Gadja-and-Hadjail-thoracic-radiculopathy.pdf

Thoracic radiculopathy

1. Gadja, Fahad T.
Hadjail, Al-Khan B.
Rota 4 - ZamPen ER
Thoracic
Radiculopathy

2. Patient Clinical Record
Age: 59 y/o
Occupation: PWD
Address: Culianan, Zamboanga
City
Chief Complaint: Body Weakness,
Back Pain
Admitting Diagnosis:
THORACIC RADICULOPATHY: BA
NOT IN AE; CVD W/ RIGHT RESIDUAL
WEAKNESS (2014)

3. Thoracic Radiculopathy
Thoracic radiculopathy
refers to a compressed
nerve root in the thoracic
area of the spine, which
is your upper back. This is
the least common
location for
radiculopathy.

4. Causes:
Herniated disk
Spinal Trauma
Bone Spurs
Spinal Infection
Spinal Neoplasms

5. Causes:
Herniated disk
Spinal Trauma
Bone Spurs
Spinal Infection
Spinal Neoplasms

6. Causes:
Herniated disk
Spinal Trauma
Bone Spurs
Spinal Infection
Spinal Neoplasms

7. Causes:
Herniated disk
Spinal Trauma
Bone Spurs
Spinal Infection
Spinal Neoplasms

8. Causes:
Spinal Gout (L, BUA, SGPT, and SGOT)

9. Recall...

10. Recall...

11. Recall...

12. Increased pressure on the thoracic spine due to:
(Herniated Discs, Trauma, Bone Spurs, Spinal Infection, Spinal Neoplasms)

Pathophysiology
Pinched Nerve (cervical, thoracic or lumbar)
Impairment of the spines’ function
T1 - hand
T2 to T12 - trunk
T7 - L1 - abdominals
T11 - L2 - ejaculation

13. Signs and Symptoms
Inability to bend backward,
move sideways or move your
torso
Inability to sit for long periods
of time
Muscle spasms
Muscle weakness
Numbness or tingling in the
neck, shoulder, back or chest

14. Risk Factors
Age 30-60
Heavy manual labor requiring
lifting
Smoking
Neck trauma (from sports or
motor accident)
Previous spinal nerve injury
Having degenerative disc
disease
Cardiovascular
Disease Diabetes Mellitus

15. Diagnostic Exams and Labs
radiologic imaging with X-ray, MRI, and CT scans
electrical impulse testing called electromyography or
EMG, to test nerve function
the exclusion of other causes of pain is the most
important step in the diagnostic procedure as there
are a lot of generators of thoracic pain and
differentiating these differential diagnoses will be
difficult

16. Diagnostic Exams and Labs (as ordered)
Thoracolumbosacral Xray
AP/L
CBG, ECG with LL II, BUN,
BUA, CREA, SGPT, SGOT
-Uric acid is formed in the liver (increase especially
if there is liver damage), SGPT, SGOT (liver health)
-BUN and CREA are used to measure the health of
kidney
Cranial CT-Scan Plain, CXray
PA
FBS, Lipid profile

17. Medications:
1. CELECOXIB (COXXIDIA) 200mg CAP PO NOW THEN
Q12 x PAIN
2. Eperisone Myelax 50mg TAB PO TID
3. PREGABALIN 75mg PO OD
4. TRAMADOL (TRAMADIN) 50mg VERY SLOW IV PRN
FOR SEVERE PAIN (SCALE 7-10)

18. Managements:
Low salt and low fat diet, hypoallergenic
Administer pain medications as prescribed by the
physician, ensuring adequate pain relief while minimizing
side effects
Monitor vital signs regularly, especially if opioid
analgesics are administered (tramadol), to detect any
adverse reactions promptly.
Monitor vital signs regularly, especially if opioid
analgesics are administered, to detect any adverse
reactions promptly.

19. Managements:
Teach relaxation techniques and stress management
strategies to help the patient cope with pain and
discomfort effectively.
Ensure the patient receives a balanced diet rich in
essential nutrients, vitamins, and minerals.