Acute Spinal Disease Flashcards

1
Q

Neurological exam steps (7)

A
Mentation
Gait
Proprioception
Cranial nerves
Spinal reflexes
Spinal palpation
Pain perception
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

To what areas can a neurological problem be localised?

A
Forebrain
Cerebellum 
Brainstem 
Spinal cord
Neuromuscular
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What spinal segments can a problem be localised to?

A

C1-C5
C6-T2
T3-L3
L4-S3

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

What is the 6 finger description for neurological problem solving?

A
Onset
Symmetry 
Pain
Progression
Localisation 
Signalment
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Peracute onset disorders

A

Trauma
ANNPE
FCE

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

Acute onset disorder

A

Intervertebral disc extrusion

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

Acute on chronic onset

A

Neoplasia

Intervertebral disc extrusion

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

Non progressive disorders

A

FCE
ANNPE
Trauma (no improvement)

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

Progressive disorder

A

Degenerative intervertebral disc disease

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

Assymetric disorder

A

FCE

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

Non painful disorder

A

FCE

ANNPE

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

Often painful diseases that become less severe

A

Intervertebral disc disease

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

Painful disorders

A

Meningitis
Discospondylitis
Osteolytic lesion
Fracture/luxation

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

Hansen Type 1 disease

A

Dehydration + calcification of nucleus pulposis precedes sudden extrusion
Acute compression and contusion
Acute onset in young chondrodystrophic dog

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

Hansen Type 2 disease

A

Weakening and hypertrophy of annulus fibrosis- gradual protrusion of AF into canal
Chronic compression
Chronic progressive signs in large non-chondrodystrophic dog

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

Fibrocartilaginous embolism

A

Peracute embolism of spinal vessel during strenuous activity
Non surgical case- 2 weeks before improvement
Physio/hydrotherapy

17
Q

Acute Non-compressive Nucleus Pulposis Extrusion

A

Contusion of spinal cord during strenuous activity or trauma

Non surgical- physio/hydrotherapy

18
Q

Disc disease management

A

If ambulatory- medical management + rest 4-6 weeks
If no improvement or deteriorating surgery indicated
If deep pain present 80-90% success (50-60% if not)