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Y4R3 - Medicine II 🩺 > S2: Hemiplegia > Flashcards

S2: Hemiplegia Flashcards

(38 cards)

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1
Q

Def of Hemiplegia

A
  • Paralysis of one side of the body due to pyramidal tract lesion at any point from its origin in the cerebral cortex down to the fifth cervical segment of the spinal cord.
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2
Q

Causes of Hemiplegia

A
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3
Q

Causes of Hemiplegia

  • Most Common Cause
A

Vascular

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4
Q

CP of Hemiplegia

A
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5
Q

CP of Hemiplegia

  • Onset & Course
A
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6
Q

CP of Hemiplegia

  • Symptoms
A

On the hemiplegic Side

  • Paralysis
  • Ms Tone
  • Deep Reflexes
  • Superficial Reflexes
  • Babniski Sign
  • Clonus
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7
Q

CP of Hemiplegia

  • Side
A

These are found on the hemiplegic side

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8
Q

CP of Hemiplegia

  • Paralysis
A
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9
Q

CP of Hemiplegia

  • Ms Tone
A
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10
Q

CP of Hemiplegia

  • Deep Reflexes
A
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11
Q

CP of Hemiplegia

  • Superficial Reflexes
A

The abdominal and cremasteric reflexes are lost.

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12
Q

CP of Hemiplegia

  • Babniski Sign
A

Positive

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13
Q

CP of Hemiplegia

  • Clonus
A
  • May be present in the ankle.
  • Less frequently in the knee and wrist.
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14
Q

Level of the lesion in Hemiplegia

  • Spinal Cord
A
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15
Q

Level of the lesion in Hemiplegia

  • Brain Stem
A
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16
Q

Brainstem Lesion in Hemiplegia

  • Lesion in Midbrain
Study These Flashcards
A

CROSSED HEMIPLEGIA:

  1. Hemiplegia on the opposite side of the lesion.
  2. Cranial nerves paralysis of L.M.N. nature on the same side of the lesion.
17
Q

Brainstem Lesion in Hemiplegia

  • Lesion in Medulla
Study These Flashcards
A

CROSSED HEMIPLEGIA:

  1. Hemiplegia on the opposite side of the lesion.
  2. Cranial nerves paralysis of L.M.N. nature on the same side of the lesion.
18
Q

Brainstem Lesion in Hemiplegia

  • Lesion in Pons
Study These Flashcards
A

CROSSED HEMIPLEGIA:

  1. Hemiplegia on the opposite side of the lesion.
  2. Cranial nerves paralysis of L.M.N. nature on the same side of the lesion.
19
Q

Lesion in Hemiplegia

  • Cerebral
20
Q

Compare between Cortical & capsular Lesion causing hemiplegia in terms of:

  • Coma
  • Convulsions
  • Aphasia & Agraphia
  • Paralysis
  • CN
  • UMN
  • Sensory
  • Vision
21
Q

Compare between Cortical & capsular Lesion causing hemiplegia in terms of:

  • Coma
  • Convulsions
  • Aphasia & Agraphia
  • Paralysis
  • CN
  • UMN
  • Sensory
  • Vision
22
Q

Compare between Cortical & capsular Lesion causing hemiplegia in terms of:

  • Coma
  • Convulsions
  • Aphasia & Agraphia
  • Paralysis
  • CN
  • UMN
  • Sensory
  • Vision
23
Q

Compare between Cortical & capsular Lesion causing hemiplegia in terms of:

  • Coma
  • Convulsions
  • Aphasia & Agraphia
  • Paralysis
  • CN
  • UMN
  • Sensory
  • Vision
24
Q

Compare between Cortical & capsular Lesion causing hemiplegia in terms of:

  • Coma
  • Convulsions
  • Aphasia & Agraphia
  • Paralysis
  • CN
  • UMN
  • Sensory
  • Vision
25
Compare between Cortical & capsular Lesion causing hemiplegia in terms of: - Coma - Convulsions - Aphasia & Agraphia - Paralysis - **CN** - UMN - Sensory - Vision
26
Compare between Cortical & capsular Lesion causing hemiplegia in terms of: - Coma - Convulsions - Aphasia & Agraphia - Paralysis - CN - **UMN** - Sensory - Vision
27
Compare between Cortical & capsular Lesion causing hemiplegia in terms of: - Coma - Convulsions - Aphasia & Agraphia - Paralysis - CN - UMN - **Sensory** - Vision
28
Compare between Cortical & capsular Lesion causing hemiplegia in terms of: - Coma - Convulsions - Aphasia & Agraphia - Paralysis - CN - UMN - Sensory - **Vision**
29
Subcortical Hemiplegia
30
Managment of **Hemiplegia**
- General - Symptomatic - Physio-Therapy - Specific
31
General Managment of **Hemiplegia** - ABC
As Normal
32
General Managment of **Hemiplegia** - Nutrition & Fluids
- Nasogastric tube feeding giving fruit juices, milk and pureed food. - I.V fluids, in comatose patients.
33
General Managment of **Hemiplegia** - Skin
- Frequent change of the patient's position, and bed sheets. - Frequent cleaning of the back skin and pressure points by alcohol.
34
General Managment of **Hemiplegia** - Urine
- Catheterization every 8 hours or Foley's self-retaining catheter. - Urinary antiseptics.
35
General Managment of **Hemiplegia** - Bowel
Daily Enema
36
Symptomatic Managment of **Hemiplegia**
37
Managment of **Hemiplegia** - Physio-therapy
38
Specific Managment of **Hemiplegia**
TTT of Cause

Y4R3 - Medicine II 🩺 (35 decks)

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