pulmonary sarcoid on cervical spine x ray

The Canadian C-spine rule versus the NEXUS low-risk criteria in patients with trauma. Stiell IG, Clement CM, McKnight RD, Brison R, Schull MJ, Rowe BH, Worthington JR, Eisenhauer MA, Cass D, Greenberg G, MacPhail I, Dreyer J, Lee JS, Bandiera G, Reardon M, Holroyd B, Lesiuk H, Wells GA. The Canadian C-spine rule for radiography in alert and stable trauma patients. Stiell IG, Wells GA, Vandemheen KL, Clement CM, Lesiuk H, De Maio VJ, Laupacis A, Schull M, McKnight RD, Verbeek R, Brison R, Cass D, Dreyer J, Eisenhauer MA, Greenberg GH, MacPhail I, Morrison L, Reardon M, Worthington J. With gadolinium contrast, intramedullary enhancement is seen in most patients, and leptomeningeal enhancement may less commonly also be seen 9. The cervical and thoracic cord is most commonly affected 9. There is debate over whether the NEXUS criteria or the Canadian C-spine rules (CCR) are more reliable for excluding C-spine injury, though high-quality evidence points to better sensibility, better sensitivity, and a lower rate of imaging use when following the CCR criteria 3. Myelitis is usually seen to affect multiple spinal cord segments, often in a longitudinally extensive transverse myelitis pattern 9. The original study presented 100% sensitivity for identifying 'clinically important C-spine injuries' (95 percent confidence interval 98%-100%). then cervical spine imaging is warranted.About 5 to 10 of patients with sarcoidosis will have neurologic complications.12 Although the majority of. Classically, the granulomas in sarcoidosis are non-caseating granulomas, which may be found throughout lymph nodes and organs, including the brain and nervous system. if low-risk injury and the patient cannot rotate the neck 45° Although the etiology is unknown, sarcoidosis is a systemic disease that results in the formation of granulomas.if low-risk injury and the patient can rotate the neck 45°.If the patient meets the criteria of a low-risk injury, then one should assess on physical exam whether the patient can rotate the neck 45°. If the patient does not meet the criteria of a low-risk injury, then cervical spine imaging is warranted. ambulatory at any time since the injury.sitting position in emergency department.excludes being hit by a high-speed vehicle, a large vehicle (e.g.In 25-30 of patients, radiologic changes are nonspecific or atypical, and in 5-10. Approximately 60-70 of patients with sarcoidosis have characteristic radiologic findings. simple rear-end motor vehicle collision For patients with thoracic sarcoidosis, when chest radiographic imaging results are correlated with clinical findings, chest radiography may be the only imaging required.

If any high-risk factor is present, then cervical spine imaging is warranted. >100 km/hr or ~60 mph, rollover, ejection) high-speed motor vehicle collision (e.g.fall from elevation >3 ft (or 5 stairs).is there any high-risk factor present that requires cervical spine imaging?.Canadian C-spine rules are a set of guidelines that help a clinician decide if cervical spine imaging is not appropriate for a trauma patient in the emergency department.

Pulmonary sarcoid on cervical spine x ray