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FF: neuro content > class 5: SCI > Flashcards

class 5: SCI Flashcards

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1
Q

Asia A

A

no sensory or motor function is persevered in the sacral segment sS4-S5

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2
Q

Asia B

A

sensonry icomoplete

sensory function is preserved below the neurological level (light touch and or pin prick) but no motor function > than 3 levels belwo the motor levels

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3
Q

Asia C

A

motor incomplete

motor function is persevred

more the 1/2 of muscle below the neurological level have muscle grade of less then 3

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4
Q

Asia D

A

motor incomplete

motor function is persevred

more the 1/2 of muscle below the neurological level have muscle grade of > or equal then 3

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5
Q

Asia E

A

normal

seen if every is normal

or if the pt is tested again and they are normal

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6
Q

how do we get to neurological level - sensory

A

sensory level is the lowest level at which pen prick and light touch is normal (2)

with all sensory grades 2/2 above

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7
Q

how do we get to neurological level - motor

A

the lowest level where the muscle grade is a t least a 3

with all muscle grade above it a 5

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8
Q

what is the neurological level

A

the lowest level where motor and sensory are normal on both sides

  1. Find Motor and Sensory level
  2. Pick the higher one
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9
Q

C5 innervation

A

diaphragm

trasp

biceps

rhomiods

partial -serratus, RC

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10
Q

C6 innervation

A

lats and RC

ECRL/B

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11
Q

what level do we see impaired diaphragm function

A

c4

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12
Q

C7 innervation

A

triceps

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13
Q

C8 innervation

A

finger flexors

pronators

wrist flexors

thumb abd and ext

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14
Q

T1 innervation

A

pect major and minor

rest of finger hand muscluature

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15
Q

throacic innervation

A

fully intact UE

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16
Q

Vertebral Level

A

talking about the vert

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17
Q

Spinal Level

A

talking about the spinal cord

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18
Q

Ascending tracts

A

DCML, ALS

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19
Q

descending

A

Corticospinal tracts

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20
Q

what is the function of the DCML

A

JPS

pressure touch

vibration

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21
Q

what is the function of the ALS tract

A

pain and temp

  • Anterior STT: Crude touch
  • Lateral STT: Pain and temperature
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22
Q

what is the function of Corticospinal tracts

A
  • To control the voluntary movement of contralateral limbs
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23
Q

is a nerve root lesion a LMN or UMN

A

LMN

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24
Q

what level does the spinal cord end at

A

L1-L2

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25
what tract is effected with Posterior Cord Syndrome
DCML
26
what does the SC become after L1-2
codus medularris and cauda equina
27
if you have a lesion at the codus medularris is it UMN or LMN
LMN
28
if you have a lesion at the cauda equina is it UMN or LMN
UMN + LMN
29
what is effected with Posterior Cord Syndrome
JPS pressure touch vibration
30
what causes posterior cord syndrome
Iatrogenic - relating to illness caused by medical examination or treatment. "drugs may cause side effects which can lead to iatrogenic disease"
31
what tracts is effected in anterior cord syndrome
STT and Corticospinal
32
what are the sym of anterior cord syndrome
hyperesthesia and hypoalgesia below the level of the lesion
33
what is hypoalgesia
condition that causes a decreased sensitivity to pain, or a diminished response to a stimulus that is normally painful
34
what is hyperesthesia
neurological condition that causes increased sensitivity to stimuli, such as touch, sound, light, taste, smell, and temperature.
35
what causes anteiror cord syndrome
hyperflexion unjury
36
what is central cord syndrome
in the cervical region more weakness in the UE compared to the LE spare sensation and motor in the sacral region
37
what part of the spinal cord is effected in Brown Sequard Syndrome
hemi section of the spinal cord
38
what do we see with Brown Sequard Syndrome
more sever motor loss and priopercietion on the side ispierlateral of the lesion or loss of pain and temp of the contralateral side
39
Ipsilateral Symptoms - brown
DCML sensory function loss below injury level
40
Conus Medullaris location
Bilateral and symmetrical in perineum and thighs
41
Cauda Equina location
Unilateral and asymmetrical in perineum, thighs, leg, back
42
Sensory - Conus Medullaris
Saddle distribution Bilateral, symmetric
43
Sensory - Cauda Equina
Saddle distribution unilateral, asymmetric
44
Complete SCI injury
No sensory or motor function in the lowest sacral segments (S4 and S5)
45
what is Incomplete SCI injury
Motor and/or sensory function below the neurological level including sensory and/or motor function at S4 and S5
46
what are some examples of incompleteed SCI injuries
* Anterior cord syndrome * Posterior cord syndrome * Brown Sequard syndrome * Central cord syndrome
47
2 point descrimnation test
filiments
48
C5 - Muscular
elb flexors
49
C6 - Muscular
wrist flexors
50
C7 - Muscular
triceps elb extensors
51
T1 - musc
5th finger abd
52
L2 - musc
hip flexors
53
L3 - musc
knee ext
54
L4 - musc
ankle dorsiflexors
55
L5 - musc
big toe extnesor
56
S1 - musc
ankle PF
57
Cardiac: SCI
Orthostatic Hypotension, Autonomic dysreflexia
58
Pulmonary: SCI
Respiratory Dysfunction
59
GI: SCI
Urinary and bowel retention +/- incontinence
60
Integumentary: SCI
Pressure Ulcers
61
MSK : SCI
Contracture, weakness, tone
62
Autonomic Dysreflexia/Hyperreflexia is seen at what level and above
At or above T6
63
Autonomic Dysreflexia/Hyperreflexia what causes this
Noxious stimuli below level of lesion
64
what are the symptoms seen with Autonomic Dysreflexia
HBP bradycardia sweating above the level of the lesion flushing and blotching of the skin goose bumps blurred vision
65
what are the most common cuase of brown sequard
gun shot or stab wound
66
what are causes of Autonomic Dysreflexia
- Ingrown toenail, kink/clogged in the catheter, bladder, UTI, pressure injury
67
what do we do if some has Autonomic Dysreflexia
SIT UP and LOWER LEGS Remove painful stimuli Monitor vitals throughout:
68
what is the most common cuase of central cord lesion
neck hyperext - whip lash
69
if you have small central cord lesion what is the only thing that is effects
bilateral pain and temp
70
if you have large central cord lesion what is the only thing that is effects
every thing UE > LE
71
what level do we do spinal taps
L3-L4

FF: neuro content (8 decks)

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