Consultation in the acute care setting allows physiatrists to make significant contributions. In our case, a 90-year-old @entity1 presented to the emergency room after falling down five stairs. Six view C-spine films taken at that time revealed no @entity174 . She was sent home on anti-inflammatory medication and was later admitted for @entity3621 . A repeat six-view C-spine series again revealed no @entity174 . Physiatry was then consulted to prescribe modalities and therapies for " @entity6475 ." On examination, the @entity1 demonstrated severely decreased neck range of motion limited by @entity158 , with @entity158 radiating down her right arm. Physiatry recommended obtaining a C-spine magnetic resonance image to rule out occult @entity174 or @entity890 before proceeding with therapies. The magnetic resonance image revealed a complex @entity3627 @entity174 consisting of a @entity18195 . Computed tomographic scan was then performed to obtain a high-resolution assessment of the bony architecture. The computed tomographic scan revealed a high degree of comminution, including bilateral pedicle fractures and a @entity174 through the left transverse foramen of @entity3627 . The @entity1 was placed in a hard cervical collar and seen by a neurosurgeon. Had therapies been initiated before physiatric consultation, the @entity1 could have experienced significant @entity16 , including the possibility of becoming tetraplegic. This case demonstrates that physiatrists play a crucial role in the evaluation of acute care @entity1 before the initiation of therapies. The authors will review pertinent history and the results of physical and diagnostic tests.

Diagnosis of a @entity3627 XXXX during physiatric consultation: a case report.

@entity1 :: ('9606', 'Species') :: ['woman', 'patients', 'patient'] @entity174 :: ('MESH:D050723', 'Disease') :: ['fracture'] @entity16 :: ('MESH:D009422', 'Disease') :: ['neurologic complications'] @entity18195 :: ('MESH:C565169', 'Disease') :: ['Type III odontoid component'] @entity6475 :: ('MESH:D013180', 'Disease') :: ['cervical strain'] @entity3627 :: ('717', 'Gene') :: ['C-2'] @entity3621 :: ('MESH:D005756', 'Disease') :: ['gastritis'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pain'] @entity890 :: ('MESH:D007405', 'Disease') :: ['herniated disc']
@entity174 :: (MESH:D050723,Disease) :: ['fracture']
