Term
Refer to the hospital if there are ketones in the urine [diabetic ketoacidosis is a medical emergency], fever [concomitant infection], tachycardia, tachypnea [Kussmaul’s air hunger breathing] or changes in the level of consciousness
Co-manage with adjustments, dietary, weight loss and exercise advice |
|
Definition
|
|
Term
| Refer to an endocrinologist and co-manage afterwards |
|
Definition
| CUSHING’S DISEASE/SYNDROME |
|
|
Term
Call 911
Co-manage after discharge with adjustments, rehab and diet
(do not adjust) |
|
Definition
|
|
Term
| Refer to a neurosurgeon for surgical decompression (do not adjust) |
|
Definition
|
|
Term
| Refer to a neurologist and co-manage afterwards (can adjust) |
|
Definition
| AMYOTROPHIC LATERAL SCLEROSIS [Lou Gehrig’s disease] |
|
|
Term
Refer to the hospital as soon as possible
In 80-90% of patients this condition is self-resolving within a few months
(Do not adjust, can affect the diaphragm) |
|
Definition
|
|
Term
| Refer to a neurologist if chiropractic care is not helpful after 2-3 weeks or if neurological symptoms are progressive. Cervical flexion/distraction technique has been shown to be beneficial. “Hard lesions” caused by spondylosis or ossification of the PLL may need surgical intervention (do not adjust according to Boards) |
|
Definition
|
|
Term
| Co-manage with a neurologist; Adjust, anti-inflammatory diet, Omega 3 and Vitamin D supplements may be helpful. There is no current cure, and it is progressive. Support groups may be beneficial to the patient |
|
Definition
|
|
Term
| Refer to the hospital and co-manage afterwards (can Adjust) |
|
Definition
|
|
Term
Reassure the patient that this is not a stroke [ability to wrinkle the forehead on the affected side will be preserved if this were a stroke]
Co-manage with a neurologist if needed if severe after 2-3 days (they will receive corticosteroids) |
|
Definition
|
|
Term
Physical therapy and facial exercises are debateable, warm compress and circular massage may be helpful. Patient may need eye drops and an eye patch if they are unable to close their eye
(can Adjust) |
|
Definition
|
|
Term
| Cervical traction at home for 15 minutes twice a day has also been shown to benefit some patients. |
|
Definition
|
|
