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Flashcards in Spine Deck (19)
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1
Q

why is back pain hard to treat?

A

lots of factors involved

if you operate, they will likely come back

2
Q

how is most back pain treated?

A

conservatively

3
Q

when does back pain commonly occur?

A

30-50 yo

4
Q

what are tumors that go to bone?

A

prostate, breast, lung, renal, adrenal, thyroid

5
Q

what should you think when assessing back pain?

A

is it a nerve root being pinched

6
Q

where is common low back pain?

A

l4-5 (pivot area)

-causes radicular pain down either leg

7
Q

what will happen with a herniated disc?

A

lateral curvature of spine

8
Q

which is the most important Waddell sign?

A

overreaction

9
Q

what is Hoffman reflex?

A

flick middle finger and will elicit flexion with CNS injury

10
Q

what are findings of cauda equina syndrome?

A

loss of bowel and bladder function

foot drop

11
Q

when would cervical pt get pain relief?

A

arms overhead (helps to differentiate between shoulder pain)

12
Q

what would be a late finding of cervical nerve compression?

A

atrophy

13
Q

what should you not overlook when evaluating cervical radiculopathy?

A

cardiac

14
Q

what does a hypolordotic curve indicate?

A

spasm

15
Q

what is the approach to cervical nerve txment?

A

make them feel better

16
Q

where is cervical strain localized to?

A

area of soft tissue damage (not radicular)

17
Q

what often causes cervical strain?

A

whiplash

usu starts hurting hours after injury

18
Q

what is an unstable vertebral fracture?

A

anterior, posterior and ligamentous involvement

19
Q

what is the best view to visualize a burst or compression fracture?

A

lateral

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