hip and buttock pain, low back stiffness, cramping leg pain
100
How many days before the procedure should Warfarin be stopped?
3 days
100
What contrast is used for these exams?
Isovue 200
100
How many bones are in the human body?
206
200
Name a common complication to an ESI other than contrast allergey
Headaches, continued pain, occasional insomnia, facial flushing, nausea, aseptic meningitis, and bacterial meningitis following and intrathecal injection
200
Name one complication of a facet injection other than contrast allergy
Infection, Bleeding, Nerve damage, Increased Pain
200
True or false…Nerve root blocks are done using sterile technique?
True
200
What images are taken for all of these exams and why?
AP and Lateral spots to document needle placement
200
Who do the Hawkeyes play this weekend?
Wisconsin
300
Which approach does the UIHC use most often for an ESI?
Caudal
300
What two structures make the articulate to form the facet joint ?
inferior articulating process or the vertebrae above and the superior articulating process of the vertebrae below
300
Can a nerve root block be done for therapeutic relief, as diagnostic tool, or both?
Both
300
Why is contrast used for these exams?
To verify needle placement and verify correct contrast pooling or flow for documentation
To verify needle placement and verify correct contrast pooling or flow for documentation
300
What does Alyssa eat for lunch everyday?
Grilled cheese and chocolate chip cookies
400
What is the final target for needle placement for an ESI?
S3 (upper half)
400
True or False: Facet injections are only done on one level of the spine at a time?
False- usually two or three sites will be injected at a time, and can be done bilateral
400
Name one indication for a nerve root block
Radicular pain, Most commonly used to direct possible surgical intervention in unclear cases, Disk herniation
400
What type of needle is used for the nerve root block?
Nerve Root Needle (in room)
400
When were x-rays first invented?
1895
500
Name one indication to an ESI
Radiating pain with or without low back pain
Lumbosacral disk herniation
Spinal stenosis
Compression fracture of L-spine
Facet or nerve root cyst
500
Why are cushions sometimes placed under the patients abdomen?
to decrease the lordotic curve of the L-spine and help open the inferior articular space
500
Name one complication to a nerve root block other than contrast allergy?
-Systemic side effects of the steroid such as diarrhea, facial flushing, insomnia, and mood swings are usually discussed prior to the procedure
-Nerve laceration is a potential risk, but can easily be avoided by slow advancement of the needle
-The most catastrophic complication would be infection of an artery serving the spinal cord-(this is highly uncommon)
500
What is the name of the steroid used in all of these exams?
Betamethasone
500
The phrase "Why you cry baby?" is most said by whom?