What you always wanted to know about the history and physical examination of neck pain but were afraid to ask.

Diagnoses of most cases of neck pain can be made on the basis of a careful history and physical examination. Any tests must be interpreted only in the context of the clinical examination. The clinician must be cognizant of signs or symptoms that may indicate a more serious disorder by attending to the red flags and examining the lower extremities for spasticity that could indicate cervical myelopathy.

Postinjection vastus lateralis atrophy: 2 case reports.

We report two cases of postsurgical intramuscular meperidine injection with injury to the femoral nerve and subsequent vastus lateralis atrophy. The first case is a patient who had arthroscopic anterior cruciate ligament reconstruction; the second, a patient with a C6-C7 anterior fusion. Photographs, radiography, and electrodiagnostic studies clearly depict the nature of the injuries, and their etiology is discussed.

A comparison of meperidine and lidocaine for spinal anesthesia for postpartum tubal ligation.

Background And Objectives: This study compares the anesthetic potency, duration, and side effects of subarachnoid meperidine and lidocaine for postpartum tubal ligation.

Method: Twenty healthy, unpremedicated postpartum women gave written informed consent to participate in this randomized double-blind study. After intravenous infusion of 200 mL physiologic salt solution, patients received subarachnoid injections from either lidocaine 70 mg in 7.

Subarachnoid labor analgesia. Fentanyl and morphine versus sufentanil and morphine.

Background And Objectives: To compare the duration of pain relief and incidence of side effects using two subarachnoid administered drug combinations for labor analgesia: fentanyl 25 micrograms with morphine 0.25 mg or sufentanil 10 micrograms with morphine 0.25 mg.

Cervical radiculopathy.

The history, pathoanatomy and pathophysiology, clinical picture, differential diagnosis, diagnostic evaluation, and treatment of cervical radiculopathy are reviewed. The review is based on a 10-year Medline literature search, review of bibliographies in textbooks, and bibliographies in articles obtained through the search. Cervical radiculopathy, although recognized early in the 20th century, was first associated with disc pathology in the mid-1930s.