RADD 2612 Midterm MASTER Notes

RADD 2612 Midterm - RADD 2612 NORMAL RADIOGRAPHIC ANATOMY ANOMALIES II DR BRADSHAW MIDTERM EXAM INFORMATION LAB NOTES(Week 1 Lab 1 Equipment

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RADD 2612 DR. BRADSHAW MIDTERM EXAM INFORMATION LAB NOTES (Week 1, Lab 1) Equipment Rolling ruler Eraser X-ray pencil Exam Midterm => powerpoint slides (week 6) Practical => films (week 10) Final => multiple choice (week 11) Course overview Extremities Congenital anomalies Fractures Structural analysis Sella turcica p. 200, Figure 2.3 S-I => 4 to 12 mm (normal range) S-I => 8 mm (average) A-P => 5-16 mm (normal range) A-P => 11 mm (average) Cause => enlargement of pituitary or tumor ADI p. 206, Figure 2.12 Atlantodental interspace Adult => not > 3 mm Adult => 1 to 3 mm (normal range) Adult common cause => rheumatoid arthritis Heat response from inflammation Child => not > 5 mm Child => 1 to 5 mm (normal range) Child common cause => chronic bacterial infection Fever causes laxity of ligament MCC↑ => most common cause of increase Verify with flexion/extension No more than 1 mm from neutral Page 1
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RADD 2612 DR. BRADSHAW Reasons for structural analysis on x-rays Need justification of acceptance => for insurance Need a way to monitor => improvement or maintenance Need or justification for dismissal Avoid professional patients Use case history to sort Documentation is key LECTURE NOTES (Week 1, Lecture 1) Congenital anomalies Some clinically insignificant Some alter how treated or adjusted Adjusting segment above or below anomaly Some indicate where not to adjust Some change biomechanics of certain area Some show up on boards Some life threatening Occipitalization Description: fusion of atlas with occipital bone Sometimes called “most cephalic” or “most cephalically blocked” vertebrae Young children => usually ASYMPTOMATIC Older children/young adults => symptoms Symptoms Neural manifestations in upper extremities Tingling Pins and needles Hot areas Headaches Disturbance in vision Disturbance in hearing In practice => take flexion/extension study (1 st protocol) On boards => look at where occiput meets with posterior tubercle on x-rays Where it joins forms a sideways “v” => NOT fused Where it joins forms a smooth sideways “u” => FUSED Clinical significance => need to use special treatment and be concerned Treat as one segment or not at all Occurrence => common (5%) Platybasia Description: flattening of sphenoid bone and/or occipital bone Determined by: lines of mensuration called Martin’s Basilar angle AKA “Basilar Impression” Normal range => 123-152 degrees Over 152 degrees indicates Yokum & Rowe => basilar impression is secondary pathology causing the flattening of sphenoid and/or occipital bone Page 2
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RADD 2612
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This note was uploaded on 11/22/2011 for the course RADD 2612 taught by Professor Jillg.bradshaw during the Winter '11 term at Life Chiropractic College West.

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RADD 2612 Midterm - RADD 2612 NORMAL RADIOGRAPHIC ANATOMY ANOMALIES II DR BRADSHAW MIDTERM EXAM INFORMATION LAB NOTES(Week 1 Lab 1 Equipment

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