Question

For which of the following patients can the cervical spine be clinically "cleared" by NEXUS criteria? (A) The 18-year-old woman complaining of severe left leg pain with an obvious deformity after a motor vehicle accident. (B) The 65-year-old man with tenderness to palpation along the lateral cervical musculature but no midline tenderness along the bony prominences. (C) The 48-year-old man with a Glasgow Coma Scale score of 14 and repetitive questioning after a motor vehicle accident who insists, "Nothing is wrong with me, let me go!" (D) The 33-year-old football player with tingling in his left fingers but no neck pain after being tackled to the ground during practice.

   For which of the following patients can the cervical spine be clinically "cleared" by NEXUS criteria?
(A) The 18-year-old woman complaining of severe left leg pain with an obvious deformity after a motor vehicle accident.
(B) The 65-year-old man with tenderness to palpation along the lateral cervical musculature but no midline tenderness along the bony prominences.
(C) The 48-year-old man with a Glasgow Coma Scale score of 14 and repetitive questioning after a motor vehicle accident who insists, "Nothing is wrong with me, let me go!"
(D) The 33-year-old football player with tingling in his left fingers but no neck pain after being tackled to the ground during practice.
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Emergency Medicine Examination & Board Review
Emergency Medicine Examination & Board Review
Susan Promes 3rd Edition
Chapter 14, Problem 20 ↓

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The NEXUS criteria include the following factors: no posterior midline cervical spine tenderness, no evidence of intoxication, a normal level of alertness, no focal neurologic deficit, and no painful distracting injuries.  Show more…

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For which of the following patients can the cervical spine be clinically "cleared" by NEXUS criteria? (A) The 18-year-old woman complaining of severe left leg pain with an obvious deformity after a motor vehicle accident. (B) The 65-year-old man with tenderness to palpation along the lateral cervical musculature but no midline tenderness along the bony prominences. (C) The 48-year-old man with a Glasgow Coma Scale score of 14 and repetitive questioning after a motor vehicle accident who insists, "Nothing is wrong with me, let me go!" (D) The 33-year-old football player with tingling in his left fingers but no neck pain after being tackled to the ground during practice.
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