Matilde Cornejo
NR 602
Adolescent Idiopathic Scoliosis
Introduction:
The following will be a presentation about Adolescent Idiopathic Scoliosis.
The patient is a 12 y/o patient who comes in for an annual physical exam. The
patient and patient’s mother denied any medical concerns and the only report is
that she had her first period 5 months prior. The physical exam reveals no
m
er as
abnormal findings with the exception of a slight noted asymmetry of the shoulders.
co
eH w
This may indicate that there is an abnormal posturing, or something is affecting the
o.
rs e
spine. In any event further investigation is needed.
ou urc
In order to determine what may be causing the asymmetry of the patients
o
aC s
shoulder a more in depth physical examination is conducted. The patient is asked
vi y re
to remove her shoes and stand as she normally does; the patient is asked to take a
ed d
few steps forward and her back and gait are observed. There is no abnormal gait,
ar stu
but her spine does appear to be minimally misaligned. These findings are strong
is
indication that her spine is curving in an abnormal fashion.
Th
Scoliosis pathophysiology, epidemiology, and risks factors:
The question is now, what is causing this change in her spine and what should we
sh
do about it. There are several factors that may be causing this but for now we will
concentrate on three possibilities. First, she may be developing Scoliosis. This is a
This study source was downloaded by 100000820363976 from CourseHero.com on 07-07-2021 03:25:16 GMT -05:00
https://www.coursehero.com/file/32524814/NR-602-wk2-Grand-Round-Presentationdocx/
, disorder that causes the spine to curve in an S shape of a C shape. The exact cause
is unknown, and it can occur at any age during childhood and even in early
adulthood. Adolescent Idiopathic Scoliosis usually develops between the ages of
10 to 15 years of age. Girls develop the disorder at a greater frequency in
comparison to boys- 1.5:1 to 3:1, and progression of the curvature is more
aggressive in girls in comparison to boys. For example, studies have showed that
girls will reach skeletal maturity 1.5 years after menarche and it is during this time
m
er as
that the curvature will also increase. Therefore, it is imperative that close
co
eH w
monitoring is maintained (Toye et al., 2016). Other factors that are believed to
o.
rs e
contribute to the disorder development are related to neurological disorder such
ou urc
Cerebral Palsy and Poliomyelitis, connective tissue disorders, musculoskeletal
o
aC s
anomalies, and syndromes such as Marfan Syndrome and Ehlers-Danlos Syndrome
vi y re
just to mention some (Choudhry, Ahmad & Verma, 2016).
ed d
Other possible diagnoses:
ar stu
A second possible cause for the anomaly may be related to a neoplasm
is
pressing on the spine and a third possible cause may be related to musculoskeletal
Th
anomalies most often when one leg is longer than the other which will cause hip
asymmetry which leads to pushing towards one side thus potentiating the change in
sh
shape. In either of these cases a more thorough evaluation is warrant thus x-rays,
CT scan, and/or MRI studies would be necessary. For instance, a tumor may not be
This study source was downloaded by 100000820363976 from CourseHero.com on 07-07-2021 03:25:16 GMT -05:00
https://www.coursehero.com/file/32524814/NR-602-wk2-Grand-Round-Presentationdocx/
NR 602
Adolescent Idiopathic Scoliosis
Introduction:
The following will be a presentation about Adolescent Idiopathic Scoliosis.
The patient is a 12 y/o patient who comes in for an annual physical exam. The
patient and patient’s mother denied any medical concerns and the only report is
that she had her first period 5 months prior. The physical exam reveals no
m
er as
abnormal findings with the exception of a slight noted asymmetry of the shoulders.
co
eH w
This may indicate that there is an abnormal posturing, or something is affecting the
o.
rs e
spine. In any event further investigation is needed.
ou urc
In order to determine what may be causing the asymmetry of the patients
o
aC s
shoulder a more in depth physical examination is conducted. The patient is asked
vi y re
to remove her shoes and stand as she normally does; the patient is asked to take a
ed d
few steps forward and her back and gait are observed. There is no abnormal gait,
ar stu
but her spine does appear to be minimally misaligned. These findings are strong
is
indication that her spine is curving in an abnormal fashion.
Th
Scoliosis pathophysiology, epidemiology, and risks factors:
The question is now, what is causing this change in her spine and what should we
sh
do about it. There are several factors that may be causing this but for now we will
concentrate on three possibilities. First, she may be developing Scoliosis. This is a
This study source was downloaded by 100000820363976 from CourseHero.com on 07-07-2021 03:25:16 GMT -05:00
https://www.coursehero.com/file/32524814/NR-602-wk2-Grand-Round-Presentationdocx/
, disorder that causes the spine to curve in an S shape of a C shape. The exact cause
is unknown, and it can occur at any age during childhood and even in early
adulthood. Adolescent Idiopathic Scoliosis usually develops between the ages of
10 to 15 years of age. Girls develop the disorder at a greater frequency in
comparison to boys- 1.5:1 to 3:1, and progression of the curvature is more
aggressive in girls in comparison to boys. For example, studies have showed that
girls will reach skeletal maturity 1.5 years after menarche and it is during this time
m
er as
that the curvature will also increase. Therefore, it is imperative that close
co
eH w
monitoring is maintained (Toye et al., 2016). Other factors that are believed to
o.
rs e
contribute to the disorder development are related to neurological disorder such
ou urc
Cerebral Palsy and Poliomyelitis, connective tissue disorders, musculoskeletal
o
aC s
anomalies, and syndromes such as Marfan Syndrome and Ehlers-Danlos Syndrome
vi y re
just to mention some (Choudhry, Ahmad & Verma, 2016).
ed d
Other possible diagnoses:
ar stu
A second possible cause for the anomaly may be related to a neoplasm
is
pressing on the spine and a third possible cause may be related to musculoskeletal
Th
anomalies most often when one leg is longer than the other which will cause hip
asymmetry which leads to pushing towards one side thus potentiating the change in
sh
shape. In either of these cases a more thorough evaluation is warrant thus x-rays,
CT scan, and/or MRI studies would be necessary. For instance, a tumor may not be
This study source was downloaded by 100000820363976 from CourseHero.com on 07-07-2021 03:25:16 GMT -05:00
https://www.coursehero.com/file/32524814/NR-602-wk2-Grand-Round-Presentationdocx/
