Spinal examination

Spinal examination

The overlying skin should be inspected (e.g. for possible penetrating wounds) and the entire spine must be palpated. A formal spinal log roll must be performed to achieve this ( Figure 30.12 ). Significant swelling, tenderness, palpable steps or gaps suggest a spinal injury . A rectal examination should be undertaken to assess anal tone and perianal sensation (see Neurological examination ). Seatbelt marks on the abdomen and chest must be noted, as these suggest a high-energy acci dent. Spinal examination

The overlying skin should be inspected (e.g. for possible penetrating wounds) and the entire spine must be palpated. A formal spinal log roll must be performed to achieve this ( Figure 30.12 ). Significant swelling, tenderness, palpable steps or gaps suggest a spinal injury . A rectal examination should be undertaken to assess anal tone and perianal sensation (see Neurological examination ). Seatbelt marks on the abdomen and chest must be noted, as these suggest a high-energy acci dent. Spinal examination

The overlying skin should be inspected (e.g. for possible penetrating wounds) and the entire spine must be palpated. A formal spinal log roll must be performed to achieve this ( Figure 30.12 ). Significant swelling, tenderness, palpable steps or gaps suggest a spinal injury . A rectal examination should be undertaken to assess anal tone and perianal sensation (see Neurological examination ). Seatbelt marks on the abdomen and chest must be noted, as these suggest a high-energy acci dent.