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Recognising Red Flag Pathologies in the Neck and Upper Quadrant
I’m Andy Coombs, and in this session I’ll be sharing how to recognise red flag signs that may point to serious pathology in the cervical spine and upper quadrant.
I’ll cover:
▪︎ How to spot red flag presentations beyond common neck or shoulder pain
▪︎ Key warning signs of degenerative cervical myelopathy (DCM)
▪︎ Important differentials including malignancy, infection, vascular and thoracic outlet conditions
▪︎ Practical advice on when to investigate further, escalate, or refer
My goal is to give you the confidence to identify red flags early and make safer clinical decisions for your patients.
How the IFOMPT red flags framework helps grade concern about serious pathology in the neck and upper quadrant, and how to recognize degenerative cervical myelopathy from the history and the mJOA score.
The physical tests with the most value for detecting myelopathy, why diagnosis needs both clinical features and MRI, how mJOA scores guide surgical or rehabilitation decisions, and a case of combined radiculopathy and myelopathy.
The wider differential diagnosis for myelopathy, with key features of transverse myelitis, spinal malignancy and metastatic cord compression, spinal infection, arteriovenous malformation and syringomyelia, illustrated with clinical cases.
When cervical radiculopathy needs onward referral, how a Pancoast tumor presents as shoulder pain with medial plexopathy and Horner syndrome, and how to recognize arterial and venous thoracic outlet pathology and upper limb DVT.
Recognising Red Flag Pathologies in the Neck and Upper Quadrant
I’m Andy Coombs, and in this session I’ll be sharing how to recognise red flag signs that may point to serious pathology in the cervical spine and upper quadrant.
I’ll cover:
▪︎ How to spot red flag presentations beyond common neck or shoulder pain
▪︎ Key warning signs of degenerative cervical myelopathy (DCM)
▪︎ Important differentials including malignancy, infection, vascular and thoracic outlet conditions
▪︎ Practical advice on when to investigate further, escalate, or refer
My goal is to give you the confidence to identify red flags early and make safer clinical decisions for your patients.
We usually answer within a minute.
Ask anything about your membership, certificates or what is in the library.
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