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Published:
2006
Online ISBN:
9780199597543
Print ISBN:
9780198567226
Contents
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Vertebral Fracture
Vertebral Fracture
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History History
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Physical examination Physical examination
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Investigations and management Investigations and management
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Prognosis measured in hours to days prior to the onset of this problem (symptom control) Prognosis measured in hours to days prior to the onset of this problem (symptom control)
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This is a clinical diagnosis and no further investigations are indicated. This is a clinical diagnosis and no further investigations are indicated.
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Prognosis measured in weeks prior to the onset of this problem (in addition to symptom control) Prognosis measured in weeks prior to the onset of this problem (in addition to symptom control)
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Plain X-rays of the spine Plain X-rays of the spine
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Prognosis measured in months to years prior to the onset of this problem (in addition to the above) Prognosis measured in months to years prior to the onset of this problem (in addition to the above)
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Threatened or actual fracture of long bones
Threatened or actual fracture of long bones
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History History
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Physical examination Physical examination
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Investigations and management Investigations and management
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Prognosis measured in hours to days prior to the onset of this problem (symptom control) Prognosis measured in hours to days prior to the onset of this problem (symptom control)
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This is a clinical diagnosis and investigations are not indicated. This is a clinical diagnosis and investigations are not indicated.
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Prognosis measured in weeks prior to the onset of this problem (in addition to symptom control) Prognosis measured in weeks prior to the onset of this problem (in addition to symptom control)
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All these people require good pain relief. All these people require good pain relief.
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Prognosis measured in months to years prior to the onset of this problem (in addition to the above) Prognosis measured in months to years prior to the onset of this problem (in addition to the above)
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Further reading Further reading
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Fat embolism syndrome
Fat embolism syndrome
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History History
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Physical examination Physical examination
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Investigations and management Investigations and management
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Prognosis measured in hours to days prior to the onset of this problem (symptom control) Prognosis measured in hours to days prior to the onset of this problem (symptom control)
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Prognosis measured in weeks prior to the onset of this problem (in addition to symptom control) Prognosis measured in weeks prior to the onset of this problem (in addition to symptom control)
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Prognosis measured in months to years prior to the onset of this problem (in addition to the above) Prognosis measured in months to years prior to the onset of this problem (in addition to the above)
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Acute onset of breathlessness, confusion and petechiae are the hallmarks of this syndrome. Acute onset of breathlessness, confusion and petechiae are the hallmarks of this syndrome.
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Cite
Currow, David, and Katherine Clark, 'Orthopaedic disorders', Emergencies in Palliative and Supportive Care, Oxford Medical Handbooks (Oxford , 2006; online edn, Oxford Academic, 1 Aug. 2010), https://doi.org/10.1093/med/9780198567226.003.0009, accessed 14 July 2024.
Extract
Vertebral Fracture
...
Causes of vertebral fractures
...
History
...
Physical examination
Physical examination may be unremarkable,
even in the presence of early cord compromise. There may be percussion tenderness at the level of the fracture.
Investigations and management
Prognosis measured in hours to days prior to the onset of this problem (symptom control)
This is a clinical diagnosis and no further investigations are indicated.
Vertebral fractures may be very painful, especially on movement. Adequate analgesia is imperative. This may require the use of opioids (morphine 2.5–5.0 mg SC every 4 hs) and paracetamol (1 g orally/IV or 500 mg rectally four times daily). An anti-inflammatory agent, either steroidal (dexamethasone 4–8 mg SC daily) or non-steroidal (ketorolac 10 mg SC four times daily, indomethacin 100 mg rectally daily) may be of assistance in managing movement-related pain.
Prognosis measured in weeks prior to the onset of this problem (in addition to symptom control)
Subject
Trauma and Orthopaedic Surgery
Palliative Medicine
Neurology
Haematology
Cardiovascular Medicine
Psychiatry
Endocrinology and Diabetes
Respiratory Medicine and Pulmonology
Genito-urinary Medicine
Clinical Pharmacology and Therapeutics
Dermatology
Gastroenterology
Series
Emergencies in...
Collection:
Oxford Medicine Online
Disclaimer
Oxford University Press makes no representation, express or implied, that the drug dosages in this book are correct.
Readers must therefore always …
More
Oxford University Press makes no representation, express or implied, that the drug dosages in this book are correct.
Readers must therefore always check the product information and clinical procedures with the most up to date published product information and data sheets
provided by the manufacturers and the most recent codes of conduct and safety regulations. The authors and the publishers do not accept responsibility or
legal liability for any errors in the text or for the misuse or misapplication of material in this work. Except where otherwise stated, drug dosages
and recommendations are for the non-pregnant adult who is not breastfeeding.
© Oxford University Press
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