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