acute lumbosacral strain- Sx

Unilateral deep, steady pain in mid to low back. Radiate to butt & thigh, relief with rest, pain with activity

7

Acute lumbosacral strain- Dx

asymmetric lateral bending, local deep tenderness present on exam

8

Acute lumbosacral strain- Tx

NSAIDs, activities as tolerated, muscle relaxants

9

Lumbar disc herniation- Eti

Heavy bending with back in flexion- may be degenerative with no inciting incident. L5-S1 90% cases

10

Lumbar disc herniation- Sx

Pain with flexion or sitting, numbness & weakness, radicular pain with compression.

11

Lumbar disc herniation- Dx

X-ray- change in alignment, narrowing disc space, osteoarthritis

12

Lumbar disc herniation- Tx

NSAIDs, PT, activity modification, steroid injections

13

Spinal stenosis- Eti

50+ Often due to osteoarthritis or large disc herniation

14

Spinal stenosis- Sx

Pain worse with extension, neuralgic claudication with walking, relief with sitting, limited extension of lumbar spine, radiation down legs

15

Spinal stenosis- Dx

Neurovascular & X-ray

16

Spinal stenosis- Tx

PT, steroid injections

17

Spondylolisthesis- Eti

Abnormal slippage of vertebra. L4/5 50+

18

Spondylolisthesis- Sx

Low back and leg pain with radicular leg symptoms

19

Spondylolisthesis- Dx

X-ray

20

Spondylolisthesis- Tx

Decompression or fusion

21

Spondylolysis- Eti

Common in children & adolescents- defect or stress fracture at L5 (95%)

22

Spondylolysis- Sx

insidious back pain, worse with activity, neurologic sx rare. Pain with lumbar extension

23

Spondylolysis- Dx

X-ray or CT

24

Spondylolysis-Tx

Rest, brace, PT

25

Cauda equina Syndrome- Eti

Compression and dysfunction of lumbosacral nerve roots. Surgical emergency

26

Cauda equina Syndrome- Sx

Saddle anesthesia, loss of bowel/ bladder function, lower extremity weakness

27

Cauda equina Syndrome- Dx

Clinical & x-ray

28

Cauda equina Syndrome- Tx

Stabilization of spine & surgery

29

Scoliosis- Eti

spinal deviation on the vertical axis greater than 10 degrees.

30

Scoliosis- Sx

Asymptomatic, may progress to sciatica or low back pain as adult. Uneven ribs, shoulders or pelvis

31

Scoliosis- Dx

Adam test, X-ray

32

Scoliosis- Tx

Serial observation unless complicated.

33

Costochondritis- Eti

Before 40, mono joint involvement. Painful swelling of 1+ costochondral articulation,

34

Costochondritis- Sx

Anterior chest pain- sudden or gradual- radiation to arms, aggravated by coughing

35

Costochondritis- Tx

NSAIDs, steroid injections