Back Flashcards
What is “gibbous deformity”?
kyphosis, associated with tuberculosis
where does herpres zoster lie dormant?
DRG
At what level should a lumbar puncture be done?
L4-L5
What level does the spinal cord end?
L1-L2
What level does the dural sac (lumbar cistern) end?
S2
What do sympathetic autonomics primarily do?
vasoconstriction
where do the denticulate ligaments terminate? what is there function?
L2 with the conus medullar is
keep spinal cord midline
How do you know if you get a failed lumbar puncture (blast through Posterior longitudinal l.)?
hematopoietic cells are aspirated
what is spondolysis?
“facet jumping” anterior displacement of one or more vertebrae
what blood plexus surrounds the dura mater in the epidural space?
the internal vertebral plexus (of Batson) = valveless! VEIN
what is the cause of a subarachnoid bleed?
ruptured intercerebral aneurism
what is the cause of a subdural hematoma?
venous bleed from the torn cerebral vein as it enter the superior saggital venous sinus within the skull
What blood vessel supplies the deep back muscles?
posterior intercostal a.
what does somatic afferent fibers convey?
localized pain
What is Klippel-Feil syndrome?
reduction/fusion in a number of cervical vertebrae = short stiff neck with limited motion
what is spondylolithesis?
anterior vertebral displacement
what is arnold-chiari malformation?
herniation of medulla and cerebellum into formen magnum!
What nerve is affected by quadrangular space syndrome?
axillary n.
What supplies the anterior and posterior spinal a.?
The (great radicular) a. of Adamkiwicz
What can polio and MD lead to
scoliosis
What is found in the triangular space?
circumflex scapular a. and v.
What is a “boxers fracture”
broken neck of 5th metacarpal (knuckles)
What is Bennett’s fracture?
dislocation of the CMC joint of the thumb
What is “gamekeepers thumb”?
extensive abduction of MCP = injury to ulnar collateral l.
What structures wrap around the surgical neck of the humerus and are susceptible to injury if broken?
axillary n. and posterior humeral circumflex
what is claw hand?
trauma to median n. and ulnar n. at the WRIST
what is colles’ fracture?
fracture fo distal radium with dorsal dislocation
what is smith’s fracture?
fracture of distal radius but dislocation anterior
What spinal segment would you test the triceps reflex?
C7
What spinal segment would you test the brachioradialis reflex?
C6