Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Neuromus 2 > SCI basics - SCI > Flashcards

SCI basics - SCI Flashcards

1
Q

what is the spinothalamic tract for

A

pain

temp

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what is the DCML for

A

JPS

pressure touch

vibration

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what is global sensory loss normally due to

A

the cortex and peri nerves

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

what is the lateral corticospinal tratct

A

To control the voluntary movement of contralateral limbs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

ventromedial pathway function

A

innervate axial and antigravity muscles to help keep the head positioned during antigravity activities

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

complete SC vs one-sdie of the SC

A

complete: loss of motion bilaterally and have global sensory loss below the lesion

one-sided:
o vibration and proprioceptive sense isp
o pain and temp from the contra

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what is the anterior spinal art

A

look at slide

is supplies 2/3 of the spinal cord
- most grey matter
- descending tracts
- both lateral and anterior
- spinothalamic
- spinocere

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what is sacral sparing

A

the patient maintains sensation around that anal region

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

where does the posterior spinal artery supply

A

the dorsal column and part of the dorsal horn

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what are things that can lead to spinal cord damage

A

trauma

disease

cog defects

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what is the most common cause of SCI in the adult population

A

trauma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

was are the two type of SCI injury

A

direct

indirect

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

direct damage to the spinal cord example

A

bullet

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

indirect spinal cord injury example

A

impingment of bony/soft structures

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

does the spinal cord injury have to be complete for deficits to appear

A

no

brusied tissue can cause neuro damage that is just as sig as if the SCI was severed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

what is are of the spine is most vulnerable to injury

A

cervical

most injury is seen in the lower SC areas

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

what kind of injuries have the highest incidence of neuro injury

A

flexion force injury

seen with whip lash

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

what are the forces that lead to vert injury

A

flexion

compression

extension (hyper)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

how do compression injuries occur

A

axial blow to the head

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

how to hyperextension injuries occur

A

when the head and chin strike in a fall or a MVA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

what kind of causes of SCI is mostly seen in the elderly population

A

hyperextension injury

think falls

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

how large is the thoracic region

A

1-12

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

in the lumbar region of the spine - where does injury omstly occur at

A

thoraco lumbar section

t12- L1

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

how long is the lumbar segment of the spine

A

5 segments

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

how long is the scaral segment of the spine

A

5 segments

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

how long is the cervical segment of the spine

A

8 segments

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

in neuro damage in thelumbar region normally complete or imcomplete and why

A

incomplete

they have good vascular supply - large vertebral canal in that section

the cord is not present at L1- L2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

what are some examples of non-traumatic lesions

A

tumors

vascular syndromes

MS

ALS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

tumors in the spinal cord

A

they normally have a compressive effect

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

what is the most common type of tumor in the spinal cord

A

extradural

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

what could lead to weakness, sensory loss, pain with an extradural tumor

A

located near the nerve root

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

intramedullary what kind of pain do we expect

A

back pain is common

radicular pain is not common

33
Q

what vascular syndromes common in the spinal cord

A

no

when it is present I can be hard to diagnose

34
Q

what is an infraction

A

tissue death or necrosis due to inadequate blood supply to the affected area

35
Q

what are the vascular syndromes that we see with SCI

A

infraction of the anterior spinal cord
and
hemmorage from vascular malformations and trauma

36
Q

what is anterior spinal art syndrome

A

occlusion in the ant spinal cord that produces damage to most of the cord except for the dorsal horns and the dorsal aspect of the dorsal horn

37
Q

what do patients present if they have anterior spinal art syndrome

A

paralysis below the level below the level of injury

deficits in pain and temp below that level

perservation of vibration and propioeption

38
Q

is posterior spinal art occlusion common

A

less common

39
Q

what do patient present with if they have posterior spinal art occlusion

A

loss of propioception and vibration below the level of injury

40
Q

what is arteriovenous malformations

A

tangle and art and veins that represent the persistance of embroyotic pattern of blood vessels

hemo of these thin vessels occur in 20-30 yo

41
Q

what can arteriovenous malformations be preceeded by

A

headaches and seizures

42
Q

are aneurysms common with SCI

A

uncommon

43
Q

what is a complication of aortic aneurysm

A

spinal cord ischemia

this can also be a complication of vascular surgery

44
Q

what were the two degenerative disease that we where introduced to

A

MS

ALS

45
Q

how to we treat SCI

A

surgical and non-surgical

46
Q

what are examples of SCI surgical interventions

A

fusion

decompression

47
Q

what are examples of non-surgical intervention for spinal cord

A

miami J

TLSO

LSO

stablization and bracing

steriod infusion

48
Q

what are the cervical precautions

A

no excessive movements

Miami J, aspen collar at all times

no active shoulder abd or flexion above 90

no lifting over 5 lbs

no pillow under your head

49
Q

pillow under head cervical precautions

A

sometime 1 thin pillow is allowed

the goal is avoid putting the head into extra flexion

50
Q

what are TLS precautions

A

no BLT

no lifting greater then 10 lbs

log rolling only

no HOB > 30 -deg

OOB with TLSO

no hip felxion past 90-deg

51
Q

what does TLS stand for

A

thoracic and lumbar spine precasutions

52
Q

what does BLT stand for

A

bending lifting and twisting

53
Q

what does TLSO stand for

A

Thoracic-Lumbar-Sacral Orthosis (TLSO)

54
Q

what is spinal shock

A

occurs after there is trauma to the cord

temp ceases function below the level of the lesion

spinal reflexes, voluntary motor and sensory function, and automnomic control are absent below the level of the lesion

the spinal cord is knock out like when you are knock out for a fight - takes a little to regain function

55
Q

how long does spinal shock last

A

clears within the first 24 hrs and usually resolves in a few weeks

56
Q

what is the cause for spinal shock other then the trauma that is experienced

A

unknown

57
Q

what is neurological return

A

the resumption of voluntary movement and sensory function that has been lost as a result of the injury

not the return of reflexive functioning below the lesion

58
Q

what is neuro return evidence of

A

evidence of a connection between the brain and the muscles or dermatones have resumed function

59
Q

does neuro return occur quickly or slowly

A

slow

60
Q

when does most neuro recovery occur

A

in the first 6 months and platues after the first 2 years

61
Q

what are the mech of neuro return

A

nerve root recovery

remyleination of f surving neurons

resolution of patho processes

injuring induced platisity

making new connection

62
Q

what leads to fast recovery of neuro return

A

resolution of patho process that were causing neruo deficits

edema

hemorrhage

as these are clearing out we will see a return

63
Q

does spinal shock occur acutely or chronically

A

acutely

64
Q

what does neuro return depend on

A

completeness of the injury and degree

65
Q

what does inadequate inspiration result in

A

reduced ventilation of the lungs

66
Q

what does inadequate coughing lead to

A

allows for secretions to build up in the lungs

67
Q

with SCI why do we often see complications with respiration

A

because of weakness in the accessory muscles

68
Q

breathing and higher leveel of injury

A

the pt may need a ventilator

69
Q

why do we often see pressure ulcers with complete lesion and tetra

A

lack of sensation and lack of mobility

70
Q

what are some options that can lead to pressure relief

A

push up forward

lateral weight shifts

power chair seat functions

cushion options

patient education about pressure relief

71
Q

how often should the pt move to prevent pressure sores

A

2 min every 20-30 mins

72
Q

what are some factors that lead to DVTs

A

absent or reduced LE muscular activity

immobilty

73
Q

how is DVT related to muscles

A

the venous system relies on the musculature to pump the blood back up to the heart

74
Q

what are contractures

A

deformity is likely to form when there are muscle strength imbalances, spasicty, gravity, and postural causes 1 or more joint to remain in one position for extended periods

75
Q

how do we treat contracture

A

periodic ROM

76
Q

where is heterotrophic ossification normally located

A

hip, shoulder, knees

77
Q

how do we treat heterotrophic ossification

A

moderate intensive stretching to maintain ROM

78
Q

where do we mostly see osteoporosis (OP)

A

LE

female

low BMI

older

79
Q

OP and SCI

A

after SCI there is a net loss of bone mass becasue the rate of resportion is greater then new bone formation

Neuromus 2 (17 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions