CONA FINAL EXAM PREP | 70 Questions with 100% Correct Answers | Updated & Verified
Sudden onset of back pain with sharp pain into the leg, past the knee, to the foot. Followed by twisting or bending injury. Past Hx of several bouts of LBP that resolved. Pain is made worse with coughing, bearing down, sneezing. - Disc Herniation with Radiculopathy [L4/L5 or L5/S1] Pain increase with flexion, flexion is limited, No radicular pain, Somatic/referred pain is possible, Dural tension and Dejerine's Traid is absent, Neuro exam is negative, X-ray are negative, Asymptomatic - Bulge Pain increased with flexion, all ROM limited to some degree, Somatic and/or radicular pain, Antalgia, + Dural tension, + Dejerine's triad, neuro exam is normal/deficit, x-ray [decreased angle or decrease lordosis] - Protrusion Pain increase with flexion, Radicular pain and somatic referred pain, Antalgia, +Dural tension test, Hard neurological signs [abnormal], MRI evident, X-ray same protrusion - Extrusion Hx of back pain that suddenly changed to predominantly leg pain, early dural tension sign that have disappeared, - Dejerine's triad, Unrelenting paresthesia/pain. - Sequestration 50y.o. with LBP and unilateral/bilateral leg pain. Leg complains usually come after walking and relieved by stooping over or by reseting for 15/20 minutes. Going up stairs and bicycling are not as provocative. Flexion theoretically opens up the canal and IVF taking pressure off neural structure - Central Stenosis
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