Difference between revisions of "Neck"
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| + | {{Authors | ||
| + | |author1=[[User:Mikael Häggström|Mikael Häggström]] | ||
| + | |author2= | ||
| + | }} | ||
==Modalities== | ==Modalities== | ||
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</gallery> | </gallery> | ||
| − | ===Diseases | + | ==Presentations== |
| + | ===Trauma=== | ||
| + | ;Choice of investigation | ||
| + | In trauma, a normal clinical evaluation may clear the neck without diagnostic imaging, but when indicated, recommendations differ somewhat between children and adults: | ||
| + | *In '''children''', [[CT of the neck]] is indicated in more severe cases such as neurologic deficits, whereas [[X-ray of the cervical spine]] is preferable in milder cases, by both US<ref name=UpToDateChildren>{{cite web|url=https://www.uptodate.com/contents/evaluation-and-acute-management-of-cervical-spine-injuries-in-children-and-adolescents|title=Evaluation and acute management of cervical spine injuries in children and adolescents|author=Julie C Leonard|date=2018-02-12|website=UpToDate}}</ref> and UK<ref name=NICE>{{cite web|url=https://www.nice.org.uk/guidance/CG176|title=Head injury: assessment and early management|date=2014|website=National Institute for Health and Care Excellence (NICE)}} Updated in June 2017</ref> guidelines. | ||
| + | *In '''adults''', UK guidelines as largely similar.<ref name=NICE/> US guidelines, on the other hand, recommend [[CT of the neck]] in all cases where medical imaging is indicated, and that [[X-ray of the cervical spine]] is only acceptable where CT is not readily available.<ref>{{cite web|url=https://www.uptodate.com/contents/evaluation-and-acute-management-of-cervical-spinal-column-injuries-in-adults|title=Evaluation and acute management of cervical spinal column injuries in adults|date=2018-05-24|author=Amy Kaji, Robert S Hockberger}}</ref> | ||
| + | |||
| + | ==Diseases== | ||
*[[X-ray of osteoarthritis of the cervical spine|X-ray of '''osteoarthritis''' of the cervical spine]] | *[[X-ray of osteoarthritis of the cervical spine|X-ray of '''osteoarthritis''' of the cervical spine]] | ||
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| + | ==References== | ||
| + | {{reflist}} | ||
Revision as of 13:11, 16 July 2018
Author:
Mikael Häggström [notes 1]
Modalities
- Ct-workstation-neck.jpg
- X-ray of the cervical spine of an 18 year old male - anteroposterior.jpg
Presentations
Trauma
- Choice of investigation
In trauma, a normal clinical evaluation may clear the neck without diagnostic imaging, but when indicated, recommendations differ somewhat between children and adults:
- In children, CT of the neck is indicated in more severe cases such as neurologic deficits, whereas X-ray of the cervical spine is preferable in milder cases, by both US[1] and UK[2] guidelines.
- In adults, UK guidelines as largely similar.[2] US guidelines, on the other hand, recommend CT of the neck in all cases where medical imaging is indicated, and that X-ray of the cervical spine is only acceptable where CT is not readily available.[3]
Diseases
References
- ↑ Julie C Leonard (2018-02-12). Evaluation and acute management of cervical spine injuries in children and adolescents. UpToDate.
- ↑ 2.0 2.1 . Head injury: assessment and early management. National Institute for Health and Care Excellence (NICE) (2014). Updated in June 2017
- ↑ Amy Kaji, Robert S Hockberger (2018-05-24). Evaluation and acute management of cervical spinal column injuries in adults.
Cite error: <ref> tags exist for a group named "notes", but no corresponding <references group="notes"/> tag was found, or a closing </ref> is missing
