cauda equina Flashcards

1
Q

symptoms of CES

A

LOW BACK PAIN
INCONTINECE OF BOTH both constipation or incontentince and erectile dysfcntion
SADDLE ANAESTHESIA - wiping tissue
RADICULAR PAIN- can be alternating or both
gait abnormalities

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2
Q

definition of radicular pain

A

pain that starts from the back and spreads into the legs

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3
Q

where is the most common place for herniated disc

A

lumbar

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4
Q

what does a herniated disc cause and why

A

it compresses the nerve roots

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5
Q

what can cause herniated disc

A

trauma
injury
natural age

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6
Q

what does a herniated disc commonly cause

A

lower back pain

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7
Q

dx of lower back pain

A
  1. herniated disc
  2. cauda quina
  3. fracture of vertebrae
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8
Q

part of the disc anatomy

A

outer annulus fibrosis -tough
nucleous pulposus - jelly like

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9
Q

function of discs?

A

cushion and act as shoc absorberd
less friction between the bones

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10
Q

how does a herniated disc happen

A

jelly like subatnce pushes outwards

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11
Q

what can cause sciatica

A
  1. A herniated disc
  2. piriormis muscle contacting and putting pressure on it
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12
Q

symptoms of sciatica

A
  1. numbness of leg
  2. weakness of the leg
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13
Q

which muscle does the sciatic nerve pass under

A

pririformis

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14
Q

causes of CES

A

herniates disc- most common
tumour
trauma

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15
Q

tx CES

A

refer to surgery dor decompression

if its malignancy use sterodis

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16
Q

what level does spinal cord end

A

L1

17
Q

how do you dx sciatica and CES

A

sciatica will not affect the bowel/bladder

18
Q

investigations CES

A

NB- MRI

19
Q

examinations for CES (ED)

A
  1. Pre and post void bladder
  2. digital rectal exam for tone
  3. refelexes
  4. sensation
  5. power
20
Q

how to test for saddle anaesthesia

A
  1. down the but crack just the very top
21
Q

what would happen to the reflexes in CES

A

can be both

22
Q

PR EXAM CES what to ask

A

do you feel my finger ?
can you squeeze my finger
cough

23
Q

whats more common in terms of bladder in CES

A

RETENTION