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on 14-Jun-2014 (Sat)

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Annotation 149622164

Magnetic resonance imaging should be considered in patients with neurologic symptoms or advanced cervical degenerative disease, as these patients are at particular risk of acute disc and ligamentous injury following trauma.
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RACGP - Cervical spine – assessment following trauma
al spine imaging is indicated. An accurate history, physical examination and radiographic screening are required, preferably with computed tomography imaging, or five-view plain X-ray if computed tomography is unavailable. <span>Magnetic resonance imaging should be considered in patients with neurologic symptoms or advanced cervical degenerative disease, as these patients are at particular risk of acute disc and ligamentous injury following trauma. While cervical spine injury is more common in patients with multiple injuries, isolated injury may occur following comparatively minor traumatic incidents.1 A recent meta-analys



Flashcard 149622171

Question
  • NEXUS assessment of cervical injuries?
Answer
  • altered mental status
  • midline cervical tenderness
  • focal neurologic deficit
  • evidence of drug or alcohol intoxication, and
  • presence of other injury considered painful enough to distract from neck pain.

statusnot learnedmeasured difficulty37% [default]last interval [days]               
repetition number in this series0memorised on               scheduled repetition               
scheduled repetition interval               last repetition or drill
RACGP - Cervical spine – assessment following trauma
predictive value not reported. Under the NEXUS criteria, for patients presenting for general practice or hospital emergency department (ED) review following trauma, cervical spine injury cannot be excluded if any of the criteria are present. <span>These include: midline cervical tendernessaltered mental statusfocal neurologic deficitevidence of drug or alcohol intoxication, andpresence of other injury considered painful enough to distract from neck pain. If none of these criteria is present, the patient is considered to be at low risk of cervical spine injury and does not require cervical spine imaging. If any one of the criteria is pres






Flashcard 149622186

Question
The Canadian C-spine rule includes three high risk factors in alert patients that mandate cervical spine imaging:
Answer
edit answer

statusnot learnedmeasured difficulty37% [default]last interval [days]               
repetition number in this series0memorised on               scheduled repetition               
scheduled repetition interval               last repetition or drill
RACGP - Cervical spine – assessment following trauma
the patient is able to fully participate in clinical assessment. The Victorian State Trauma System Cervical Spine Acute Care Guideline recommends that pre-existing spinal disease should be considered as a potential precursor to injury.14 <span>The Canadian C-spine rule includes three high risk factors in alert patients that mandate cervical spine imaging: age ≥65 yearsdangerous mechanisms of injury, andsensory neurologic deficit (Figure 1). It includes five low risk factors allowing safe range of motion assessment: simple rear-e






Annotation 149622205

NEXUS assessment of cervical injuries?
  • midline cervical tenderness
  • altered mental status
  • focal neurologic deficit
  • evidence of drug or alcohol intoxication, and
  • presence of other injury considered painful enough to distract from neck pain.
statusnot read reprioritisations
last reprioritisation on suggested re-reading day
started reading on finished reading on

RACGP - Cervical spine – assessment following trauma
predictive value not reported. Under the NEXUS criteria, for patients presenting for general practice or hospital emergency department (ED) review following trauma, cervical spine injury cannot be excluded if any of the criteria are present. <span>These include: midline cervical tendernessaltered mental statusfocal neurologic deficitevidence of drug or alcohol intoxication, andpresence of other injury considered painful enough to distract from neck pain. If none of these criteria is present, the patient is considered to be at low risk of cervical spine injury and does not require cervical spine imaging. If any one of the criteria is pres



Flashcard 149622225

Question
NEXUS assessment of cervical injuries?
  • [...]
  • altered mental status
  • focal neurologic deficit
  • evidence of drug or alcohol intoxication, and
  • presence of other injury considered painful enough to distract from neck pain.
Answer
midline cervical tenderness

statusnot learnedmeasured difficulty37% [default]last interval [days]               
repetition number in this series0memorised on               scheduled repetition               
scheduled repetition interval               last repetition or drill

Parent (intermediate) annotation

Open it
NEXUS assessment of cervical injuries? midline cervical tendernessaltered mental statusfocal neurologic deficitevidence of drug or alcohol intoxication, andpresence of other injury considered painful enough to distract from neck pain. </spa

Original toplevel document

RACGP - Cervical spine – assessment following trauma
predictive value not reported. Under the NEXUS criteria, for patients presenting for general practice or hospital emergency department (ED) review following trauma, cervical spine injury cannot be excluded if any of the criteria are present. <span>These include: midline cervical tendernessaltered mental statusfocal neurologic deficitevidence of drug or alcohol intoxication, andpresence of other injury considered painful enough to distract from neck pain. If none of these criteria is present, the patient is considered to be at low risk of cervical spine injury and does not require cervical spine imaging. If any one of the criteria is pres






Flashcard 149622230

Question
NEXUS assessment of cervical injuries?
  • midline cervical tenderness
  • [...]
  • focal neurologic deficit
  • evidence of drug or alcohol intoxication, and
  • presence of other injury considered painful enough to distract from neck pain.
Answer
altered mental status

statusnot learnedmeasured difficulty37% [default]last interval [days]               
repetition number in this series0memorised on               scheduled repetition               
scheduled repetition interval               last repetition or drill

Parent (intermediate) annotation

Open it
NEXUS assessment of cervical injuries? midline cervical tendernessaltered mental statusfocal neurologic deficitevidence of drug or alcohol intoxication, andpresence of other injury considered painful enough to distract from neck pain.

Original toplevel document

RACGP - Cervical spine – assessment following trauma
predictive value not reported. Under the NEXUS criteria, for patients presenting for general practice or hospital emergency department (ED) review following trauma, cervical spine injury cannot be excluded if any of the criteria are present. <span>These include: midline cervical tendernessaltered mental statusfocal neurologic deficitevidence of drug or alcohol intoxication, andpresence of other injury considered painful enough to distract from neck pain. If none of these criteria is present, the patient is considered to be at low risk of cervical spine injury and does not require cervical spine imaging. If any one of the criteria is pres






Flashcard 149622235

Question
NEXUS assessment of cervical injuries?
  • midline cervical tenderness
  • altered mental status
  • [...]
  • evidence of drug or alcohol intoxication, and
  • presence of other injury considered painful enough to distract from neck pain.
Answer
focal neurologic deficit

statusnot learnedmeasured difficulty37% [default]last interval [days]               
repetition number in this series0memorised on               scheduled repetition               
scheduled repetition interval               last repetition or drill

Parent (intermediate) annotation

Open it
NEXUS assessment of cervical injuries? midline cervical tendernessaltered mental statusfocal neurologic deficitevidence of drug or alcohol intoxication, andpresence of other injury considered painful enough to distract from neck pain.

Original toplevel document

RACGP - Cervical spine – assessment following trauma
predictive value not reported. Under the NEXUS criteria, for patients presenting for general practice or hospital emergency department (ED) review following trauma, cervical spine injury cannot be excluded if any of the criteria are present. <span>These include: midline cervical tendernessaltered mental statusfocal neurologic deficitevidence of drug or alcohol intoxication, andpresence of other injury considered painful enough to distract from neck pain. If none of these criteria is present, the patient is considered to be at low risk of cervical spine injury and does not require cervical spine imaging. If any one of the criteria is pres






Flashcard 149622240

Question
NEXUS assessment of cervical injuries?
  • midline cervical tenderness
  • altered mental status
  • focal neurologic deficit
  • [...], and
  • presence of other injury considered painful enough to distract from neck pain.
Answer
evidence of drug or alcohol intoxication

statusnot learnedmeasured difficulty37% [default]last interval [days]               
repetition number in this series0memorised on               scheduled repetition               
scheduled repetition interval               last repetition or drill

Parent (intermediate) annotation

Open it
NEXUS assessment of cervical injuries? midline cervical tendernessaltered mental statusfocal neurologic deficitevidence of drug or alcohol intoxication, andpresence of other injury considered painful enough to distract from neck pain.

Original toplevel document

RACGP - Cervical spine – assessment following trauma
predictive value not reported. Under the NEXUS criteria, for patients presenting for general practice or hospital emergency department (ED) review following trauma, cervical spine injury cannot be excluded if any of the criteria are present. <span>These include: midline cervical tendernessaltered mental statusfocal neurologic deficitevidence of drug or alcohol intoxication, andpresence of other injury considered painful enough to distract from neck pain. If none of these criteria is present, the patient is considered to be at low risk of cervical spine injury and does not require cervical spine imaging. If any one of the criteria is pres






Flashcard 149622245

Question
NEXUS assessment of cervical injuries?
  • midline cervical tenderness
  • altered mental status
  • focal neurologic deficit
  • evidence of drug or alcohol intoxication, and
  • [...]
Answer
presence of other injury considered painful enough to distract from neck pain.

statusnot learnedmeasured difficulty37% [default]last interval [days]               
repetition number in this series0memorised on               scheduled repetition               
scheduled repetition interval               last repetition or drill

Parent (intermediate) annotation

Open it
NEXUS assessment of cervical injuries? midline cervical tendernessaltered mental statusfocal neurologic deficitevidence of drug or alcohol intoxication, andpresence of other injury considered painful enough to distract from neck pain.

Original toplevel document

RACGP - Cervical spine – assessment following trauma
predictive value not reported. Under the NEXUS criteria, for patients presenting for general practice or hospital emergency department (ED) review following trauma, cervical spine injury cannot be excluded if any of the criteria are present. <span>These include: midline cervical tendernessaltered mental statusfocal neurologic deficitevidence of drug or alcohol intoxication, andpresence of other injury considered painful enough to distract from neck pain. If none of these criteria is present, the patient is considered to be at low risk of cervical spine injury and does not require cervical spine imaging. If any one of the criteria is pres






Annotation 149622254

The Canadian C-spine rule includes three high risk factors in alert patients that mandate cervical spine imaging:

  • age ≥65 years
  • dangerous mechanisms of injury, and
  • sensory neurologic deficit
statusnot read reprioritisations
last reprioritisation on suggested re-reading day
started reading on finished reading on

RACGP - Cervical spine – assessment following trauma
the patient is able to fully participate in clinical assessment. The Victorian State Trauma System Cervical Spine Acute Care Guideline recommends that pre-existing spinal disease should be considered as a potential precursor to injury.14 <span>The Canadian C-spine rule includes three high risk factors in alert patients that mandate cervical spine imaging: age ≥65 yearsdangerous mechanisms of injury, andsensory neurologic deficit (Figure 1). It includes five low risk factors allowing safe range of motion assessment: simple rear-end collisionsable to sitambulatatory at any timedelayed onset of neck paina



Flashcard 149622259

Question

The [...]rule includes three high risk factors in alert patients that mandate cervical spine imaging:

  • age ≥65 years
  • dangerous mechanisms of injury, and
  • sensory neurologic deficit
Answer
Canadian C-spine

statusnot learnedmeasured difficulty37% [default]last interval [days]               
repetition number in this series0memorised on               scheduled repetition               
scheduled repetition interval               last repetition or drill

Parent (intermediate) annotation

Open it
The Canadian C-spine rule includes three high risk factors in alert patients that mandate cervical spine imaging: age ≥65 yearsdangerous mechanisms of injury, andsensory neurologic deficit

Original toplevel document

RACGP - Cervical spine – assessment following trauma
the patient is able to fully participate in clinical assessment. The Victorian State Trauma System Cervical Spine Acute Care Guideline recommends that pre-existing spinal disease should be considered as a potential precursor to injury.14 <span>The Canadian C-spine rule includes three high risk factors in alert patients that mandate cervical spine imaging: age ≥65 yearsdangerous mechanisms of injury, andsensory neurologic deficit (Figure 1). It includes five low risk factors allowing safe range of motion assessment: simple rear-end collisionsable to sitambulatatory at any timedelayed onset of neck paina






Flashcard 149622264

Question

The Canadian C-spine rule includes three high risk factors in alert patients that mandate cervical spine imaging:

  • [...]
  • dangerous mechanisms of injury, and
  • sensory neurologic deficit
Answer
age ≥65 years

statusnot learnedmeasured difficulty37% [default]last interval [days]               
repetition number in this series0memorised on               scheduled repetition               
scheduled repetition interval               last repetition or drill

Parent (intermediate) annotation

Open it
The Canadian C-spine rule includes three high risk factors in alert patients that mandate cervical spine imaging: age ≥65 yearsdangerous mechanisms of injury, andsensory neurologic deficit

Original toplevel document

RACGP - Cervical spine – assessment following trauma
the patient is able to fully participate in clinical assessment. The Victorian State Trauma System Cervical Spine Acute Care Guideline recommends that pre-existing spinal disease should be considered as a potential precursor to injury.14 <span>The Canadian C-spine rule includes three high risk factors in alert patients that mandate cervical spine imaging: age ≥65 yearsdangerous mechanisms of injury, andsensory neurologic deficit (Figure 1). It includes five low risk factors allowing safe range of motion assessment: simple rear-end collisionsable to sitambulatatory at any timedelayed onset of neck paina






Flashcard 149622269

Question

The Canadian C-spine rule includes three high risk factors in alert patients that mandate cervical spine imaging:

  • age ≥65 years
  • [...], and
  • sensory neurologic deficit
Answer
dangerous mechanisms of injury

statusnot learnedmeasured difficulty37% [default]last interval [days]               
repetition number in this series0memorised on               scheduled repetition               
scheduled repetition interval               last repetition or drill

Parent (intermediate) annotation

Open it
The Canadian C-spine rule includes three high risk factors in alert patients that mandate cervical spine imaging: age ≥65 yearsdangerous mechanisms of injury, andsensory neurologic deficit

Original toplevel document

RACGP - Cervical spine – assessment following trauma
the patient is able to fully participate in clinical assessment. The Victorian State Trauma System Cervical Spine Acute Care Guideline recommends that pre-existing spinal disease should be considered as a potential precursor to injury.14 <span>The Canadian C-spine rule includes three high risk factors in alert patients that mandate cervical spine imaging: age ≥65 yearsdangerous mechanisms of injury, andsensory neurologic deficit (Figure 1). It includes five low risk factors allowing safe range of motion assessment: simple rear-end collisionsable to sitambulatatory at any timedelayed onset of neck paina






Flashcard 149622274

Question

The Canadian C-spine rule includes three high risk factors in alert patients that mandate cervical spine imaging:

  • age ≥65 years
  • dangerous mechanisms of injury, and
  • [...]
Answer
sensory neurologic deficit

statusnot learnedmeasured difficulty37% [default]last interval [days]               
repetition number in this series0memorised on               scheduled repetition               
scheduled repetition interval               last repetition or drill

Parent (intermediate) annotation

Open it
The Canadian C-spine rule includes three high risk factors in alert patients that mandate cervical spine imaging: age ≥65 yearsdangerous mechanisms of injury, andsensory neurologic deficit

Original toplevel document

RACGP - Cervical spine – assessment following trauma
the patient is able to fully participate in clinical assessment. The Victorian State Trauma System Cervical Spine Acute Care Guideline recommends that pre-existing spinal disease should be considered as a potential precursor to injury.14 <span>The Canadian C-spine rule includes three high risk factors in alert patients that mandate cervical spine imaging: age ≥65 yearsdangerous mechanisms of injury, andsensory neurologic deficit (Figure 1). It includes five low risk factors allowing safe range of motion assessment: simple rear-end collisionsable to sitambulatatory at any timedelayed onset of neck paina