What do I need to do differently as a D.C. in light of this case? ■ Physical examination—in headache and neck pain patients in particular listen for bruits, look for neurological changes with cervical motion—active or passive, ■ 5 D’s, 3 N’s and an $ – Dizziness, diplopia, dysphagia, dysarthria, drop attacks – Nausea, numbness, nystagmus – Ataxia
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