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Cervical Spine
Red Flags
| Question | Answer |
|---|---|
| Sensory disturbance of the hands is a reg flag for what? | Cervical Myelopathy |
| Muscle wasting of hand intrinsic muscles is a reg flag for what? | Cervical Myelopathy |
| Unsteady gait is a reg flag for what? | Cervical Myelopathy |
| Hoffman’s reflex is a reg flag for what? | Cervical Myelopathy |
| Hyperreflexia is a reg flag for what? | Cervical Myelopathy |
| Bowel and bladder disturbances is a reg flag for what? | Cervical Myelopathy |
| Multisegmental weakness and\or sensory changes is a reg flag for what? | Cervical Myelopathy |
| Age over 50 years is a red flag for what? | cancer |
| Previous history of cancer is a red flag for what? | cancer |
| Unexplained weight loss is a red flag for what? | cancer |
| Constant pain, no relief with bed rest is a red flag for what? | cancer |
| Night pain is a red flag for what? | cancer |
| Occipital headache and numbness is a red flag for what? | upper cervical ligamentous instability |
| Severe limitation during neck AROM in all directions is a red flag for what? | upper cervical ligamentous instability |
| Signs of cervical myelopathy is a red flag for what? | upper cervical ligamentous instability |
| Drop-attacks are a red flag for what? | vertebral artery insufficiency |
| Dizziness (lightheadedness) related to neck movement) is a red flag for what? | vertebral artery insufficiency |
| Dysphasia is a red flag for what? | vertebral artery insufficiency |
| Dysarthria is a red flag for what? | vertebral artery insufficiency |
| Diplopiais a red flag for what? | vertebral artery insufficiency |
| Positive cranial nerve signs is a red flag for what? | vertebral artery insufficiency |
| Temperature > 100 F is a red flag for what? | Inflammatory or systemic disease |
| BP >160\95 mmHg is a red flag for what? | Inflammatory or systemic disease |
| Resting Pulse >100bpm is a red flag for what? | Inflammatory or systemic disease |
| Resting Respiration >25bpm is a red flag for what? | Inflammatory or systemic disease |
| Fatigue is a red flag for what? | Inflammatory or systemic disease |
| What are the 5 main red flags in the cervical region? | Cervical myelopathy, inflammatory or systemic disease, VBI, Upper cervical ligamentous instability, cancer, |
| What are the seven red flags for cervical myelopathy? | Sensory disturbance of the hands, Muscle wasting of hand intrinsic muscles, Unsteady gait, Hoffman’s reflex, Hyperreflexia, Bowel and bladder disturbances, Multisegmental weakness and\or sensory changes |
| What are the five red flags for cancer? | Age over 50 years, Previous history of cancer, Unexplained weight loss, Constant pain, no relief with bed rest, Night pain |
| What are the three red flags for upper cervical ligamentous instability? | Occipital headache and numbness, Severe limitation during neck AROM in all directions, Signs of cervical myelopathy |
| What are the six red flags for vertebral artery insufficiency? | Drop-attacks, Dizziness (lightheadedness) related to neck movement), Dysphasia, Dysarthria, Diplopia, Positive cranial nerve signs |
| What are the five red flags for inflammatory or systemic disease? | Temperature > 100 F, BP >160/95mmHg, Resting Pulse >100bpm, Resting Respiration >25bpm, Fatigue |
| What are the seven risk factors for VBI? | Athlerosclerosis, DM, HTN, past stroke, CAD, Smoking, long term use of oral contraception |
| What are the three N's associated with VBI? | Nausea, nystagmus, numbness in face or lips. |
| What CPR is used to determine red flags for fracture? | Canadian C-spine CPR |
| What are the three high risk factors when screening for fracture? | age greater than or = to 65, dangerous mechanism, paresthisia in extremities |
| What are the five low risk factors when screening for fracture? | Simple rear end MVA, if they assume sitting position in waiting room, are they ambulatory, delayed onset, absence of midline c-spine tenderness. |
| If pt answers yes to high risk factors or no to low risk factors then the pt should be referred for _______? | x-ray |
Created by:
txst spr 2009
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