10: Hospitalized pt Flashcards
Best test to RO MI?
Troponin
MC consult for hospitalized pt.
pneumonia #2 COPD; #3 Asthma
X + 1 rule for disc herniation
(herniation at disc X affects nerve root X+1; nerve X has already exited foramina and is unaffected).
Deltoid motor level
C5
Biceps motor level
C5-6
Wrist extensors level
C6
Wrist Flexors level
C7
Finger extensors level
C7
Finger flexors level
C8
Interossei level
T1
What does the Spurling test test for?
Narrowing of neural foramina
How do you perform Spurling?
SB and Ext head+ compression
+ if pain radiates to IPSA arm
What does the Underburg test test for?
Vertebral insufficiency
How do you perform the Underburg test?
Pt supine; ext and rotate neck;
30 s
+ if dizziness, nausea, lightheadedness
Name the sympathetics?
Yay!
Head and neck
T1-4
Heart
T1-5
Resp system
T2-7
Esophagus
T2-8
Upper GI
T5-9
Middle GI
T10-11
Left Colon
T12-L2
Bladder
T11-L2
Prostate
T12-L2
LEs
T11-L2
UEs
T2-8
Upper Ureters
T10-11
Lower Ureters
T12-L1
Uterus and Cervix
T10-L2
Erectile Tissue
T11-L2
Kidney
T10-11
Appendix
T12
Adrenals
T10
Compression of CN X can cause what Sx?
N/V
What can cause GERD from excessive relaxation of the LES?
Parasympathetics
Inhibition of PANS tone will cause what?
Achalasia and dec motility
Unopposed SANS in the superior cervical ganglia can cause what 2 things? Excessive?
Vasoconstriction and mucosal drying
Excessive: inc mucous production
