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所在平台: Udemy |
课程主页: https://www.udemy.com/course/exposing-spinal-pain-imposters-differential-diagnosis-spine/
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Coursera 课程“识破脊柱疼痛的“冒充者”：脊柱鉴别诊断”由拥有 40 多年经验的 Debra Dent 博士主讲。本课程旨在通过四部分研讨会，帮助从业者识别并区分可能导致脊柱疼痛的严重病理和疾病，从而避免延误治疗。 **课程内容概览：** * **第一部分：脊柱鉴别诊断** * 探讨统计数据、临床预测规则（CPR）以及“红旗”和“黄旗”识别。 * 复习各系统，强调病史询问的必答问题。 * 涵盖神经源性、血管源性、脊柱源性、心理源性和脏源性等疾病。 * **学习目标：** 能够列举统计学参考文献、识别脊柱评估中的红旗、掌握脊柱疼痛的五种分类，并描述两种影响脊柱的代谢疾病。 * **第二部分：颈椎、颅骨及上肢** * 专注于颈椎和颅骨区域的鉴别诊断。 * 提供特定必答问题、红旗以及该区域疾病的症状体征图表。 * 详细介绍头痛分类和多种上肢疾病，并讨论循证 CPR，如加拿大颈椎规则、脊髓病和神经根病 CPR 及筛查工具。 * 包含对良性阵发性位置性眩晕（BPPV）的筛查方法。 * **学习目标：** 能够识别颈肩部红旗、找出需要医生干预的非肌肉骨骼性颈椎牵涉性病症、描述颈椎 CPR，并列举一项颈部神经系统检查。 * **第三部分：胸椎及胸腔** * 聚焦胸椎区域的疾病和病症。 * 提供该区域的必答问题、红旗和症状体征图表。 * 详细讨论胸椎的脏源性、血管源性、脊柱源性问题，并介绍强直性脊柱炎和椎体骨折的 CPR。 * 包括腹部触诊和胸廓活动度测量。 * **学习目标：** 能够识别和描述两种胸部肌肉骨骼问题、列举一项用于评估胸部神经粘膜通路活动度的检查、列举两种可靠且有效的胸段脊柱 CPR，并描述两种可能与胸椎牵涉痛相关的血管诊断。 * **第四部分：腰椎、骨盆及髋部** * 涵盖腰椎、骨盆及髋部区域的疾病和病症。 * 提供该区域的必答问题、红旗和症状体征图表。 * 详细讨论影响该区域的脏源性、血管源性、脊柱源性病症，并介绍腰椎、骨盆和髋部的筛查工具及 CPR。 * **学习目标：** 能够识别两种看似与腰椎相关但实则无关的严重病理、描述三种可能的骨盆骨折类型、区分血管性跛行和神经源性跛行，并列举五种骨盆及骶髂关节的筛查测试。 **重要提示：** 如需获得继续教育学分（CEU），学员需自行向所在执照委员会申请。
Updated November 2024Delaying proper treatment due to poor diagnosis harms a patient's well-being. The sooner a patient with a nonmusculoskeletal issue is referred to the correct practitioner, the sooner the patient will receive the best and most appropriate treatment. Join Debra Dent, BPT, Dip Manip PT, OCS (Emeritus), FCAMPT (Retired), as she brings her 40-plus years of experience together in this dynamic four part seminar to explore serious pathologies and diseases of the trunk and spine. A discussion of the latest evidence in screening and physical testing will be presented. Explore evaluative processes to improve awareness of differential diagnoses and test results that other health professionals might perform. Walk away with a thorough knowledge of appropriate screenings for patients with musculoskeletal issues.Please Note: For CEU credit you will need to apply to your licensing board individually.Part 1: Differential Diagnosis of the SpineThe initial hour of this seminar will deal with statistics, Clinical Prediction Rules, and understanding red and yellow flags. There will also be a review of the systems, and mandatory questions required on history. The course will also examine diseases within these systems such as neurogenic, vasculogenic, spondylogenic, psychogenic, and viscerogenic.Objectives:The Student will be able to:1. List five statistical references that relate to evidence-based practice.2. List four Red flags that are pertinent in the evaluation component of treatment.3. Identify the five categories that pertain to possible spinal pain and referred pain.4. Describe the characteristics of two metabolic diseases that can affect the spine.Part 2: Cervical, Cranial and Upper ExtremityThe second hour in the Differential Diagnosis of the Spinedeals with the Cervical Spine and Cranial regions. Specific mandatory questions,red flags, and specific charts on signs and symptoms of diseases and conditions of thisregion are presented. Headache classifications and a broad number of diseases of theupper quadrant are presented in detail along with their signs and symptoms. Evidence-based CPR's such as the Canadian C Spine Rule, CPR for Myelopathy andRadiculopathy, and specific screening tools are outlined. A discussion of how to screenfor BPPV is also presented.Objectives:The Student will be able to:1. Recognize and list four red flags for the cervical and shoulder girdle.2. Identify three medical conditions that may refer to the cervical spine but are non-musculoskeletal in origin and require a physician's intervention.3. Be able to name and describe two CPR for the Cervical Spine.4. List one dural test that is done for the nervous system in the Cervical region.Part 3: Thoracic and ThoraxThe third hour in the Differential Diagnosis of the Spinedeals with the Thoracic spine and the Diseases and conditions that can affect thisregion. Specific mandatory questions, red flags and specific charts on signs andsymptoms of diseases and conditions of the Thoracic spine are presented. TheViscerogenic, Vasculogenic, Spondylogenic issues for this region are outlined anddiscussed in detail. CPRs for Ankylosing Spondylitis and Vertebral Fractures arediscussed along with the evidence. Abdominal palpation and chest expansionmeasurements are also outlined.Objectives:1. Identify and describe two musculoskeletal issues of the thoracic region.2. List one dural test that is used to evaluate the thoracic region which will assist indetermining normal neuromeningeal pathway mobility.3. List two CPR of the spine in the thoracic region that have good reliability and areeffective in use.4. List and describe two vascular diagnoses which may relate to Thoracic Spinereferred painPart 4: Lumbar Spine, Pelvis, and HipThe fourth hour in the Differential Diagnosis of the Spine seriesdeals with the Lumbar Spine, Pelvis, and Hip Regions and the diseases and conditionsthat can affect this region. Specific mandatory questions, red flags, and specific chartson signs and symptoms of diseases and conditions of the Lumbar Spine, Pelvis, and Hipregions are presented. Discussions of the Viscerogenic, Vasculogenic, Spondylogenicconditions that can affect this region are presented and discussed in detail. Screeningtools along with the CPRs and their evidence are presented for the Lumbar Spine,Pelvis and Hip regions.Objectives:1. Identify two serious pathologies that appear to be related to the lumbar spine but arenot.2. Describe three categories of pelvic fractures that may occur.3. Describe the objective differences between vascular claudication and neurogenicclaudication.4. List the five screening tests for the pelvis and SI joint.
