Clearing C spine, hand exam, foot exam, Cauda equina, dermotomes, myotomes and reflexes

Clearing the C Spine.

Combination of the Nexus rules and Canadian rules in order to clear.

NEXUS

 

 

 

 

 

 

 

 

canadian c spine

 

 

 

 

 

 

 

 

 

 

EMCRIT combines the two.

emcrit c spine

 

 

 

 

 

 

 

 

 

 

Hand exam

Name bones- index, middle, ring, little.

Check sensation

Palpate joints.

Name joints

  • PIPJ
  • DIPJ
  • MCPJ

joints of hand

 

Radial and ulna aspect NOT lateral and medial

 

 

 

 

 

 

 

 

 

Foot examination.

LOOK

 Be Careful With Spaghetti

Bones for deformity and alignment

Colour

Wasting/spasm

Swelling/scarring/skin

 

FEEL

VSSTT

Vascular

Sensation

Swelling

Temperature

Tenderness

 

MOVE

Active

Passive

Resisted

Acute on chronic back pain

Exclude cauda equina.

Medical emergency can cause paralysis within 48 hours. Needs urgent MRI.

Is there:

  • Sphincter disturbance.
  • Gait disturbance (scissoring of legs)
  • Saddle anaeasthesia- loss of perianal sensation
  • Urinary retention
  • Faecal incontinence.

Dermotomes

 

 

 

 

 

 

 

 

 

 

Myotomes

 

 

 

 

 

 

 

 

 

 

Reflexes

Originally posted 2014-11-06 21:41:13. Republished by Blog Post Promoter

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