Difference between revisions of "Neck"
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In trauma, a normal clinical evaluation may clear the neck without diagnostic imaging, but when indicated, recommendations differ somewhat between children and adults: | 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. Swedish guidelines | + | *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. Swedish guidelines recommend CT rather than X-ray in all children over the age of 5.<ref>{{cite web|url=https://vardgivare.skane.se/vardriktlinjer/medicinska-omraden/akutsjukvard/vardprogram-riktlinjer/traumamanual/#Nackskada|website=Region Skåne|title=Traumamanual}} Last updated: 2018-03-29}}</ref> |
| − | *In '''adults''', UK guidelines | + | *In '''adults''', UK guidelines are largely similar as in children.<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== | ==Diseases== | ||
Revision as of 16:48, 9 August 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. Swedish guidelines recommend CT rather than X-ray in all children over the age of 5.[3]
- In adults, UK guidelines are largely similar as in children.[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.[4]
Diseases
Locations
- Cervical spine:
- Thyroid
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
- ↑ . Traumamanual. Region Skåne. Last updated: 2018-03-29}}
- ↑ Amy Kaji, Robert S Hockberger (2018-05-24). Evaluation and acute management of cervical spinal column injuries in adults.
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