Flashcards in Final Deck (10)
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1
Dx cluster for lumbar radiculopathy
Dermatomal pattern
Pain on cough, sneezing, straining
More pain sitting
Subjective muscle weakness
Subjective sensory loss
Paresis/motor loss
+SLR
Unilateral ankle reflex absent
2
Dx cluster for cauda equina
Rapid sxs within 24 hrs
Hx of back pain
Urinary retention
Loss of sphincter tone
Sacral sensation loss
Lower extremity weakness or gait loss
3
Dx cluster for stenosis
Bilateral sxs
Leg pain more than back pain
Pain during walking/standing
Pain relief upon sitting
Age > 48 yrs
4
Dx cluster for ankylosing spondylitis
Age onset less than 40yrs
At least 3 mos
Morning back stiffness
Pain not relieved by supine
4/5 of above and improved by exercise
5
Dx cluster for lumbar compression fracture
Age > 50 (sensitive)
Age > 70 (specific)
Trauma
Corticosteroid use
6
Dx cluster for spine CA
Age > 50
Previous hx of CA
Failure to I,prove in 1 month of therapy
No relief with bed rest
Duration of pain > 1 month
Insidious onset
Constitutional sxs
7
Am college of Rheumatology Dx of hip OA
Cluster 1:
pain in hip (not SIJ)
Less than 115 deg of hip flexion
Less than 15 deg hip IR
Cluster 2:
Pain w hip IR
greater than 60 min am stiffness
Greater than 50 yrs
8
Ottawa Knee Xray Rules
Age 55+
Isolated tenderness of patella
Tenderness at head of fibula
Inability to flex to 90
Inability to bear weight (immediately after and in ED)
9
Ottawa Ankle Rules
Bone tenderness along distal 6cm of pos edge of tibia or medial malleolus
Bone tenderness along distal 6cm of pos edge of fibula or lateral malleolus
Inability to bear weight for 4 steps
10
