Clinical Picture, Deficits, Impaired Temp Con. Flashcards
1
Q
Spinal Shock
A
- Immediately Following SCI
- Period of areflexia
- Transient and not clearly understood
2
Q
Characteristics of Spinal Shock
A
- Absence of all reflex activity
- Faccidity
- Loss of sensation below the level of hte lesion
- Lasts several hours to several weeks, but usually subsides withing 24 hours
3
Q
Early resolution or end of ___ ____ is an important _____ sign.
A
- Spinal Shock
- Prognostic
4
Q
Signaled by positive _________ reflex.
A
- Bulbocavernosus
5
Q
Bulbocavernosus Reflex
A
- Reflex contraction of the anal sphincter around the examiner’s finger when the glans or clitoris are squeezed
6
Q
Bulbcavernosus reflex may be resent several ___ before ___ are apparent in the __.
A
- Weeks
- DTR
- LE’s
7
Q
With a + Bulbcavernosus reflex and without evidence of accompanying sensory or motor return usually indicates a?
A
- Complete Lesion
- Even if positive for reflex, may still be a complete lesion
8
Q
Motor Deficits
A
- Complete or partial loss of mm function below the level of the lesion
9
Q
Sensory Deficits
A
- Compete or partial loss of sensation below the level of the lesion
10
Q
With damage to the ___ ____ the ______ can no longer control cutaneous blood flow or level or sweating.
A
- Spinal cord
- Hypothalamus
11
Q
Loss of internal ______ responses
A
- Thermoregulatory
12
Q
Loss of ability to ____.
A
- Shiver
13
Q
No _______ in response to heat
A
- Vasodilation
14
Q
No ______ in response to cold
A
- Vasoconstriction
15
Q
Loss of ability to use _______ sweating.
A
- Thermoregulatory
- Cooling in warm environments
- Often see excessive compensatory diaphoresis above the level of lesion
