Thoracic

Question 1

Thoracic Discogenic pain syndrome

• Mid/low back pain occurring midline
• (-) coughing + straining
• Can see intercostal neuralgia or
  myelopathy
• +/- bowel/bladder dysfunction
• Dx of exclusion

Answer 1

Thoracic Discogenic pain syndrome

Question 2

• Hypomobile T/S
• uni / bi paresthesia UE into hands
• neck pain / headache
• tender upper t/s to touch
• All other tests are negative

Answer 2

T4 syndrome

Question 3

• M, 12-17
• Rigid Hyperkyphosis, accentuated
  with flexion
• Depression/ poor body image
• (-) activity, (+) rest

Answer 3

Scheuermann’s Disease (Type 1)

Question 4

• F, 30-40
• Weak grip strength + shoulder abd
• DTR’s = WNL
• Numbness/tingling ulnar distribution
• Upper cross syndrome
• (-) sleeping arms overhead

Answer 4

Thoracic outlet Syndrome

EAST - general screening
Adson’s - scalene/rib
Wright’s - pec minor