Musculoskeletal & Rheumatology
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NEXUS C-Spine Rule
Summary: Evaluate for need of C-spine Xray. This applies the NEXUS C-Spine Rule to determine whether Xray is recommended.

[select name="Q1" value="yes=0|NO=1"] <-- Absence of tenderness at the posterior midline of the C-spine
[select name="Q2" value="yes=0|NO=1"] <-- Absence of a focal neurological deficit
[select name="Q3" value="yes=0|NO=1"] <-- Normal level of alertness
[select name="Q4" value="yes=0|NO=1"] <-- No evidence of intoxication
[select name="Q5" value="yes=0|NO=1"] <-- Absence of clinical apparent pain that might distract the patient from the pain of a C-spine injury
Recommendation --> [calc value="score=(Q1)+(Q2)+(Q3)+(Q4)+(Q5);score>0?'NEXUS C-Spine Rule recommends obtaining X-ray':'NEXUS C-Spine Rule supports not obtaining X-ray'" memo="Recommendation"]
[checkbox memo="display/hide references" name="footnotes" value=""][conditional field="footnotes" condition="(footnotes).is('')"]
reference:
[link url="//www.aafp.org/afp/2006/0515/p1787.html" memo="#1"] Ebell (2006) Am Fam Phys 73:1787-1788
[/conditional]
NEXUS C-Spine Rule
Summary: Evaluate for need of C-spine Xray. This applies the NEXUS C-Spine Rule to determine whether Xray is recommended.

<-- Absence of tenderness at the posterior midline of the C-spine
<-- Absence of a focal neurological deficit
<-- Normal level of alertness
<-- No evidence of intoxication
<-- Absence of clinical apparent pain that might distract the patient from the pain of a C-spine injury
Recommendation --> Recommendationscore=(Q1)+(Q2)+(Q3)+(Q4)+(Q5);score>0?'NEXUS C-Spine Rule recommends obtaining X-ray':'NEXUS C-Spine Rule supports not obtaining X-ray'
display/hide references
Result - Copy and paste this output: