Cauda equina and spinal cold compression Flashcards

1
Q

Airway

A
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2
Q

Breathing

A

Look
Listen
Feel

O2, RR

Temperature: think infection due to abscess

Xray
ABG

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3
Q

Circulation

A

usual

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4
Q

Disability

A

PEARL
GCS
BM

Neuro - weakness, paraesthesia, anal tone, saddle anaesthesia, urinary retention (catheter) or incontinence, faecal incontinence

Management:
Pain
If Hx of cancer: dexamethasone 16mg PO or IV stat/ followed by 8mg BD

Definitive management:
- urgent radiotherapy
- neurosurgical review
- emergency MRI whole spine

Escalate:
- oncology SpR
- neurosurgery SpR

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5
Q

Exposure

A

spinal exam for fracture

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