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Spurling Sign

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1. In the adult population, does the spurlings sign/test have good sensitivity and specificity in detecting Cervical radiculopathy?

In the adult population, does the spurlings sign/test have good sensitivity and specificity in detecting Cervical radiculopathy? application/msword

2017 Public Health England

2. Spurling Sign

Spurling Sign Spurling Sign Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Spurling Sign Spurling Sign Aka: Spurling Sign , Spurling (...) Bing) These images are a random sampling from a Bing search on the term "Spurling Sign." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database) Related Topics in Examination About FPnotebook.com is a rapid access, point-of-care medical reference for primary care and emergency clinicians. Started in 1995, this collection now contains 6656 interlinked topic pages divided into a tree of 31 specialty books and 728 chapters. Content

2018 FP Notebook

3. Spurling Sign

Spurling Sign Spurling Sign Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Spurling Sign Spurling Sign Aka: Spurling Sign , Spurling (...) Bing) These images are a random sampling from a Bing search on the term "Spurling Sign." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database) Related Topics in Examination About FPnotebook.com is a rapid access, point-of-care medical reference for primary care and emergency clinicians. Started in 1995, this collection now contains 6656 interlinked topic pages divided into a tree of 31 specialty books and 728 chapters. Content

2015 FP Notebook

4. Effects of Thoracic Orthopedic Manual Therapy and Biopsychosocial Variables on Signs of Shoulder Impingement

or ankylosing spondylitis; (5) Signs and symptoms of myelopathy or cauda equina syndrome; (6) A systemic infection that may involve the spinal column, ribs, or shoulder girdle; (7) A history of osteoporosis or fracture of shoulder girdle bones; (8) Presence of radiculopathy with progressive signs; (9) Primary complaints of neck or thoracic pain; (10) A positive cervical distraction test; (11) A positive Spurling's test; (12) A large three-dimensional limitation of arm motion of greater than 20 degrees (...) Effects of Thoracic Orthopedic Manual Therapy and Biopsychosocial Variables on Signs of Shoulder Impingement Effects of Thoracic Orthopedic Manual Therapy and Biopsychosocial Variables on Signs of Shoulder Impingement - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies

2012 Clinical Trials

5. Cough (acute): antimicrobial prescribing

, follow the NICE guideline on fever in under 5s: assessment and initial management. 1.1.3 For adults with an acute cough and suspected pneumonia, follow the NICE guideline on pneumonia in adults: diagnosis and management. Referr Referral and seeking specialist advice al and seeking specialist advice 1.1.4 Refer people with an acute cough to hospital, or seek specialist advice on further investigation and management, if they have any symptoms or signs suggesting a more serious illness or condition (...) prescription is given, give advice about: an antibiotic not being needed immediately using the back-up prescription if symptoms worsen rapidly or significantly at any time. Reassessment Reassessment 1.1.19 Reassess people with an acute cough if their symptoms worsen rapidly or significantly, taking account of: alternative diagnoses, such as pneumonia any symptoms or signs suggesting a more serious illness or condition, such as cardiorespiratory failure or sepsis previous antibiotic use, which may have led

2019 National Institute for Health and Clinical Excellence - Clinical Guidelines

6. Sore throat (acute): antimicrobial prescribing

of: alternative diagnoses such as scarlet fever or glandular fever any symptoms or signs suggesting a more serious illness or condition previous antibiotic use, which may lead to resistant organisms. P People who are unlik eople who are unlikely to benefit from an antibiotic ( ely to benefit from an antibiotic (F Fe ev verP erPAIN score AIN score of 0 or 1, or of 0 or 1, or Centor score Centor score of 0, 1 or 2): of 0, 1 or 2): 1.1.6 Do not offer an antibiotic prescription. Sore throat (acute): antimicrobial (...) , as well as the general advice in recommendation 1.1.4, give advice about seeking medical help if symptoms worsen rapidly or significantly or the person becomes systemically very unwell. See the evidence and committee discussion on back-up antibiotics and choice of antibiotic. P People who are systemically v eople who are systemically very un ery unwell, ha well, hav ve symptoms and signs of a more serious e symptoms and signs of a more serious illness or condition, or are at high-risk of complications

2018 National Institute for Health and Clinical Excellence - Clinical Guidelines

7. Otitis media (acute): antimicrobial prescribing

with effusion (glue ear) any symptoms or signs suggesting a more serious illness or condition previous antibiotic use, which may lead to resistant organisms. Children and y Children and young people who ma oung people who may be less lik y be less likely to benefit from antibiotics (those ely to benefit from antibiotics (those not co not cov vered b ered by recommendations y recommendations 1.1.8 to 1.1.8 to 1.1.11) 1.1.11) 1.1.5 Consider no antibiotic prescription or a back-up antibiotic prescription (see (...) oung people who are systemically very un ery unwell, ha well, hav ve symptoms and e symptoms and signs of a more serious illness or condition, or are at high-risk of complications signs of a more serious illness or condition, or are at high-risk of complications 1.1.10 Offer an immediate antibiotic prescription (see recommendation 1.3.1 for choice of antibiotic) with advice (see recommendation 1.1.9), or further appropriate investigation and management. 1.1.11 Refer children and young people

2018 National Institute for Health and Clinical Excellence - Clinical Guidelines

8. Evaluation and Management of Obesity Hypoventilation Syndrome

signs and symptoms of OHS and can be mildly hypoxemic during wake and/or significantly hypoxemic during sleep. This is a recommendation for screening for OHS in patients with sleep-disordered breathing, most typically OSA. Recommendation 1B: For patients with low to moderate probability of having OHS (<20%), we suggest using serum bicarbonate level to decide when to measure Pa CO 2 : in patients with serum bicarbonate <27 mmol/L, clinicians might forego measuring Pa CO 2 , as the diagnosis of OHS (...) such risk include severe obesity with typical signs and symptoms of OSA/OHS, and mild hypoxemia while awake, significant hypoxemia during sleep, or both. The panel suggests that clinicians use a serum bicarbonate level of 27 mmol/L to decide when to measure Pa CO 2 in patients with low to moderate probability of having OHS (i.e., <20%, for example patients with a BMI of 30–40 kg/m 2 ). A bicarbonate level <27 mmol/L precludes the need for an arterial blood gas measurement in this population

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2019 American Thoracic Society

9. HTA of C-reactive protein point-of-care testing to guide antibiotic prescribing

(10 and 17 mg/L) that may be useful to rule out sinusitis, however, as most clinical guidelines for the diagnosis and management of acute sinusitis (of less than 10 days’ duration) do not generally recommend the use of antibiotics, the utility of CRP POCT in sinusitis is unclear. CRP testing is better at ruling in than ruling out bacterial pharyngitis at a threshold of 35 mg/L and one study suggests it may be useful when used in combination with other signs and symptoms. The utility of CRP testing (...) for the detection of bacterial pharyngitis is sensitive to the cut-point used. For LRTI and pneumonia, there was mixed evidence regarding the diagnostic test accuracy of CRP testing. CRP testing may be useful at ruling in a diagnosis of pneumonia at a cut-point of 100 mg/L, but is not reliable at ruling out pneumonia at a cut-point of 20 mg/L. The use of CRP POCT may be more useful when used in combination with a prediction rule that incorporates specific signs and symptoms and may increase the specificity

2019 Health Information and Quality Authority

10. Appropriate Use Criteria: Imaging of the Spine

with confirmed rheumatoid arthritis Severe scoliosis, for the following patient populations: ? In patients with a high risk for neural axis abnormalities, such as infantile and juvenile idiopathic scoliosis and congenital scoliosis; OR ? With adolescent idiopathic scoliosis and atypical findings (pain, rapid progression, development of neurologic signs/ symptoms); OR ? With scoliosis related to other pathologic processes such as neurofibromatosis; OR ? For pre-operative evaluation of severe scoliosisCT (...) . Neurosurgery. 2007 Jan;60(1 Supp1 1):S21-7. 3. Alentado VJ, Lubelski D, Steinmetz MP, Benzel EC, Mroz TE. Optimal duration of conservative management prior to surgery for cervical and lumbar radiculopathy: a literature review. Global Spine J. 2014 Dec;4(4):279-86. doi: 10.1055/s- 0034-1387807. Epub 2014 Aug 28. Review. 4. Anekstein Y, Blecher R, Smorgick Y et al. What is the best way to apply the Spurling test for cervical radiculopathy? Clin Orthop Relat Res. 2012 Sep;470(9):2566-72. 5. Corey DL, Comeau D

2018 AIM Specialty Health

11. Diagnosis and treatment of respiratory illness in children and adults.

at . TIMESTAMPS Search Sign In Username or Email * Password * Remember Me Don't have an account? The AHRQ National Guideline Clearinghouse (NGC, guideline.gov) Web site will not be available after July 16, 2018 because federal funding through AHRQ will no longer be available to support the NGC as of that date. For additional information, read our . Guideline Summary NGC:011300 2017 Sep NEATS Assessment Diagnosis and treatment of respiratory illness in children and adults. Short S, Bashir H, Marshall P, Miller (...) complications. However, dangerous complications of GAS such as acute rheumatic fever and abscesses are rare, and antibiotics have the risk of side effects as well as creating bacterial resistance. Given these considerations, judicious use of testing and antibiotics based on shared decision-making conversations with patients and/or caregivers is appropriate. Relevant Resources : Little et al., 2014; Spinks, Glasziou, & Del Mar, 2013; Spurling et al., 2013; Kenealy, 2011; Robertson, Volmink, & Mayosi, 2005

2017 National Guideline Clearinghouse (partial archive)

12. Neck pain: revision 2017.

into the Internet Archive (or other archive sites). To use ArchiveBot, drop by #archivebot on EFNet. To interact with ArchiveBot, you issue commands by typing it into the channel. Note you will need channel operator permissions in order to issue archiving jobs. The dashboard shows the sites being downloaded currently. There is a dashboard running for the archivebot process at . ArchiveBot's source code can be found at . TIMESTAMPS Search Sign In Username or Email * Password * Remember Me Don't have an account (...) test, and cervical and thoracic segmental mobility tests; (2) neck pain with headache, including cervical active ROM, the cervical flexion-rotation test, and upper cervical segmental mobility testing; (3) neck pain with radiating pain, including neurodynamic testing, Spurling's test, the distraction test, and the Valsalva test; and (4) neck pain with movement coordination impairments, including cranial cervical flexion and neck flexor muscle endurance tests. Clinicians should include algometric

2017 National Guideline Clearinghouse (partial archive)

13. Appropriate Antibiotic Use for Acute Respiratory Tract Infection in Adults: Advice for High-Value Care From the American College of Physicians and the Centers for Disease Control and Prevention

Appropriate Antibiotic Use for Acute Respiratory Tract Infection in Adults: Advice for High-Value Care From the American College of Physicians and the Centers for Disease Control and Prevention Appropriate Antibiotic Use for Acute Respiratory Tract Infection in Adults | Annals of Internal Medicine | American College of Physicians '); } Sign in below to access your subscription for full content INDIVIDUAL SIGN IN | You will be directed to acponline.org to register and create your Annals account (...) INSTITUTIONAL SIGN IN | | Subscribe to Annals of Internal Medicine . You will be directed to acponline.org to complete your purchase. Search Clinical Guidelines | 15 March 2016 Appropriate Antibiotic Use for Acute Respiratory Tract Infection in Adults: Advice for High-Value Care From the American College of Physicians and the Centers for Disease Control and Prevention Free Aaron M. Harris, MD, MPH; Lauri A. Hicks, DO; Amir Qaseem, MD, PhD, MHA; for the High Value Care Task Force of the American College

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2016 American College of Physicians

14. Non-mydriatic retinal photography (NMP) in persons with diabetes

that RP-NMRC is likely to be safer than CEE, but less safe than no exam. RP- NMRC was also reported to be ‘highly acceptable’ among patients (Spurling et al. 2010), with a rate of discomfort less than 3% (Taylor DJ et al. 1999). Overall, MSAC concluded that RP-NMRC was a low risk intervention. In the absence of direct evidence on the comparative effectiveness of RP-NMRC, a linked evidence approach was utilised to synthesise indirect evidence from studies reporting on diagnostic accuracy and change (...) than in the traditional surveillance group (94% vs 56% of patients, respectively; p<0.001). This evidence also included data from an Australian before and after study (Spurling et al. 2010, N=132), which found that more Indigenous patients had appropriate surveillance and follow-up in the year after the introduction of clinic-based retinal photography than in the year before (94% vs 15% of patients, respectively; p<0.001). Overall, MSAC considered that the assessment of RP-NMRC provided

2014 Medical Services Advisory Committee

15. Adult Sinusitis

Adult Sinusitis Clinical Practice Guideline (Update): Adult Sinusitis - Richard M. Rosenfeld, Jay F. Piccirillo, Sujana S. Chandrasekhar, Itzhak Brook, Kaparaboyna Ashok Kumar, Maggie Kramper, Richard R. Orlandi, James N. Palmer, Zara M. Patel, Anju Peters, Sandra A. Walsh, Maureen D. Corrigan, 2015 MENU IN THIS JOURNAL Sign In Institution Society Access Options You can be signed in via any or all of the methods shown below at the same time. My Profile Sign in here to access free tools (...) such as favourites and alerts, or to access personal subscriptions Email (required) Password (required) Remember me I don't have a profile I am signed in as: With my free profile I can: Set up and register for List and Institution If you have access to journal content via a university, library or employer, sign in here I am signed in via: With institutional access I can: View or download all content the institution has subscribed to. Society If you have access to journal via a society or associations, read

2015 American Academy of Otolaryngology - Head and Neck Surgery

16. Clinical Practice Guideline: The Diagnosis, Management, and Prevention of Bronchiolitis

Clinical Practice Guideline: The Diagnosis, Management, and Prevention of Bronchiolitis Clinical Practice Guideline: The Diagnosis, Management, and Prevention of Bronchiolitis | From the American Academy of Pediatrics | Pediatrics '); document.write(''); } function OAS_AD(pos) { if (OAS_version >= 11 && typeof(OAS_RICH)!='undefined') { OAS_RICH(pos); } else { OAS_NORMAL(pos); } } //--> Search for this keyword Source User menu Sections Sign up for highlighting editor-chosen studies (...) in the discussion of prevention. This guideline will not address long-term sequelae of bronchiolitis, such as recurrent wheezing or risk of asthma, which is a field with a large and distinct literature. Bronchiolitis is a disorder commonly caused by viral lower respiratory tract infection in infants. Bronchiolitis is characterized by acute inflammation, edema, and necrosis of epithelial cells lining small airways, and increased mucus production. Signs and symptoms typically begin with rhinitis and cough, which

2014 American Academy of Pediatrics

17. Distal Mononeuropathy Before and After Arthroscopic Rotator Cuff Repair: A Prospective Investigation. (PubMed)

of diabetic neuropathy, cervical radiculopathy, brachial plexopathy, or Spurling sign were excluded. All patients underwent physical examination to determine the characteristics and location of symptoms. Postoperatively, patients underwent repeat examination at 2, 6, and 12 weeks.Preoperatively, 19% (19/101) of RCR patients described DMN symptoms (9 median nerve symptoms, 5 ulnar nerve symptoms, 4 nonspecific symptoms, one with both ulnar and median nerve symptoms). Ninety percent (17/19) patients

2018 Arthroscopy

18. Effects of Instrument-assisted Soft Tissue Mobilization (IASTM) on Pain and Disability in Individuals With Non-specific Chronic Neck Pain.

Criteria: Individuals who are positive in the Spurling test, indicating Cervical Radiculopathy, Some severe clinical condition (such as fracture, neoplasia or systemic diseases); -- history of previous surgery in the neck or thoracic spine; injury of whiplash trauma in the six months prior to evaluation; diagnosis of cervical stenosis; diagnosis of myelopathy; pregnancy; signs and symptoms of moderate to severe temporomandibular dysfunction, neck hematoma, neck scarring, severe osteoporosis, open (...) information Studies a U.S. FDA-regulated Drug Product: No Studies a U.S. FDA-regulated Device Product: No Keywords provided by Francisco Xavier de Araujo, Pt, Federal University of Health Science of Porto Alegre: Handling, Musculoskeletal Tissue, Subcutaneous Myofascial Release Instrument-Mobilized Soft Tissue Mobilization Additional relevant MeSH terms: Layout table for MeSH terms Neck Pain Myofascial Pain Syndromes Fibromyalgia Pain Neurologic Manifestations Signs and Symptoms Muscular Diseases

2018 Clinical Trials

19. Scapular Movement Training Versus General Exercises for Individuals With Shoulder Pain

: Body Mass index > 28Kg/m History of humerus, clavicle and scapula fracture and/or surgery; History of rotator cuff surgery or tears, shoulder dislocation, and instability; Frozen Shoulder; Neurological or systemic disease which may alter the muscle strength and sensibility; Positive Upper Limb Tension Test and/or Spurling's test Pregnancy; Physical therapy within 6 months; Corticosteroid injection within 3 months Transpore tape allergy; Contacts and Locations Go to Information from the National (...) Diseases Shoulder Injuries Arthralgia Pain Neurologic Manifestations Signs and Symptoms Wounds and Injuries

2018 Clinical Trials

20. Pathophysiological Mechanism Behind Prolonged Whiplash Associated Disorders

leg with eyes closed [ Time Frame: Change from baseline to 3 months (the end of treatment) and 15 months (1 year after study treatment is finalized) follow-up ] Balance, in patients Neurology [ Time Frame: Change from baseline to 3 months (the end of treatment) and 15 months (1 year after study treatment is finalized) follow-up ] Clinical examination of neurology, in patients, such as reflexes, sensibility, muscle weakness, Spurling´s test, neural tension test. Work Ability Index (WAI) [ Time (...) overall healthy without known diseases. Exclusion criteria for patients: Individuals with any of the following signs of head injury at the time of whiplash injury will be excluded: loss of consciousness, amnesia before or after the injury, altered mental status (e.g., confusion, disorientation), focal neurological changes (changes in smell and taste). Previous fractures or dislocation of the cervical spine Known or suspected serious physical pathology included myelopathy, Spinal tumours Spinal

2018 Clinical Trials

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