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T & O Thoracic Spine -Slides
Anatomy, ailments, and tests of thoracic spine
27
Health Care
Graduate
03/29/2011

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Cards

Term
What type of curve is found in the thoracic spine (as opposed to cervical and lumbar)?
Definition
kyphosis (as opposed to lordosis)
Term
What's the 2 most common causes of pain in the thoracic spine?
Definition
1)muscular irritation (myofacial pain)
2)joint dysfunction (costotransverse joint)
Term
A child/ adolescent with thoracic spine pain likely has one of what two syndromes?
Definition
scoliosis
hyperkyphosis (poor posture in tall / inactive kids or growth plate abnormality)
Term
A middle aged adult with thoracic spinal pain likely has:
Definition
chronic postural strain from seated work environments
Term
a senior patient with thoracic spinal pain likely has:
Definition
compression fracture, probably due to osteoporosis
Term
What's the most likely location for a thoracic spine compression fracture to occur?
Definition
T12-L1
Term
If a patient injured herself lifting, twisting, bending or in a car accident, which 4 types of injury is she likely to have?
Definition
Sprain / Strain
Fracture
Subluxation
Term
If a patient fell while flexing, what type of injury is likely?
Definition
Compression Fracture
Term
Degenerative joint disease, diabetes, herpes zoster, intercostal neuritis, intercostal neuralgia, all may have which symptom in common?
Definition
Back pain that radiates to around to the chest
Term
If a patient has thoracic pain radiating to the chest that's worse when stretching, she likely has...
Definition
intercostal strain
Term
If a patient has thoracic spinal pain that radiates to the chest with lateral-costal skin lesions, she likely has...
Definition
herpes zoster - CONTAGIOUS! WEAR GLOVES.
Term
If a patient's thoracic pain is worse at night, and unrelieved by rest, what are two likely diagnoses?
Definition
cancer
rib fracture-more difficult to lie on back
Term
Thoracic pain with upper right abdominal pain is likely..
Definition
cholecystitis
Term
Thoracic pain with associated epigastric pain is likely...
Definition
PEPTIC ULCER, especially with long term use of NSAIDs, pain should be slightly relieved after eating.
Term
a patient with chronic thoracic pain likely has (4 conditions)...
Definition
myofascial pain from poor posture
ergonomic strain
fibromyalgia
depression
Term
a Patient with middle or upper scapular pain, who works in a seated, head forward position likely has...
Definition
postural syndrome
Term
A patient with pain all over their body may have...
Definition
fibromyalgia - often associated with fatigue, insomnia, hypothyroidism
Term
a patient with thoracic spinal pain also has globally restricted thoracic spine movement likely has...
Definition
Ankylosing Spondylitis
Term
a patient with thoracic pain and a visible postural deformity may have (3)...
Definition
Postural Kyphosis
Scoliosis
Compression Fracture
Term
a patient with thoracic pain has a curving back with a high shoulder or bulging ribs, they probably have...
Definition
scoliosis
Term
An elderly patient with thoracic pain and sudden onset of "hunched" appearance likely has...
Definition
compression fracture (and underlying osteoporosis)
Term
An elderly patient with thoracic pain and gradual onset of "hunched" appearance likely has...
Definition
osteoporosis (and compression fracture?)
Term
What test checks for Ankylosing Spondylitis?
Definition
Chest Expansion Test
Term
What test checks for fibrous inflammation of pleura or intercostal sprain and intercostal neuritis ?
Definition
Schepelmann's sign
Term
What test screens for Scoliosis?
Definition
Adam's position
Term
What are the likely TCM diagnoses for Thoracic postural Strain?
Definition
Lv / KD yin xu
Qi / Xue stag
Term
what muscles should be stretched in treating thoracic postural strain?
Definition
rhomboid
levator Scapulae
trapezius
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