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10 Cards in this Set
- Front
- Back
DRE: pt can't squeeze anal sphincter around finger. This implies what type of injury
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Complete spinal cord injury
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Tyoe of injury resulting in weakness and sensory loss of both upper and lower extremities with greater loss in upper ext.
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Central cord syndrome/incomplete
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name for spinal injury where half cord is cut/damaged
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Brown-Sequard/incomplete
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Name for injury where anterior spinal artery is damaged
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Anterior cord/incomplete
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What causes spinal shock
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abrupt disruption of normal tonic discharge of impulses
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S&S of neurogenic/spinal shock
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Bradycardia
Hypotension Flaccid paralysis below injury Absence of reflex activity below level (urinary retention, ileus) Poikiothermia |
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Cause of neurogenic shock
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Loss of sympathetic input to systemic vasculature/heart and subsequent loss of periph vasc resistance>vasodil>hypotension
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Signals the end of spinal shock
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Return of perianal reflex
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Clinically this pt presents with paralyzed arms but no deficit of legs/bladder
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Central cord syndrome
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-Increased/decreased cutaneous sensation of pain/temp/touch on same side of spinal lesion
-Below level on same side: complete motor paralysis -Below level on opposite side: loss of pain/temp/touch -Limb with best motor fxn has poorest sensation and vice versa |
Brown Sequard
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