NR 511 Final exam VERIFIED ANSWERS 2023,2024 GUIDE

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cervical Spondylosis - Chronic, degenerative, causes stiffness and pain, very common >50yo - S: neck stiffness, mild aching esp with activity, trouble turning neck from side to side, limited ROM, Paresthesias follow dermatomes O:weak shoulder abduction, bicep weakness (c6 involvement), tricep weakness (C7 involvement), myelopathy s/s: leg weakness, gait disturbances, balance problems, impaired fine motor loss of bowel and bladder control dx: MRI tx: if radiculopathy: cervical traction. physical therapy, NSAIDs, oral steroid, steroid epidural injections, surgery (last) edu: 75-90% of pts improve with conservative tx Lumbar spinal stenosis Narrowing of one or more levels of the L spinal canal and compression of nerve roots. L1-2 most common - S: symptoms may follow lifting accident or minor trauma or gradually occur. pseudoclaudication causing radicular complaints in calves, butt, upp thighs, weakness in legs and butt. may improve by leaning forward. leg/back pain after sleeping on back O: + romberg test, impaired proprioception, sensory changes, decr anal sphincter tone dx: x-ray, MRi tx: b/b incontinence, neuro changes or gait disturbances may need surgery. NSAIDs, Folic acid, B12, PT/OT, decr belly fat, bicycling, lumbar epidural corticosteroid injection

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