Illness Script for the Cervical Spine from NAIOT manual.pptx

8/18/2019 Illness Script for the Cervical Spine from NAIOT manual.pptx

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Illness Scripts for the

Cervical Spine


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Cardinal Signs of C-Spine• Facial Paresthesia

• Peri-oral paresthesia• Bilateral/Quadrilateral/Hemilateral paresthesia

• Fainting episodes (vaso-vagal causes)

• Sudden changes in hearing

• Post traumatic or gradual onset of visual decit

• Pro!lem "ith communication

• #ta$ia

• Cord signs % drop attac&s (!a!ins&i' clonus'hper-ree$ia)

• Sterno Cleido *astoid atroph

• +ongue "ea&ness and atroph

• ,sphagia


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BI Illness Scripts

• ,rop attac&s (not unconscious)

• Perioral num!ness

• ,iplopia

• ,sarthria

• Bilateral/hemilateral/Quadrilateralparesthesia

• ,i..iness/ertigo/spinign or tiltingsensation/light headedness

• Headache


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Causes of ,i..iness

• Inner ear infection

• BPP Benign Paro$smal Positional ertigo

• 01 2 di..iness is caused ! BPP

• ,i..iness triggered ! ling do"n or rollingon the !ed

• It is due to accumulation of ottoconia

• Positional ,i..iness gets "orse on standing

• 3suall associated "ith head trauma'degeneration changes "ith age' aftersurger' "ith prolong supine position


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Illness Scripts for Cervical ertigo

• First rule out the BI

• Cervical vertigo comes "ith the nec& movements

• 45 (vesti!ulo-occular-ree$) "ill !e a!normal

•

45 is used to test vision sta!ili.ation• 4pto&inetic 5ee$ (465) "ill !e a!normal

• #ll of these ree$es are due to damage of trigeminalnerve or +rauma to C7 to C8

• Cervico-occular ree$ (C45) Im!alance/di..inessdue to rotation of the head

• 4r &eep the head stationar and rotate the !od

• 4r 6eep the !od stationar and rotate the head


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Headaches

• *igraine

• +ension

•

Cluster• Cervicogenic


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Illness Scripts for *igraine

Headaches

• # form of vascular headache

• Has t"o causes i-e9 enlargement ofthe !lood vessels and chemicalrelease from the nerves that coilaround the !lood vessels' chemicalcauses inammation leading to more

vaso-dialation9• +he temporal arteries enlarge9

• Smptoms can !e :,9


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Illness Scripts for *igraine

Headaches

• ,escri!ed as intense thro!!ing pain that involvestemporal region

• +he pain can !e located in the forehead' aroundthe ee or !ac& of the head

• Pain is usuall unilateral

• #lthough a!out 7/8rd of the time it can !e !ilateral

• Pale s&in and cold hands and feet

•

Blurred vision• It is usuall aggravated ! man activities li&e

"al&ing upstairs' sensitivit to light and sound

• # tpical attac& lasts for ; to


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Illness Scripts for +ension

Headaches

• Can !e caused ! stress or posture

• Pain that !egins at the !ac& of the head or uppernec& is a !and li&e tightness

• ,escri!ed as the !and of pressure encircling the head

"ith the most intense pain over the ee!ro"s

• +he pain is usuall mild and !ilateral

• It is di=erentiated from migraine' it is not associated"ith aura or not associated "ith vomiting and nausea

and there is no sensitivit to light and sound• 3suall occurs sporadicall !ut can occur fre>uentl

or even dail in some people (mostl in computerusers)


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Illness Scripts for Cluster Headaches

• It is much more common in males than females9

• Cause is un&no"n or ma !e geneticall associated

• ?pisode lasts for 81 minutes or an hour

•

Pain tends to occurs a!out the same time everda

• +he pain tpicall is e$cruciating and is locatedaround or !ehind one ee

• +he a=ected ee ma !ecome inamed and "ater

• +he nose on the a=ected side ma !ecomecongested or runn


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Documents

Illness Script for the Cervical Spine from NAIOT manual.pptx