Term
| A 23-year old male presents with burning pain in the left neck and shoulder following a shoulder distraction injury during a football game yesterday. On examination, there is hyperesthesia over the left shoulder region. Shoulder distraction causes the injury to be worse. |
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| A 43-year old male presents with burning neck pain which radiates into the left lateral forearm, thumb and index finger. The pain is aggravated by left lateral bending and rotation of the cervical spine. On examination, there is weakness in the left biceps muscle and a decreased brachioradialis deep tendon reflex. MRI of the cervical spine shows a posterolateral disc herniation. |
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Definition
| Cervical Disc Lesion causing C6 radiculopathy |
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Term
| A 44-year old female presents with decreased grip in her left hand. She also has some difficulty in buttoning up her blouse with her left hand. On examination, there is a grade 3/5 pincher grip between her thumb and index finger on the left side. The right side pincher grip is graded at 5/5. There is no sensory loss. Tinel and Phalen tests are nega |
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| A 56-year old male presents with neck pain worse especially on right rotation and extension. There is no radiation of the pain. On examination, there is decreased right lateral bending, rotation and extension of the cervical spine. Cervical x-ray shows joint space narrowing, subchondral sclerosis and osteophytes in the region of C4-C6. |
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Definition
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| A 23-year old male presents with severe midline neck pain following an illegal football tackle. On examination, the Soto-hall test is positive with pain over the spinous process of C7. Cervical x-ray shows an oblique fracture through the spinous process of C7. |
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Definition
| Clay shoveler’s fracture |
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Term
| A 53-year old female presents with multiple aches and pains all over. She has problems sleeping and often wakes up feeling very tired. On examination, there are 12 tender points bilaterally. CBC, CMP, TFTs and ESR are all normal. |
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Definition
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| A 17-year old patient presents with neck pain. This follows a sore throat and fever. On examination, the temperature is elevated. Both Kernig and Brudzinski tests are positive. CSF shows raised proteins, low glucose and numerous WBCs. |
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Definition
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| A 53-year old female presents with a stiff neck. She also complains of pain in the temporal region of the head. On examination, there is a trigger point in one of her left suboccipital muscles which when pressed causes pain to be felt in the left temporal region. |
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Definition
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| A 23-year old male presents with neck pain following an illegal football tackle yesterday. On examination, there is decreased ROM in flexion mainly. Distraction of the neck aggravates the pain. There is no midline bony tenderness. |
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Definition
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| A 31-year old female presents with pain and numbness in her left hand. On examination, the left radial pulse disappears when the patient’s neck is rotated to the left and then extended while taking a deep breath. Cervical x-ray shows a cervical rib on the left side. |
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Definition
| Thoracic Outlet Syndrome [cervical rib variety] |
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Term
| A 13-year old presents with sudden onset of left-sided neck stiffness. On examination, there is spasm of the left SCM with the head held in left lateral bend with the chin rotated to the opposite side. |
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Definition
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| A 42-year old male presents with severe neck pain following a rear-end collision yesterday. On examination, there is decreased ROM especially on extension. Cervical distraction, active and passive neck movements make the pain worse. Cervical x-rays shows an increase of the retropharyngeal soft tissue space in front of C6 [>22 mm]. |
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