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7 Cards in this Set
- Front
- Back
T 10 |
Lesion below which incidence is rare |
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T6 |
Lesion above which incidence 85% |
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Below lesion - sympathetic dominant |
Sympathetic surge, vasoconstriction, pallor, erection |
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Above lesion - parasympathetic dominant |
Reflex cutaneous vasodilation, flushing, nasal congestion; piloerection + sweating cholinergic mediated, but sympathetic |
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Onset |
3 weeks to 9 months after initial injury |
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Systemic effect |
Hypertension, bradycardia, blurred vision, headache, seizure, coma |
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Goals of mgmt |
Deep GA/regional; upright position; identify trigger and address it; block vasoconstriction: nitroprusside, hydralazine, phentolamine, labetalol |