What is CAD?
cervical arterial dysfunction
How can CAD be identified
5Ds, 3NS and 1H
What are the 5Ds
dizziness drop attacks diplopia- visual disturbances/double vision dysarthria- problems speaking dysphagia- problems swallowing
What are the 3NS?
nausea
nystagmus- can’t focus on something
numbness
What is the 1 H?
Headache
What else do you need to screen for?
Arterioscheloris risk factors age smoking diabetes CVA hypertension oral contraceptives
Thoracic outlet syndrome
a group of conditions which occur when blood vessels or nerves in the space between your collar bone and first rib are compressed, causing pain in shoulders and neck and numbness in fingers
What are red flags?
indicators of serious pathology
clear reason for further investigation
Cauda equina syndrome
Loss of function or 2 or more nerve roots. Stress incontinence Pain Erectile dysfunction Incontinence during intercourse reduced sensation in the saddle area bladder or bowel dysfunction
Metastatic spinal cord compression
most commonly in breast, prostate and lung. May have lost weight constant pain Night pain may attribute pain to a cause treatment may have helped for a short period Limb weakness Odd sensation or heavy legs