Whiplash injury: Difference between revisions
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==Clinical Features== | ==Clinical Features== | ||
*Pain, stiffness, paracervical muscle tenderness | *[[neck pain|Pain]], stiffness, paracervical muscle tenderness | ||
*Isolated cervical strain should have ''normal'' [[neuro exam]] | |||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
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==Evaluation== | ==Evaluation== | ||
*Clinical diagnosis by history and physical exam | |||
*Use [[C-Spine (NEXUS)]] criteria to determine whether imaging is required | |||
*Consider brain, cord, carotid/vertebral artery dissection if neuro findings are present | |||
==Management== | ==Management== | ||
* | *Symptomatic treatment e.g. [[ibuprofen]] | ||
==Disposition== | ==Disposition== | ||
Revision as of 17:26, 18 October 2019
Background
- Also known as Acute Cervical Strain
- Sudden acceleration-deceleration trauma that occurs when car is rear-ended
Clinical Features
- Pain, stiffness, paracervical muscle tenderness
- Isolated cervical strain should have normal neuro exam
Differential Diagnosis
Neck Trauma
- Penetrating neck trauma
- Blunt neck trauma
- Cervical injury
- Neurogenic shock
- Spinal cord injury
Evaluation
- Clinical diagnosis by history and physical exam
- Use C-Spine (NEXUS) criteria to determine whether imaging is required
- Consider brain, cord, carotid/vertebral artery dissection if neuro findings are present
Management
- Symptomatic treatment e.g. ibuprofen
Disposition
- Generally outpatient management