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22 Cards in this Set
- Front
- Back
- 3rd side (hint)
How many % patient have a noncontguous verbral fracture if they already have a cervical spine fracture |
10% |
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What do you do with patients who have had long spinal board for more than 2 hours |
Log roll every 2 hours |
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Draw and describe the spinal cord tracts |
Posterior medial: Dorsal column Posterior lateral: Corticospinal Anterior lateral: Spinothalamic |
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What are the functions and tests for a) Dorsal column b) Corticospinal c) Spinothalamic |
a) Posistion, vibtration, light touch b) Motor movements c) Temperature and pain |
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What is neurogenic shock and what are the phsiological consequences |
Loss of sympathetic innervations 1. To heart => bradycardia, heart failure
2. To blood vessels => hypotension
Treatment consider 1. atropine to counteract bradycardia 2. vasopressors to counteract vasodilation |
The simpsons (sympathetics) are neurotic and shocking (neurogenic shock). |
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What is spinal shock |
Refers to flaccidity |
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What levels innervates the diaphragm |
C3-5 via phrenic nerve |
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What are the 4 classifications of spinal cord injury |
1. Level 2. Severity 3. Spinal cord syndromes 4. Morphology |
Playing attack the spine game Level 1 Several Sinners (syndromes) morph into monsters |
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At what level do you differentiate para to quad patietns |
T1 |
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Are are levels defined |
Neurological levels Bony levels |
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How is severity defined |
Incomplete/complete paraplegia Incomplete/complete quadriplegia |
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What is central cord syndrome and how does it happen |
Hyperextension after fall face vs ground.
Vascular compromise of anterior spinal artery
More weaker upper extremities compared to lower |
Centre of weak arms and stong legs |
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What is anterior cord syndrome and how does it present |
Infaraction of the cord by anterior spinal.
Loss of pain and temperature but intact proprioception |
Aunty (anterior) walk on fire but knows exactly where she is |
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Brown sequard syndrome a) cause b) presentation |
a) Caused by penetraing injury b) Ipsilateral loss of - motor - proprioception Contralateral loss of - Pain and temperature few levels below |
Brown person got scared (sequard) and stabbed someone |
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In shaken baby syndrom what is fractures |
Atlanto occiptal dislocation |
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In C1 rotary subluxation what is the management |
Immobilisation do not overcome forced rotation |
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What is involved in type II ondontoid fracture |
Fracture of of the base of the dens and this is the most common |
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What is the most common level of fracture in adult |
C5 |
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What is absolutely necessary when a patient comes with cervical tenderness |
Cervical spine film/CT if available |
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Should removal of longboards wait for final radiographic interpretation |
No |
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What is at risk with spinal injury above c6 |
repiration |
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What is the general management strategy of spinal trauma |
1. Immobilisation 2. IVF 3. Medications 4. Imaging 5. Transfer |
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