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30 Cards in this Set

  • Front
  • Back
worrisonme back pain sx in pediatrics
night time, limits activity
Atheletes involved in hyperextension sports can develop what type of back injuries
spondylolisthesis, and pars interarticularis fractures
achilles reflex is what herniation site...what nerve root
L5-S1

S1
patellar reflex herniation site
L4-L5

L5 nerve root
the adult spinal cord ends where
L1-L2
lateral herniation of lumbar discs produces
sciatica while central herniation produces the cord syndromes
acute low back pain refers to pain lasting less than
2-4 weeks
type of pain that is muscular or ligamentous strain
nonradiating paralumbar pain
radicular pain is worsened by
coughing, sneezing or changing positions
neurogenic claudication or spinal stenosis pain is described as
lower extremetiy pain worsend by walking relieved by sitting
many patients with spinal infections do not have a fever
many patients with spinal infections do not have a fever
pulsatile mass is found in what ercentage of folks with AAA
50%
Midline bony teny percussion tenderness would be what
unusual in someone with uncomplicated backpain this finding represents or suggests a focal lesion...such as a fracture, cancer, or infection
difficulty heel walking or dorsiflexion of the great toe ma indicate nerver root compromise
L5
L5 root compression sx
difficulty heel walking or dorsiflexion of the great toe ma indicate nerver root compromise
L4 nerve root compression may cause
weak quadextension, squat and rise and diminished knee jerk
weak quadextension, squat and rise and diminished knee jerk
L4 nerve root compression may cause
S1 root compression sx
decrease plantar flexion of the great toe, decreased ability to walk on toes, diminished ankle jerk
decrease plantar flexion of the great toe, decreased ability to walk on toes, diminished ankle jerk are all sx of compression of what
S1 root compression sx
standard method for eliciting clinically significant nerve rot compression
straigth leg raise (detects tension on L5 and or S1) this test is positive when pain felt below the knee at less than 70% of straight leg elevation aggravated by dorsiflexion of the ankle...however the reproduction of back pain with SLR testing does not indicate significant nerve root tension
this sign detects tesnsion in L2 -L4
Reverse straight leg raise...patient is prone and pain is elicited in the anterior thigh with extension of the hip or flexion of the knee
Where can Simple Cuboidal Epithelia be found?
Kidney tubules, small glands, and ovary surface
patient with a recent GU manipulation may be at risk for what
spinal abscess
concerning Post void residual
anything greater than 100
what are the limitations of plain lumbosacral films
cannot diagnose herniation or stenosis
radiologist favor what type of image for suspected radiculopathy
MRI, better resolution, no ionizing radiation
initial treatment for AAA
IVs, 6 units crossmatched...labs
initial treatment for epidural abscess
BCx x 3, anti staph and aminoglycosides
poor choice because of its many GI side effects and little efficacy over tylenol alone
tylenol 3
most episodes of acute low back pain resolve within
2-4 weeks