19 - The Spine - Hx & PE - D3

19 - The Spine - Hx & PE - D3 - Cervical spine...

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Cervical spine Consist of 7 vertebra 8 nerves Give two plexuses Cervical plexus ( C1-C5) brachial plexus ( C5-T1) Phernic ( C3,C4,C5) mucocutanous n (C5-C7) Lesser occipital (C2) axillary n (C5-C6) Supraclaviclular ( C3,C4) median n (C5-T1) radial N (C5-T1) ulnar n (C8-T1)
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Cervical spine History * acute trauma History of Falling down , vehicle accident . Any patient unconious form after heard injury you should assumed it as cervical spine injury. ABC, WAIT FOR help , x –ray frontal & lateral
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Cervical spine History * PAIN :- analysis of pain Acute ,sub acute ,chronic Onset ,duration , character , severity ,radiation ,reliving ,aggravating factor At end of day /at night , other joint affected *Weakness in upper limb *Paraesthesia
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Cervical spine History Pain and difficulty turning the head and neck, examples are: → Disease of atlanto-occipital joints produces pain radiating to the occiput. → Spondylosis of the middle and lower cervical spines causes pain radiating to the upper border of trapezius, interscapular region, and the arms. → Irritation of the C6 & C7 nerve roots can give rise to referred pain in the interscapular region, radial fingers, and thumb. → Irritation of C8 can cause pain on the ulnar side of forearm, ring, and little fingers.
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Cervical spine Physical examination: Look Observe the posture of the head and neck and note any abnormality and deformity, e.g. loss of lordosis. Feel → The midline spinous processes → The paraspinal soft tissues → The supraclavicular fossae – for cervical ribs or enlarged lymph nodes → The anterior neck structures including the thyroid
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Move: → Assess active movements: o
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19 - The Spine - Hx & PE - D3 - Cervical spine...

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