The MDT Clinical Integration Webinar Series

The MDT Clinical Integration Webinar Series

Webinar Support Materials

Follow-up to "Taking a Timely History":
A great conversation arose on LinkedIn during the discussion after the webinar that we thought everyone would find beneficial regarding bowel and bladder changes. (Webinar time 15:17)  We discussed in the webinar how bladder retention is an important red flag. It can be a sign of Cauda Equina Syndrome and can indicate the need for an immediate referral back to the physician.  This is an urgent red flag because of the risk of long term bladder and bowel dysfunction. According to the research, bladder incontinence has also been shown to be a sign of cauda equina. So pay attention to any bladder changes.  Stress incontinence is such a common symptom, especially in women, so use your clinical judgement with the whole picture and ask clarifying questions about the onset of the incontinence, the ability to empty the bladder completely, onset of any saddle anesthesia, etc. When in doubt, always contact the patient's primary care provider. Cauda Equina Syndrome is a medical emergency, but extremely rare to show up in a physical therapist's office. Please use your professional judgment in cases such as these.  

References:
  1. Andrew Tarulli, M. (2015, February). Disorders of the Cauda Equina. Continuum Journal, 146-158.
  2. Preetha Muthusamy, M., Gordon H. Baustian, M., Karl Misulis, M. P., & Saty Satya-Murti, M. F. (2011, September 28). Clinical Key. Retrieved from First Consult: Cauda Equina Syndrome: https://www-clinicalkey-com.ezproxy.galter.northwestern.edu/

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Post Date Q&A Forum Title Presenters
Nov 8, 2017 Nov 13-19, 2017 Webinar Series: OTHER: Beyond the Three Syndromes Susan Bamberger, PT, Dip. MDT
Madhavi Kulkarni, PT, FAAOMPT, DipMDT
Aug 9, 2017 Aug 14-20, 2017 Webinar Series: Differentiating Between the Lumbar Spine, SIJ and the Hip Gary Dykes, PT, Dip. MDT
Michelle Miller, PT, DipMDT
May 10, 2017 May 15-21, 2017 Webinar Series: Differential Diagnosis Between the Spine and Shoulder Utilizing MDT Gerry Gordon, PT, DPT, FAAOMPT, DipMDT
Bill Oswald, PT, Dip. MDT
Mar 8, 2017 Mar 13-19, 2017 Webinar Series: Recovery of Function Kay Scanlon, PT, DipMDT
Linnet Kazemi, PT, DipMDT
Nov 9, 2016 Nov 14-20, 2016 Webinar Series: Derangement Reduction Julie Marley, PT, Dip. MDT
Kay Scanlon, PT, DipMDT
Oct 12, 2016 Oct 17-23, 2016 Webinar Series: Classification: Its Importance Brian McClenahan, PT, MS, OCS, FAAOMPT, Dip. MDT
Bob Robinson, PT, DPT, MS, FAAOMPT, Dip. MDT
Sep 14, 2016 Sep 19-25, 2016 Webinar Series: Taking a Timely History Susan Bamberger, PT, Dip. MDT
Michelle Miller, PT, DipMDT