BASICO Flashcards
1
Q
CARTILAGO TIROIDE NIVEL QUAL VERTEBRA
VERTEBRA PROEMINENTE
A
C4-C5
C7
2
Q
dor e sensação de formigamento que geralmente começam no pescoço ou no ombro, depois se espalham pela superfície interna do braço, até a mão e, às vezes, até o torso.
mão, o braço e o ombro do lado afetado podem inchar, ou a pele adjacente adquirir um aspecto azulado (um quadro conhecido por cianose)
A
SINDROME DO DESFILADERO TORÁCICO
SOLICITAR ENMG, RM DE PLEXO BRAQUIAL
3
Q
- Nervo occipital maiot
- origem
- localização
- Nervo occipital menor
- origem
- localização
A
- Nervo occipital maior
- origem: ramo dorsal C2
- localização: mastoide ate prot occip externa, 1/3 medial. Inerva occipital medial
- Nervo occipital menor
- origem ramo dorsal C2 e c3
- localização: 1/3 lateral
4
Q
TESTE DE SCHOBER
A
MARCAR L5
10CM PARA CIMA
PEDIR PARA FLEXIONAR
NORMAL > 15 CM
5
Q
A
6
Q
Teste de spurling
A
Compressão cervical em extensão e rotação para lado dos sintomas
7
Q
Dor e irradiação em choque pelo membro superior ou inferior a flexão ou compressão da coluna cervical
A
MANOBRA DE LEHRMITE
8
Q
LASEGUE POSITIVO PENSAR EM
A
HERNIA L4-L5 E L5-S1
9
Q
TESTE DO ESTIRAMENTO DO NERVO FEMORAL
OU MANOBRA DE WASSERMAN
A
DECUBITO VENTRAL
EXTENSÃO DE QUADRIL COM JOELHO EM FLEXÃO
10
Q
TESTE DE SACROILEITE
A
TESTE DE FABERE OU PATRICK
Flexão, Abdução e rotação externa
TESTE DE GAENSLEN
Decubito dorsal
Flexão da coxa na borda do leito
11
Q
REFLEXOS
BICIPITAL
ESTILORADIAL
TRICIPITAL
PATELAR
AQUILIANO
A
REFLEXOS
BICIPITAL C5
ESTILORADIAL C6
TRICIPITAL C7
PATELAR L4
AQUILIANO S1
12
Q
IMPORTANCIA DO REFLEXO BULBO CAVERNOSO
COMPRESSÃO DE GLANDE OU CLITORIS
CONTRAÇÃO ANAL
S2-S4
A
CHOQUE MEDULAR
REFLEXO AUSENTE
APOS CHOQUE MEDULAR
REFLEXO PRESENTE, PODEMOS DETERMINAR DÉFICITS REAL
13
Q
SINDROME MEDULAR ANTERIOR
A
PERDA DA FUNÇÃO MOTORA E SENSIBILIDADE A DOR E TATO
14
Q
SINDROME DO CONE MEDULAR
A
HIPOESTESIA EM SELA
INCONTINENCIA
REFLEXO BULBOCAVERNOSO AUSENTE
15
Q
ESCALA FRANKEL TRAUMA RAQUIMEDULAR
A
16
Q
Equilibrio sagital adequado da coluna sagital
A
Quando una lina colocada sobre o corpo de C7 permanece aproximadamento 2cm do promontorio sacral
17
Q
MEDIDAS SPINE
- CIFOSE TORÁCICA
- LORDOSE LOMBAR
- SAGITAL VERTICAL AXIS (SVA)
A
- CIFOSE TORÁCICA
- Medida pelo método de Cobb de T4 a T12 (VARIA 20 A 50 GRAUS)
-
LORDOSE LOMBAR
- Medida pelo método de Cobb plató superior de L1 a plató superior de S1 (varia 30 a 80 graus ou 80% do sacral slope)
-
SVA (Eixo sagital vertical)
- Distancia horizontal entre linha de prumo de C7 (metade de corpo) e ponto posteior de plato S1
- Normal: 2-2,5cm
- Documenta a localização da cabeça em relação ao centro de gravidade. Mede o equilibrio espinopelvico
- Aumento SVA aumenta PT
18
Q
MEDIDAS PELVE
- PELVIC TILT
- SACRAL SLOPE
- PELVIC INCIDENCE
A
-
Pelvic Tilt (PT)
- Angulo de uma linha entre ponto medio do plato sacral e o eixo de rotação femoral (ponto medio que une os dois eixos dos quadris) e a linha vertical
- Varia 5-30 (media 12)
- Grau de rotação de pelve sobre quadris
-
Sacral Slope (SS)
- Angulo entre a linha do plato sacral e a linha horizontal
- Media 40 graus (20-60)
- Correlação com a lordose lombar
-
Pelvic Incidence (PI)
- Angulo entre linha perpendicular ao ponto medio do plato sacral e deste com o centro de rotação femoral (raio pelvico)
- Media 52 graus (34-84)
- Parametro constante independiente da orientação da pelve, relacionado ao valor da lordose lombar
- PI (constante)= PT + SS
- PI (constante)= ↑PT + ↓SS
- PI (constante)= ↓PT + ↑SS
- Alta incidencia pelvica = boa capacidade de compensação sagital
19
A
Lines are then drawn along the endplates, and the angle between the two lines, where they intersect, measured.
In cases where the curvature is not marked, then the lines will not intersect on the film/monitor, in which case a further two lines can be plotted, each at right angles to the previous lines
20
Q
massa lateralde coluna cervical
A
entre apofise articular
21
Q
FASCIA CERVICAL
A
LAMINA SUPERFICIAL: Tecido adiposo
LAMINA PROFUNDA
- Superficial: envolve ECM
- Media:
- Profunda:
22
Q
NERVO LARINGEO RECORRENTE
MAIS SUPERFICIAL LADO
A
MAIS SUPERFICIAL LADO DIREITO
PROTEGIDO NO ANGULO TRAQUEOESOFÁGICO
23
Q
LINHAS DE INCISÃO CERVICAL
- C2
- C3
- C4-C5
- C6
- C7-T1
A
LINHAS DE INCISÃO CERVICAL
- C2: Angulo da mandibula
- C3: Hioide
- C4-C5: Tireoide
- C6: Cricoide
- C7-T1: Supraclavicular
24
Q
INSTRUMENTAÇÃO CERVICAL POSTERIOR
- Entry point
- PArafusos de massa lateral
- PArafusos pediculares
A
INSTRUMENTAÇÃO CERVICAL POSTERIOR
- Entry point
- Parafusos de massa lateral: C3 A C6
- Parafusos pediculares: C7
- Interseccção linha vertical metade de faceta C6-C7 e horizontal 1mm abaixo de metade do transverso C7
- 30º medial e 5º inferior
25
BIFURCAÇÃO DA AORTA
NIVEL IMPORTANTE PARA ALIF
L4-L5
26
PRIMEIRO RAMO DA VEIA ILIACA
[VEIA LOMBAR ASCENDENTE](http://data:image/jpeg;base64,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)
27
NERVOS DA PAREDE ABDOMINAL EM RELAÇAO AO PSOAS
28
29
ACESSO DE WILTSE
ENTRE QUE MUSCULOS
INDICAÇÕES
[ACESSO PARAMEDIANO](https://www.google.com/url?sa=i&source=imgres&cd=&cad=rja&uact=8&ved=2ahUKEwiZ48_hr5DnAhUfI7kGHeSLDzAQjRx6BAgBEAQ&url=https%3A%2F%2Fwww.orthobullets.com%2Fapproaches%2F12070%2Fwiltse-paraspinal-approach&psig=AOvVaw1p65J3TH9oWaSKXqELLzOS&ust=1579547643328383)
INCISÃO 3 CM DA LINHA MEDIA
ENTRE MULTIFIDUS (MEDIAL) E LONGISIMUS (LATERAL)
ATÉ FACETA E TRANSVERSO
HERNIA EXTRAFORAMINAL
DEFEITO DA PARS¿
30
SINDROME DO PIRIFORME
Piriformis syndrome is a peripheral neuritis of the sciatic nerve
[Piriformis syndrome](https://aoa.silverchair-cdn.com/aoa/content_public/journal/jaoa/932088/657fig3.jpeg?Expires=1579745309&Signature=W6aNiuFBHM4LHrp3LnGclFfZcMWvEOFecxFnXzCMPRg7ADnpSjLPUflK6O7JpEghbFHm4BLHNlX9gOZWB5vqwUYcpIgKH1PeLZTo1EzeRsO3khBfDBRnl0KYIwsVo3WEz1hBzervLyvT6XRbR0E31d~3JGq6J6jAkIl1bjQ7Y-YCGII7PPHKvq6dcBnynW1jCJnC7inJdWUUHXLJ3WulyPfU5hr3DbMDKu0RAxVIhOfwuN8uJHXS8coM-KZElyV4sp5L2wEsUyF9RbAZsac~annkFVVieNQuVSi~dmhHuCQwAcY0IK3QVfLcwn-ZRRWjkGXvl2nvfWSL~QVbCQILiA__&Key-Pair-Id=APKAIE5G5CRDK6RD3PGA) is most often caused by macrotrauma to the buttocks, leading to inflammation of soft tissue, muscle spasm, or both, with resulting nerve compression
increasing pain after sitting for longer than 15 to 20 minutes. Many patients complain of pain over the piriformis muscle
31
CERVICAL
* Lordose cervical:
* Semento cervical com mais flexão-extensão:
* Segmento cervical com mais lateralização:
* Graus de orientação da faceta em plano sagital
* Limite posterior do canal cervical em rx
CERVICAL
* Lordose cervical: 16-25 graus
* Segmento cervical com mais flexão-extensão: C4-C5 e C5-C6
* Segmento cervical com mais lateralização: C2-C3 e C3-C4
* Graus de orientação da faceta em plano sagital: 45 graus
* Limite posterior do canal cervical em rx: [linha espinholaminar](https://www.google.com/url?sa=i&url=https%3A%2F%2Fbr.pinterest.com%2Fpin%2F574420127475622794%2F&psig=AOvVaw2sTKtda9ZWUuRkPKKFR0nN&ust=1580680309298000&source=images&cd=vfe&ved=0CAIQjRxqFwoTCNCDm5WrsecCFQAAAAAdAAAAABA-)
