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% Packages
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%\usepackage{opensans}          % Can't make this work so far. Shame. Would be lovely.
\usepackage[normalem]{ulem}     % For underlining links
% Most of the following are not required for the majority
% of cheat sheets but are needed for some symbol support.
\usepackage{amsmath}            % Symbols
\usepackage{MnSymbol}           % Symbols
\usepackage{wasysym}            % Symbols
%\usepackage[english,german,french,spanish,italian]{babel}              % Languages

% Document Info
\author{Siffi (Siffi)}
\pdfinfo{
  /Title (cx-radiculopathy.pdf)
  /Creator (Cheatography)
  /Author (Siffi (Siffi))
  /Subject (Cx Radiculopathy Cheat Sheet)
}

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% Commands
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% Header and Footer
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\fancyhead[L]{
\noindent
\begin{multicols}{3}
\begin{tabulary}{5.8cm}{C}
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    \vspace{-7pt}
    {\parbox{\dimexpr\textwidth-2\fboxsep\relax}{\noindent
        \hspace*{-6pt}\includegraphics[width=5.8cm]{/web/www.cheatography.com/public/images/cheatography_logo.pdf}}
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\end{tabulary}
\columnbreak
\begin{tabulary}{11cm}{L}
    \vspace{-2pt}\large{\bf{\textcolor{DarkBackground}{\textrm{Cx Radiculopathy Cheat Sheet}}}} \\
    \normalsize{by \textcolor{DarkBackground}{Siffi (Siffi)} via \textcolor{DarkBackground}{\uline{cheatography.com/122609/cs/22982/}}}
\end{tabulary}
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\fancyfoot[L]{ \footnotesize
\noindent
\begin{multicols}{3}
\begin{tabulary}{5.8cm}{LL}
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  \mymulticolumn{2}{p{5.377cm}}{\bf\textcolor{white}{Cheatographer}}  \\
  \vspace{-2pt}Siffi (Siffi) \\
  \uline{cheatography.com/siffi} \\
  \end{tabulary}
\vfill
\columnbreak
\begin{tabulary}{5.8cm}{L}
  \SetRowColor{FootBackground}
  \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Cheat Sheet}}  \\
   \vspace{-2pt}Not Yet Published.\\
   Updated 4th January, 2021.\\
   Page {\thepage} of \pageref{LastPage}.
\end{tabulary}
\vfill
\columnbreak
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  %\includegraphics[width=48px,height=48px]{dave.jpeg}
  Measure your website readability!\\
  www.readability-score.com
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\end{multicols}}




\begin{document}
\raggedright
\raggedcolumns

% Set font size to small. Switch to any value
% from this page to resize cheat sheet text:
% www.emerson.emory.edu/services/latex/latex_169.html
\footnotesize % Small font.


\begin{tabularx}{17.67cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{17.67cm}}{\bf\textcolor{white}{TrP pain referral similar to cx radiculopathy}}  \tn
\SetRowColor{LightBackground}
\mymulticolumn{1}{p{17.67cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/siffi_1590402356_fgg.png}}} \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{17.67cm}}{- Supraspinatous - C5 \newline - Infraspinatous - C5-7 \newline - Scalenus Anterior - C5-C7 \newline - Levator Scapulae C8,T1}  \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{17.67cm}{p{1.727 cm} p{1.727 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{17.67cm}}{\bf\textcolor{white}{Cx Disc Herniation}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{17.67cm}}{- More likely to occur posterolaterally} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
\mymulticolumn{2}{x{17.67cm}}{- Hard Disc Derangement = older patient with degenerative changes} \tn 
% Row Count 3 (+ 2)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{17.67cm}}{- Soft Disc Derangement = young pts, trauma commonly benign} \tn 
% Row Count 5 (+ 2)
% Row 3
\SetRowColor{white}
\mymulticolumn{2}{x{17.67cm}}{- Look out for C8,T1 lesions , disc herniations are rare - could be non-mechanical} \tn 
% Row Count 7 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{17.67cm}{x{2.9359 cm} x{14.3341 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{17.67cm}}{\bf\textcolor{white}{NR Symptoms}}  \tn
% Row 0
\SetRowColor{LightBackground}
{\bf{Root}} & {\bf{Symptoms}} \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
C5 & Pain lateral upper arm to elbow, medial scapula border \tn 
% Row Count 4 (+ 2)
% Row 2
\SetRowColor{LightBackground}
C6 & Pain in the lateral forearm, thumb and index finger \tn 
% Row Count 6 (+ 2)
% Row 3
\SetRowColor{white}
C7 & Neck pain, medial scapula down to middle finger \tn 
% Row Count 8 (+ 2)
% Row 4
\SetRowColor{LightBackground}
C8 & Neck pain, radiating to the shoulder, ulnar side of forearm and little finger \tn 
% Row Count 11 (+ 3)
% Row 5
\SetRowColor{white}
T1 & Pain in shoulder and axilla to olecrana \tn 
% Row Count 13 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{17.67cm}{x{8.635 cm} x{8.635 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{17.67cm}}{\bf\textcolor{white}{Hx Findings}}  \tn
% Row 0
\SetRowColor{LightBackground}
- Sharp, Aching pain in neck radiating into arm & - Stiffness of neck with decreased ROM \tn 
% Row Count 3 (+ 3)
% Row 1
\SetRowColor{white}
- Sensory Changes in dermatonal fashion , tingling, numbness, loss of sensation & - Myotomal weakness in muscles supplied by effected nerve root \tn 
% Row Count 7 (+ 4)
% Row 2
\SetRowColor{LightBackground}
- Bakody's sign (abducting the shoulder and placing hand on their head) reduces symptoms & - Pain may wake up patient at night (common in neurological pain) \tn 
% Row Count 12 (+ 5)
% Row 3
\SetRowColor{white}
\mymulticolumn{2}{x{17.67cm}}{- Coughing, Sneezing/straining (Valsalva) worsens pain} \tn 
% Row Count 14 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{17.67cm}{x{8.635 cm} x{8.635 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{17.67cm}}{\bf\textcolor{white}{Exam Findings}}  \tn
% Row 0
\SetRowColor{LightBackground}
- Pt head tilts away from side of radicular pain & - AROM reduced in Extension, rotation and lateral flexion - flexion relieves pain \tn 
% Row Count 5 (+ 5)
% Row 1
\SetRowColor{white}
- Tenderness of paraspinal cx muscles, Trps in muscles supplied by the affected nerve & -Cx spine compression \& Doorbells +ve, Cx distraction relieves pain \tn 
% Row Count 10 (+ 5)
% Row 2
\SetRowColor{LightBackground}
- SMR affected (Diminished \& Asymmetrical) & - Gait, LL reflexes \& Hoffmans and Babsinki for suspected myelopathy \tn 
% Row Count 14 (+ 4)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{17.67cm}{p{1.727 cm} p{1.727 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{17.67cm}}{\bf\textcolor{white}{Cervical Spine Injuries}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{17.67cm}}{Fracture} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
\mymulticolumn{2}{x{17.67cm}}{Dislocations} \tn 
% Row Count 2 (+ 1)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{17.67cm}}{Spondylolisthesis} \tn 
% Row Count 3 (+ 1)
% Row 3
\SetRowColor{white}
\mymulticolumn{2}{x{17.67cm}}{Disc Derangements} \tn 
% Row Count 4 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}



\end{document}