Taxi driver

Description

Mind Map on Taxi driver, created by Ahmed salah on 25/02/2018.
Ahmed salah
Mind Map by Ahmed salah, updated more than 1 year ago
Ahmed salah
Created by Ahmed salah over 6 years ago
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Resource summary

Taxi driver
  1. anatomy of the spine
    1. joints
      1. intervertebral disc, zygapophyseal joint, atlanto-occipital joint, atlanto-axial joint, lumbosacral joint, sacrococcygeal joint
      2. ligaments
        1. bones
          1. movements
            1. flexion
              1. extension
                1. lateral flexion
                  1. rotation
            2. muscles
              1. veins passing through
              2. sciatica
                1. caused by impingement on nerve root
                  1. by degeneration of annulus fibrosis and nucleu pulposis
                  2. start with
                    1. HX.
                      1. age, job
                        1. daily act
                          1. place, time
                            1. symptoms
                              1. blader incon
                        2. VAS
                          1. visual analogue scale test that is used to scale the pain of a patient and is usually done by patient. it is usually scaled from 0-100 mm
                        3. natural HX
                          1. improves with time, average 2 weeks
                            1. 1 pain
                              1. slow improv
                        4. management
                          1. alternative
                            1. massage
                              1. yoga
                                1. chairopractor
                                  1. acupuncture
                            2. active/ rest
                              1. NSAIDS
                                1. physiotherapy
                              2. placebo effect
                                1. unexplained improvements that depends on: belief of patient, situation, pat-doc relationship
                                2. second line
                                  1. traction steroid
                                    1. surgery
                                      1. sciatic nerve decompression
                                        1. discectomy
                                          1. laminectomy, laminotomy
                                      2. absolute: increase neurological deficit, blader icon
                                        1. relative: failing treatment, disabling pain
                                    2. physical examination
                                    3. investigation of back pain
                                      1. history
                                        1. onset of pain
                                          1. location of pain
                                            1. medical history
                                              1. types and severity of pain
                                                1. aggravating and releiving factors
                                        2. radiographic evaluation
                                          1. bone scintigraphy
                                            1. ct scan
                                              1. MRI scan
                                              2. physical examination
                                                1. overreaction
                                                  1. tenderness
                                                    1. pain stimulating test
                                                      1. nonorganic regional disturbances
                                                        1. look, feel, move
                                                          1. special tests
                                                            1. straight leg raising
                                                              1. the upper and lower neurovascular test
                                                                1. schobers test
                                                                  1. abdominal exam
                                                                2. labratory tests
                                                                3. 5 dimensions of adherence
                                                                  1. lower limb dermatomes
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