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Red Flags

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