{
  "schema_version": 1,
  "kind": "condition",
  "id": "cervical-rib",
  "name": "Cervical rib",
  "category": "chronic",
  "sources": "Anatomy, Thorax, Cervical Rib - StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK541001/ · ICPC-3 (WONCA International Classification of Primary Care, 3rd edition) class LD55.00 - condition scope only, no dose · No dose - referral pathway, no medicine given in primary care",
  "review_status": "reviewed",
  "verified_against": "No dose - referral pathway, no medicine given in primary care · Cervical rib - disease-level clinical article (cervical-rib-clinical.txt)",
  "verified_date": "2026-08",
  "treatments": [
    {
      "id": 401,
      "generic": "No drug therapy in primary care (Referral & Advice)",
      "line": 1,
      "is_adjunct": false,
      "form": null,
      "strength_mg": null,
      "adult_dose": "An extra rib arising from the lowest neck vertebra; usually an incidental finding, but can compress adjacent nerves or vessels causing thoracic outlet syndrome, which needs vascular or thoracic surgical referral.",
      "adult_duration": "Refer, with advice",
      "dose_source": "No dose - referral pathway, no medicine given in primary care",
      "rationale": "An extra rib arising from the lowest neck vertebra; usually an incidental finding, but can compress adjacent nerves or vessels causing thoracic outlet syndrome, which needs vascular or thoracic surgical referral.",
      "cautions": [
        "RED FLAG - Subclavian artery aneurysm or thrombosis: assess urgently and refer.",
        "Arm ischemia or diminished pulses, progressive weakness or paraesthesia in the arm suggesting vascular or neurologic thoracic outlet compression.",
        "No medicine is prescribed for this in primary care - this entry is for recognition and referral. Anything given is decided by the service it is referred to.",
        "RED FLAG - Severe vascular compromise or atrophy of intrinsic hand muscles requires surgical intervention."
      ],
      "peds_mgkg_low": null,
      "peds_mgkg_high": null,
      "peds_max_mg": null,
      "peds_basis": null,
      "peds_unit": null,
      "peds_note": "Children follow the same pathway: recognise and refer. No primary-care medicine is implied.",
      "peds_min_weight_kg": null,
      "peds_max_weight_kg": null,
      "peds_age_min_months": null,
      "peds_age_max_months": null,
      "peds_age_bands": null,
      "peds_doses": null,
      "brands": [],
      "condition_id": "cervical-rib"
    }
  ]
}