By Terence McLoughlin, Ian Baxter, Nicole Abdul
The Medicine at the Move sequence presents totally versatile entry to matters around the curriculum in a different mixture of print and cellular codecs perfect for the busy scientific pupil and junior healthcare professional. it doesn't matter what your studying kind, no matter if you're learning a topic for the 1st time or revisiting it in the course of examination guidance, Medicine at the Move provide you with the aid you need.
This cutting edge print and app package deal can assist you to hook up with the themes of orthopaedics and rheumatology, to profit, comprehend, and luxuriate in them, and to cement your wisdom in instruction for tests and destiny medical perform. through the use of this source in print or as an app, you actually will adventure the chance to profit medication at the circulation.
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Additional resources for Orthopaedics and Rheumatology on the Move
W hen they do occur, there is a greater risk of neurological damage as the spinal canal is relatively narrow. ●● ●Th is means that when damage does occur, it is usually complete. indb 31 27/05/13 5:05 PM 32 Thoracic and lumbar spine ●● ●● ●● ●● There are three main pattern types of vertebral fracture: ●● ●Flexion ●● ●E xtension ●● ●Rotation. Below the level of L1 is the cauda equina and so with fractures occurring below this level it is the lower nerve roots that are at risk. Plain x-rays are useful for viewing the lower thoracic and lumbar vertebrae, however, the ribs and scapulae make visualization of the upper thoracic vertebrae difficult.
Below the level of L1 is the cauda equina and so with fractures occurring below this level it is the lower nerve roots that are at risk. Plain x-rays are useful for viewing the lower thoracic and lumbar vertebrae, however, the ribs and scapulae make visualization of the upper thoracic vertebrae difficult. CT is the best option for imaging especially as rapid sequencing CT is available. MRI is useful for assessing soft tissue and neurological injuries. CLINICAL fEATURES ●● ●● Moderate to severe back pain, which is worse on mobilization.
Patients with suspected cauda equina lesions need an urgent MRI to identify the level of the problem before going to theatre for surgical decompression, as otherwise the patient can be left severely disabled. ●● ●● ●● MICRO-print If the cause of the symptoms is a tumour pressing on the cauda equina, high-dose corticosteroids, such as dexamethasone, can be given prior to surgery. The steroid reduces the swelling in and around the cauda equina, which may be contributing to compression. This is a very effective adjunct to surgical treatment and reduces the chance of the patient becoming paralysed.