Term
| To protect the vital organs, the thoracic spine is the most stable of spinal regions. What anatomical feature makes it so stable? |
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Definition
| Rib attachments - absorb strong impact in trauma. |
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Term
| Due to stability, what common spinal ailments are very uncommon in the thoracic spine? |
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Definition
disk herneation
spinal stenosis |
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Term
| Thoracic spinal fracture is uncommon, but if it occurs, it is likely to be where? |
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Definition
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Term
| What is the most common mechanism of injury for a T12 - L1 compression fracture? |
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Definition
| If px slips and falls on butt. |
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Term
| Why of all places, would the thoracic spine be most compromised where it transitions to Lumbar spine? |
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Definition
*change in type of curvature
*change in vertebral shape |
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Term
| What is "AS" - Ankylosing Spondylitis? |
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Definition
| Calcification of the soft tissues in and around the spine - "bamboo of the spine" |
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Term
| How does AS affect the curvature of the Spine (and thus their respiration)? |
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Definition
* flattens lordosis curve
* accentuates kyphosis curve
(impinging lungs, px can only sip air) |
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Term
| True or false, pain from the spine can refer to the front (ribs / sternum)? |
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Definition
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Term
| True or false, pain from the ribs or sternum can refer to the spine? |
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Definition
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Term
| Why can pain refer between the sternum and spine? |
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Definition
| the intercostal nerves carry pain signals |
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Term
| What two bone diseases tend to increase risk of rib fracture? |
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Definition
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Term
| The best way to visually identify scoliosis on a patient is to ask them to bend over, What's that test called? |
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Definition
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Term
| When a patient is performing Adam Position test, where does scoliosis manifest most noticeably? |
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Definition
| Thoracic spine - Rib cage bulges on the convex side |
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Term
| Why do ribs bulge during a positive Adam Position TEst? |
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Definition
| Convex curvature of the thoracic spine causes transverse processes of the vertebra to put pressure on the ribs. |
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Term
| What's the recommended treatment for scoliosis? |
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Definition
*Cup, needle, stretch concave (spastic) side
*Strengthen convex (flaccid) side |
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Term
| a balanced spinal curve is healthy, if you lose the curvature, what can happen? |
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Definition
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Term
| If your spinal curvature is too extreme, why is it bad? |
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Definition
| causes compression on facet joints and disks |
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Term
| Why can stomach ulcers, gall stones, pancreatitis, and cancer be felt as pain in the thoracic spine? |
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Definition
| Visceral pain can manifest in thoracic spine (can be associated with long term NSAID use) |
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Term
| What muscles are responsible for retraction of the shoulder? |
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Definition
Rhomboid major
Rhomboid minor |
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Term
| Where is the origin of the Rhomboid major? |
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Definition
| spinous processes of T2- T5 |
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Term
| Where is the origin of Rhomboid minor? |
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Definition
| Spinous processes of C7 - T1 |
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Term
How do the rhomboids cause pain
*which refers to the scapula?
*during breathing? |
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Definition
| Tight rhomboid puts pressure on scapular joint and spinous transverse processes. |
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Term
| which type of scoliosis is due to muscle spasm, pelvic subluxation, or Ontogic lean (px.s posture to reduce pain)? |
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Definition
| Functional Scoliosis (temporary) |
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Term
| What type of Scoliosis is due to genetic defects such as hemivertebrae or one leg shorter than the other? |
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Definition
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