Scoliosis
Red Flags
Neck stuff
Signs and symptoms
Bad neck stuff
100
The patient’s scoliosis improves when sitting, leading you to expect this structural abnormality.
What is a leg length inequality.
100
Treatment for this amount of time without improvement in pain is considered a red flag.
What is one month
100
What is your primary diagnosis?
What is Cervical Rheumatoid Arthritis
100
A disc derangement at this level would explain a patient’s referred pain in their lower scapula
What is C6-7
100
A patient with this condition presents with acute unilateral face pain, ptosis, and retinal ischemia.
What is an internal carotid artery dissection
200
With this classification of scoliosis a patient has a right sided prominence of the ribs while flexed forward, when seated the prominence goes away.
What is functional scoliosis
200
This Symptom, combined with mid back, neck or joint pain, is considered a red flag.
What is a fever
200
These sensations are lost in a cape like distribution due to a syrinx.
What are Pain and Temperature
200
A sprain may produce pain during a muscle test during this phase.
What is the “set” phase
200
This hereditary condition presenting with joint hypermobility and abnormal bruising could be a risk factor for internal carotid artery dissection.
What is Ehlers-Danlos syndrome
300
This radiographic measurement is considered the minimum angulation to define scoliosis.
What is a Cobb angle of 10*
300
A patient with this disease enters your office with pain in the small and ring fingers of their right hand, an absent triceps reflex, and muscle weakness of the left lower leg.
What is a pancoast tumor with spinal cord involvement
300
This is the most common cause of a syrinx developing in the cervical spine.
What is a Chiari I malformation
300
This sign would indicate a severe cervical sprain while performing a cervical compression test
What is the Collapse sign
300
This artery more frequently elicits pain with dissection.
What is Vertebral Artery
400
A patient with a Cobb angle of 45* and a Risser grade of 2 requires this management plan.
What is Spinal fusion
400
A lateral neck mass is a metastatic squamous cell carcinoma or lymphoma until proven otherwise in patients older than ____.
What is 40
400
This measurement width would be considered abnormal in a child.
What is 4mm
400
A child with a deranged disc may also present with this painful condition of the neck muscles.
What is a torticollis
400
Past this age you would not consider a patient’s age to be a risk factor of vertebral artery disease.
What is 45
500
Neuropathic scoliosis may be indicated by this finding.
What is a progressive left thoracic primary curve
500
This condition must be ruled out first in a patient presenting with acute Horner's syndrome and ipsilateral neck pain.
What is an internal carotid artery dissection
500
You would lean towards this diagnosis for a patient with pain spreading superiorly in the cervical spine and abnormal respirations and heart rate.
What is a syringobulbia
500
These three components make up a clinical decision rule used to diagnose facet syndrome.
What are a +ER test (pain >2), pain with palpation over facet, and restricted P-A joint play
500
List three of the 5 D’s of VBA.
•Dizziness/vertigo •Drop attacks •Diplopia •Dysphagia •Dysarthria