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Cervical Spine

Red Flags

QuestionAnswer
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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