Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Clinical Decision Making Exam 2 > W/W - Lower Back Pain > Flashcards

W/W - Lower Back Pain Flashcards

1
Q

low back pain that arises from the spine, intervertebral discs, or surrounding soft tissues

A

mechanical lbp

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

causes of mlbp

A

acute traumatic event

cumulative trauma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

3 common lbp complaints that W/W stressed

A

pain associated w.:

SIJ region

lumbar facet

discogenic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

2 special tests for mlbp

A

SLR

Fabers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

umbrella term for different forms of age-related degeneration of the spine

A

spondylosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

narrowing of the spaces in the spine → compresses spinal cord and nerve roots exiting each vertebrae

A

spinal stenosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

stress fx thru the pars interarticularis of the lumbar vertebrae

A

spondylolysis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

vertebrae in the spine moves forward out of the proper position onto the bone blow it

A

spondylolisthesis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what structures does mclbp arise from (5)

A

bone

ligaments

discs

joints

nerves

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

t/f: mlbp typically has progressive neuro defect

A

F!

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

chronic lmbp lasts >

A

3 months

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

rf associated w. progression of acute to chronic lbp

A

genetics

female

sedentary/obesity/smoking

poor social support/anxiety/dpn/poor coping skills

trauma

occupational

greater dz burden

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what movement to avoid due to risk of acute lbp

A

BLT → bend, lift, twist

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what movement to avoid due to risk of acute lbp

A

BLT → bend, lift, twist

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

sx of spinal abscess (a do not miss on differential for lbp)

A

fever + back pain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

SIJ pain can mimic

A

sciatic pain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

piriformis syndrome is associated w. inflammation of the __ n

A

sciatic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

SIJ dysfunction involves __ of the joint

A

hypomobility

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

3 PE tests for SIJ dysfxn

A

patricks/fabers

leg length measurement

forward bend and march

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

leg length measurement and forward bend/march tests look for

A

hypomobility of SIJ

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

patricks/fabers are intended to __ the SIJ

A

stress

22
Q

what do you think when you see a pt leaning to one side while sitting w. limited ROM in L/S and normal neuro exam

A

SIJ dysfxn

23
Q

what test is this

A

patricks/fabers

24
Q

what test is this

A

SI distraction

25
Q

what test is this

A

leg length discrepancy

26
Q

gs for measuring true leg length discrepancy

A

x-ray

PLUS

measure

27
Q

what does this make you think

A

SIJ dysfxn

28
Q

what is a (+) finding on a forward bend test

A

affected SIJ rises

29
Q

what is a (+) finding on a march test

A

affected SIJ drops w. ipsilateral hip flexion

weak data supporting this test

30
Q

small, stabilizing joint that prevents the spine from translating anteriorly

A

facet joint

31
Q

what do you think when you see a pt w. vague/dull lbp, rubbing back w. both hands

A

facet syndrome

32
Q

facet syndrome is associated w.

A

muscular spasm

33
Q

facet syndrome pain is worse w. __

and improved w. __

A

L/S extension

forward flexion

34
Q

what condition contributes to facet pain

A

arthritis

35
Q

facet syndrome rarely involves __,

but can mimic

A

spinal nerves

sciatica

36
Q

what do you think when you see, tenderness over facet joints, pain w. extension and rotation, and tight hamstrings

A

lumbar facet pain

37
Q

lumbar facet pain

A
38
Q

lumbar facet pain is associated w. (4)

A

tight hamstrings

lordotic curve

truncal obesity

lordosis of pregnancy

39
Q

what test is used to test for facet syndrome/peripheral spinal stenosis

A

quadrant kemps test

40
Q

who is at risk for discogenic pain

A

physically demanding jobs

repetitive lifting/pulling/pushing

bending sideways and twisting

exposure to vibration

static posture

weak core

prolonged sitting

41
Q

2 critical aspects of assessing discogenic pain

A

comprehensive H/P

N/V exam

42
Q

common complaints w. discogenic pain

A

hurts w. sneeze/cough/bear down/laugh

pain w. L/S flexion

relief w. laying down

radicular pain/paresthesias

muscle spasm

affect on ADLs

43
Q

do not miss red flags in lbp

A

AAA

pregnancy

ectopic pregnancy

CA

pyelo

PID

nephrolithiasis

prostatitis

PMS

endometriosis

spinal cord abscess

AI

44
Q

early management of lbp (first visit)

A

avoid imaging x 6 weeks

rule out red flags

pt ed → stay active, return to ADLs asap

avoid opioids

early PT

45
Q

later management of lbp (2nd visit)

A

assess adherence to recs

consider NSAIDs

continued PT

encourage activity

re-evaluate for other dx

46
Q

what do you think when you see: progressive motor or sensory loss, new urinary retention or incontinence, fecal incontinence, saddle anesthesia

A

cauda equina

47
Q

what do you think when you see: recent spinal procedure, IVDU, immunosuppression, fever

A

spinal infxn

48
Q

case 1: 64 yo f, right sided lbp, achy burning, radiates to right posterior leg/knee/calf, numbness in 4th/5th toes

standing/sitting/bending worsens pain

began 6-8 weeks ago, fell skiing, change in gait after caring for mom

A

discogenic

radiates → nerves involved

49
Q

case 2: 60 yo m, 2-3 years of achy/stabbing lbp, worsens intermittently after activity, worse in AM

can not straighten spine - “something stuck in back”

worse w. bending/twisting/walking, better w. sitting

A

facet →

can’t straighten, can’t bend/twist

50
Q

case 3: 81 yo m, severe tight lbp, radiates to posterior legs/ankles w. standing/walking

relieved w. sitting, began gradually 2 years ago, now consistent, interfere w. ADL

A

discogenic

radiates → nerve involvement

51
Q

case 4: 69 yo m, left sided lbp, “hot needle in back,” does not radiate, constant

worst in AM when getting out of bed, better w. lying down, affects ADLs

began 2 months ago after trip w. walking/fishing/lifting/dragging suitcase

A

facet →

does not radiate, better w. laying down, affects ADLs

Clinical Decision Making Exam 2 (10 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions