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Is there radiation of the pain to one or both upper extremities? The finding of radiation of the pain to one or both upper extremities would ... DIAGNOSTIC WORKUP
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Is it acute or chronic? Acute stiffness of the neck should make one look for nuchal rigidity. If there is nuchal rigidity, meningitis or subarachnoid hemorrhage would be high on the list of ... DIAGNOSTIC WORKUP
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Is it focal or diffuse? Focal masses or swellings may be thyroglossal cyst, branchial cleft cyst, aneurysm, an enlarged lymph node due to Hodgkin's disease ... DIAGNOSTIC WORKUP
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Neck stiffness may be caused by inflammation, infection, or trauma. True nuchal rigidity is characterized by the inability to actively or passively touch the chin to the chest and is... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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Indications for surgical resection of a neck mass include cancer or suspected cancer, hyperthyroidism not responsive to medical therapy, hyperparathyroidism, substernal extension... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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Nuchal rigidity is characterized by involuntary muscle spasms that limit passive neck flexion. Although it has myriad causes, meningeal irritation may occur secondary to infection, so patients must be evaluated emergently for... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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Suspect a neoplasm when cervical lymphadenopathy does not improve with 6–8 weeks of appropriate therapy. The location of a mass (anterior neck, lateral neck, cheek) directs... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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... The analysis of the cause of neck pain is similar to that of headache. First, the anatomic components are distinguished, then the various etiologies are applied to each ( Table 48 ). Moving from the skin to the
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... Finding nuchal rigidity on examination has almost invariably prompted the diagnosis of meningitis and lumbar puncture, but the astute clinician will want to consider other possibilities to avoid a potentially hazardous procedure.
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... Anatomy is the most important basic science used in developing the differential diagnosis in the case of a neck mass. Histology is then applied to each anatomic
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... Jugular vein distention is the abnormal fullness and height of the pulse waves in the internal or external jugular veins. For a patient in a supine position with his head elevated 45 degrees, a pulse wave height greater than 1¼"... History and physical examination ... Medical causes ... Special considerations ... Pediatric pointers ... Pictures
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... Neck pain may originate from any neck structure, ranging from the meninges and cervical vertebrae to its blood vessels, muscles, and lymphatic tissue. This symptom can also be referred from other areas of the body. Its... Emergency interventions ... History and physical examination ... Medical causes ... Special considerations ... Pediatric pointers ... Pictures
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... Commonly an early sign of meningeal irritation, nuchal rigidity refers to neck stiffness that prevents flexion. To elicit this sign, attempt to passively flex the patient’s neck and touch his chin to... Emergency interventions ... History and physical examination ... Medical causes ... Special considerations ... Pediatric pointers
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... Diffuse Goiter
Euthyroid or hypothyroid
Cigarette smoking (thiocyanate)
Increased intrinsic growth potential
... Multinodular Goiter ... Nongoiter Neck Masses ... References
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... Acceleration-deceleration cervical injuries (commonly known as whiplash) result from sharp hyperextension and flexion of the neck that damages muscles, ligaments, disks, and nerve tissue. The prognosis for this... Causes ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations
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... Jugular vein distention is the abnormal fullness and height of the pulse waves in the internal or external jugular veins. For a patient in a supine position with his head elevated 45 degrees, a pulse wave... Emergency interventions ... History and physical examination ... Medical causes ... Special considerations ... Pediatric pointers ... Patient counseling ... Pictures
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Neck pain
(Professional Guide to Signs & Symptoms (Fifth Edition))
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... Neck pain may originate from any neck structure, ranging from the meninges and cervical vertebrae to its blood vessels, muscles, and lymphatic tissue. This symptom can also be... Emergency Interventions ... History and physical examination ... Medical causes ... Special considerations ... Pediatric pointers ... Pictures
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... Commonly an early sign of meningeal irritation, nuchal rigidity refers to stiffness of the neck that prevents flexion. To elicit this sign, attempt to passively flex the patient’s neck and touch his chin to his chest.... Emergency Interventions ... History and physical examination ... Medical causes ... Special considerations ... Pediatric pointers
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Neck Pain
(The 10-Minute Diagnosis Manual: Symptoms and Signs in the Time-Limited Encounter)
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... Elise M. Coletta and Meredith A. Goodwin
Approach The differential diagnosis for neck pain can be thought of by pattern of onset (Table 12.8). Disease, which... History ... Physical examination ... Testing ... Diagnostic assessment ... Pictures
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... Differential Overview
Posterior
❑ Musculoligamentous strain
❑ Cervical spondylosis
❑ ... Diagnostic Approach ... Clinical Findings ... Pictures
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... Differential Overview
Neck Mass
❑ Inflammatory lymphadenopathy
❑ Parotid swelling/tumor ... Diagnostic Approach ... Clinical Findings
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... Jugular vein distention is the abnormal fullness and height of the pulse waves in the internal or external jugular veins. For a patient in a supine position with his head elevated 45 degrees, a pulse wave height... Assessment ... History ... Physical examination ... Pediatric pointers ... Medical causes ... Nursing considerations ... Patient teaching ... Pictures
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Neck pain
(Alarming Signs and Symptoms: Lippincott Manual of Nursing Practice Series)
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... Neck pain may originate from any neck structure, ranging from the meninges and cervical vertebrae to its blood vessels, muscles, and lymphatic tissue. This symptom can also be referred... Assessment ... History ... Physical examination ... Pediatric pointers ... Medical causes ... Nursing considerations ... Patient teaching ... Pictures
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... Jugular vein distention is the abnormal fullness and height of the pulse waves in the internal or external jugular veins. For a patient in a supine position with his head elevated 45 degrees, a... Emergency Actions ... History ... Physical assessment ... Medical causes ... Special considerations ... Pediatric pointers ... Patient counseling ... Pictures
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... Neck pain may originate from any neck structure, ranging from the meninges and cervical vertebrae to its blood vessels, muscles, and lymphatic tissue. This symptom can also be referred from other... Emergency Actions ... History ... Physical assessment ... Medical causes ... Special considerations ... Pediatric pointers ... Patient counseling ... Pictures
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... Commonly an early sign of meningeal irritation, nuchal rigidity refers to stiffness of the neck that prevents flexion. To elicit this sign, attempt to passively flex the patient’s neck and... Emergency Actions ... History ... Physical assessment ... Medical causes ... Special considerations ... Pediatric pointers ... Patient counseling ... Pictures
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...Stiff neck and torticollis (head turned to1 side) can occur separately or together. Principal Causes of Neck Stiffness and Torticollis Congenital Congenitalmuscular torticollis (fibromatosis ... Clinical Features and Diagnosis ... Diagnostic Approach ... References
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Neck Masses
(The Diagnostic Approach to Symptoms and Signs in Pediatrics)
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... Potsic (1997)reported that in children, 95% of neck masses are enlargedlymph nodes (hyperplasia constituting 90% and cervicaladenitis 10%), 3% are congenital masses, and 2% are... Principal Causes of Neck Masses ... Clinical Features and Diagnosis ... Diagnostic Approach ... References
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... Jugular vein distention is the abnormal fullness and height of the pulse waves in the internal or external jugular veins. For a patient in a supine position with his head elevated 45 degrees, a pulse wave height... History and physical examination ... Medical causes ... Nursing considerations ... Patient teaching ... Pictures
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... Neck pain may originate from any neck structure, ranging from the meninges and cervical vertebrae to its blood vessels, muscles, and lymphatic tissue. This symptom can also be... History and physical examination ... Medical causes ... Nursing considerations ... Patient teaching ... Pictures
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... Commonly an early sign of meningeal irritation, nuchal rigidity refers to neck stiffness that prevents flexion. To elicit this sign, attempt to passively flex the patient's... History and physical examination ... Medical causes ... Nursing considerations ... Patient teaching
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...
The analysis of the cause of neck pain is similar to that of headache.
First, the anatomic components are distinguished, then the various
etiologies are applied to each... Pictures
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
...
Finding nuchal rigidity on examination has almost invariably prompted
the diagnosis of meningitis and lumbar puncture, but the astute clinician
will want to consider other possibilities to avoid a potentially... Pictures
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
...
Anatomy is the most important basic science used in developing
the differential diagnosis in the case of a neck mass. Histology is
then applied to each anatomic... Pictures
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
