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Mod 4 > Bowel and Bladder & Other stuff > Flashcards

Bowel and Bladder & Other stuff Flashcards

1
Q

what muscle contracts to expel urine out of the bladder

A

Detruser

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2
Q

what structure in the brain integrates input from other brain areas and coordinates emptying through efferent paths to PNS, SNS, somatic neurons in SC

A

Pons

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3
Q

What is the PNS (S2-S4) responsible for with urination

A

elimination

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4
Q

what happens when the bladder is filled
___ reflex activated –> detrusor __ –> urethra __
What system is responsible?

A

the stretch reflex is activated –> detrusor contracts –> urethra relaxes
PNS

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5
Q

What is the SNS (T11 - L2) responsible for with urination

A

storage

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6
Q

when we want to store urine
detrusor__ –> urethra is __
What system is responsible?

A

detrusor relaxes and urethra is contracted
SNS

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7
Q

What system is responsible for brain control of storage and elimination

A

Somatic motor neurons in SC (S2-S4)

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8
Q

external sphincter is __ for storage
external sphincter is __ for elimination

A

contracted
relaxed

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9
Q

UMN and LMN is considered by what levels

A

UMN: above t12
LMN: T12 and below

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10
Q

UMN is (reflexive or a-reflexive) voiding?
LMN?

A

UMN: reflexive
LMN: a-reflexive

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11
Q

how often should someone cath for UMN and LMN

A

both every 4 hours

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12
Q

can FES for bladder management be used for above T12 or T12 and below?

A

above T12 (UMN)

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13
Q

The intrinsic (Enteric System) is responsible for what part of BM

A

peristalsis, brings poo to anus

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14
Q

what levels are PNS and SNS?
What do they control with BM?

A

PNS (S2-S4) - elimination
SNS (T12-L2) - storage

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15
Q

During Spinal shock peristalsis slows which would result in ___ bowel sounds

A

no

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16
Q

Reflexive UMN bowel vs a-reflexive LMN bowel?
who has S2-S4 in and who has it out?

A

above T12: S2-S4 intact stretch reflex when filled
T12 and below: S2-S4 out, stool just sits

17
Q

Bowel Program frequency

A

same time everyday or every other day

18
Q

bladder and bowel complications

A

bladder: UTI, kidney failure
bowel: impaction, megacolon (dilation), ileus (no parastalsis), diverticulitis

19
Q

What are the 2 kinds of erections, what system controls them?

A

psychogenic: both SNS and PNS
reflexive: PNS

20
Q

what SC levels are PNS and SNS in sexual functioning

A

PNS: S2-S4
SNS: T11-L2

21
Q

during emission, semen reaches ___ and is moved by contraction of ___

A

posterior urethra
vas deferens

22
Q

what is emmision is controlled by
1.
2.
3.

A
  1. supraspinal centers
  2. sacral PNS (S2-S4
  3. Thoracolumbar (T11-L2)
23
Q

ejaculation is controlled by __ reflex

A

somatic sacral reflex (S2-S4)

24
Q

in UMN injury what is intact for sexual functioning
in LMN injury what is not intact

A

sacral cord intact
lax anal sphincter tone, absent bulbocavernous relfex

25
Q

UMN lesion above T12-L1
do they psychogenic and reflexogenic erection

A

psycho - no
reflex - yes

26
Q

LMN lesion L2-S1
do they have psychogenic and reflexogenic erection

A

psycho: yes (b/w T12 - L1) no (b/w S2-S4)
reflex: yes

27
Q

LMN lesion S2-S4
do they have psychogenic and refexogenic erection

A

psycho: yes (T12-L1) no (b/w S2-S4)
reflex: no

28
Q

what level is sacral loop intact and absent

A

Intact: L2-S1
absent: S2-S4

29
Q

What level is most successful for sexual functioning

A

LMN L2-S1

30
Q

what is the PLISSIT model

A

Permission
Limited Info
Specific Suggestions
Intensive Therapy

31
Q

What classifies a UMN vs LMN injury

A

UMN: damage up to ant horn
LMN: damage to ant horn and below

32
Q

What are the levels of sympathetic outflow to the heart
its going to:
vaso__
__ HR

A

T1-T5
vasoconstrict
inc HR

33
Q

What nerve provides parasympathetic outflow to the heart
its going to:
vaso__
__ HR

A

vagus nerve
vasodilate
dec HR

34
Q

we are concerned with autonomic dysreflexia with what level SCIs

A

T5 and above

35
Q

Some with an injury T5 and above will have what resting symptoms?
why?

A

bradycardia, vasodilation below the level of the lesion, they lose SNS connection so PNS is dominating

36
Q

with autonomic dysreflexia you have __ below the lesion and __ above the lesion

A

sympathetic below
parasympathetic above

Mod 4 (5 decks)

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