Content text Chiropractic Differential Diagnosis.pdf
Contents Ackowledgments Introduction PART I Musculoskeletal Complaints CHAPTER 1 General Approach to Musculoskeletal Complaints Context 3 General S tra tegy 4 History 8 Examination 20 Management 26 Appendix 1- 1 42 Appendix 1-2 42 Appendix 1-3 44 CHAPTER 2 Neck and Neck! Arm Complaints Context 45 General Strategy 46 Relevant Anatomy and Biomechanics 51 Evaluation 53 Management 60 Selected Causes of Cervical Spine Pain 68 Appendix 2-1 72 Neck Diagnosis Table 75 CHAPTER 3 Temporomandibular Complaints Context 77 General Strategy 77 Relevant Anatomy and Biomechanics 78 Evaluation 79 Management 82 Selected TMJ Disorders 86 Appendix 3-1 88 xi Xlll 3 45 77 CHAPTER 4 Thoracic Spine Complaints Context 89 General Strategy 89 Relevant Anatomy 90 Biomechanics 91 Evaluation 92 Management 95 Selected Disorders of the Thoracic Spine 99 Appendix4--1 102 Thoracic Diagnosis Table 103 CHAPTER 5 Scoliosis Context 105 General Strategy 105 Idiopathic Scoliosis Etiology 106 Evaluation 107 Management 115 Summary 11 9 Appendix 5-1 123 CHAPTER 6 Lumbopelvic Complaints Context 127 General Strategy 12 8 Relevant Anatomy, Physiology, and Biomechanics 12 8 Evaluation 131 ~a agement 147 Sel ected Disorders of the Low Back 157 Appendix 6-1 166 Low Back Diagnosis Table 171 CHAPTER 7 Shoulder Girdle Complaints Context 175 General Strategy 176 89 105 127 175 v
Relevant Anatomy and Biomechanics 177 Evaluation 179 Management 193 Selected Disorders of the Shoulder 202 Appendix 7-\ 214 Shoulder Diagnosis Table 218 CHAPTER 8 Elbow Complaints Context 221 General Strategy 221 Relevant Anatomy and Biomechanics 222 Evaluation 223 Management 228 Selected Disorders ofthe Elbow 232 Appendix 8-1 237 Elbow and Forearm Diagnosis Table 238 CHAPTER 9 Wrist and Forearm Complaints Context 241 General Strategy 241 Relevant Anatomy and Biomcchanics 243 Evaluation 244 Management 251 221 241 Selected Disorders of the Wrist and Forearm 254 Appendix 9-1 265 CHAPTER 10 Finger and Thumb Complaints 267 Context 267 General Strategy 267 Relevant Clinical Anatomy 268 Evaluation 269 Management 273 Selected Disorders of the Finger, Thumb, and Hand 280 Appendix 10-1 289 \Vrist and Hand Diagnosis Table 291 CHAPTER 11 Hip, Groin, and Thigh Complaints Context 295 General Stratef.,'Y 295 Relevant Anatomy 296 Evaluation 298 Ivlanagement 303 Selected Disorders of the Hip, Groin, and Thigh 307 Appendix 11-1 317 Hip Pain Diagnosis Table 318 CHAPTER 12 Knee Complaints Context 321 General Strategy 322 Relevant Anatomy and Biomechanics 323 Evaluation 325 Management 336 vi Contents 295 321 Selected Disorders of the Knee 349 Appendix 12-1 362 Kllee Diagnosis Table 365 CHAPTER 13 Lower Leg Complaints Context 369 General Strategy 369 Relevant Anatomy 370 Evaluation 370 Management 372 369 Selected Disorders of the Lower Leg and Posterior Heel 375 Appendix 13-1 379 CHAPTER 14 Foot and Ankle Complaints Context 3Rl General Strategy 381 Relevant Anatomy and Biomechanics 382 Evaluation 385 Management 392 Selected Foot Disorders 404 Appendix 14-1 412 Foot/Ankle/Lower Leg Diagnosis Table 414 PART II Neurologic Complaints 381 CHAPTER 15 Weakness 421 Context 42 J General Strategy 421 Relevant AnatolllY and Physiology 423 Evaluation 423 Management 429 Selected Neurologic and l\1uscular Diseases 433 Appendix 15-1 438 CHAPTER 16 Numbness, Tingling, and Pain 439 Context 439 General Strategy 439 Relevant Anatomy 44 J Evaluation 442 Management 447 Appendix 16-1 449 Appendix 16-2 449 CHAPTER 17 Headache Context 4.5 1 General Strategy 452 451 Theories of Causation of Primary Headaches 454 Management 461 Selected Headache Disorders 468 Appendix 17-1 472 Appendix 17-2 472 Headache Diagnosis Matrix 477
CHAPTER 18 Dizziness 481 Context 481 General Strategy 481 Relevant Anatomy and Physiology 483 Evaluation 484 Management 490 Selected Causes of Vertigo 499 Appendix 18-1 502 CHAPTER 19 Seizures 505 Context 505 General Strategy 506 Definitions and Classifications 506 Relevant Anatomy and Physiology 510 Evaluation 510 Management 512 Appendix 19-1 517 Appendix 19-2 51 7 PART III General Concerns CHAPTER 20 Depression 521 Context 521 General Strategy 521 Terminology and Classification 522 Evaluation 524 Management 525 Appendix 20-1 528 Appendix 20-2 528 CHAPTER 21 Fatigue 531 Context 531 General Strategy 531 General Discussion 532 Evaluation 533 Management 535 Selected Disorders Presenting as Fatigue 538 Appendix 21-1 544 CHAPTER 22 Fever 547 Context 547 General Strategy 548 Relevant Physiology 548 Hyperthermia 548 Evaluation 549 Management 551 Appendix 22-1 552 CHAPTER 23 Sleep and Related Complaints 553 Context 553 General Strategy 553 Relevant Anatomy and Physiology 554 Classification System 555 Evaluation 556 Management 557 Appendix 23-1 561 Appendix 23-2 561 CHAPTER 24 Hypertension 563 Context 563 Relevant Physiology 563 General Strategy 564 Evaluation 564 Management 567 Appendix 24-1 572 Appendix 24-2 573 CHAPTER 25 Lower Leg Swelling 575 Context 575 General Strategy 575 Relevant Physiology and Anatomy 575 Evaluation 577 Management 578 Selected Causes of Lower Leg Swelling 580 Appendix 25-1 583 CHAPTER 26 Lymphadenopathy 585 Context 585 General Strategy 585 Relevant Anatomy and Physiology 586 Evaluation 586 Management 587 Selected Causes of Lymphadenopathy 589 Appendix 26-1 591 CHAPTER 27 Skin Problems 593 Context 593 General Strategy 596 Evaluation 597 Management 601 Appendix 27-1 601 CHAPTER 28 Vaccination: A Brief Overview 603 Context 603 OPV (Polio) 607 MMR (Focus on Measles) 607 DPT (Focus on Pertussis) 607 Summary 608 Some Childhood Diseases 609 Appendix 28-1 611 Appendix 28-2 611 CHAPTER 29 Weight Loss 613 Context 613 General Strategy 613 Relevant Physiology 614 Evaluation 614 Management 616 Appendix 29-1 619 Contents vii
CHAPTER 30 Weight Gain/Obesity Context 621 General Strategy 622 Evaluation 623 Management 623 Appendix 30-1 626 Appendix 30-2 626 CHAPTER 31 Osteoporosis Context 627 General Strategy 627 Relevant Anatomy and Physiology 62 8 Evaluation 628 Management 631 Appendix 31-1 633 PART IV Gastrointestinal Complaints 621 627 CHAPTER 32 Abdominal Pain 637 Context 637 General Strategy 637 Relevant Anatomy and Physiology 638 Evaluation 640 Examination 645 Management 647 Selected Causes of Acute Abdominal Pain 651 Selected Causes of Recurrent Abdominal Pain 656 Appendix 32-1 662 Appendix 32-2 662 CHAPTER 33 Constipation Context 665 General Strategy 665 Relevant Anatomy and Physiology 666 Evaluation 667 Management 669 Appendix 33-1 673 665 CHAPTER 34 Diarrhea 675 Context 675 General Strategy 67 5 Relevant Anatomy and Physiology 678 Evaluation 678 Management 680 Appendix 34-1 683 PART V Genitourinary Complaints CHAPTER 35 Urinary Incontinence and Voiding Dysfunction 687 Context 687 General Strategy 687 Relevant Anatomy and Physiology 689 viii Contents Evaluation 690 Management 691 Selected Causes of Voiding Dysfunction or Pain 695 Appendix 35-1 698 Appendix 35-2 698 CHAPTER 36 Enuresis Context 699 General Strategy 699 Relevant Anatomy and Physiology 700 Evaluation 700 Management 701 Appendix 36-1 703 CHAPTER 37 Vaginal Bleeding Context 705 Genera l Strategy 705 Relevant Anatomy and Physiology 705 Evaluation 706 Management 706 Appendix 37-1 709 PART VI Cardiopulmonary Complaints 699 705 CHAPTER 38 Syncope/Presyncope 713 Context 713 General Strategy 713 Relevant Physiology 713 Evaluation 714 Management 716 Appendix 38-1 716 CHAPTER 39 Chest Pain Context 717 General Strategy 717 Relevant Anatomy and Physiology 717 Evaluation 722 Managen1ent 724 Selected Causes of Chest Pain 726 Appendix 39-1 734 Appendix 39-2 734 CHAPTER 40 Palpitations Context 735 General Strategy 735 Relevant Anatomy and Physiology 736 Evaluation 736 Management 739 Possible Causes of Palpitations 742 Appendix 40-1 743 CHAPTER 41 Dyspnea (Difficulty Breathing) Context 745 General Strategy 745 717 735 745