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FF: neuro content > class 5: SCI > Flashcards

class 5: SCI Flashcards

1
Q

Asia A

A

no sensory or motor function is persevered in the sacral segment sS4-S5

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2
Q

Asia B

A

sensonry icomoplete

sensory function is preserved below the neurological level (light touch and or pin prick) but no motor function > than 3 levels belwo the motor levels

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3
Q

Asia C

A

motor incomplete

motor function is persevred

more the 1/2 of muscle below the neurological level have muscle grade of less then 3

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4
Q

Asia D

A

motor incomplete

motor function is persevred

more the 1/2 of muscle below the neurological level have muscle grade of > or equal then 3

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5
Q

Asia E

A

normal

seen if every is normal

or if the pt is tested again and they are normal

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6
Q

how do we get to neurological level - sensory

A

sensory level is the lowest level at which pen prick and light touch is normal (2)

with all sensory grades 2/2 above

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7
Q

how do we get to neurological level - motor

A

the lowest level where the muscle grade is a t least a 3

with all muscle grade above it a 5

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8
Q

what is the neurological level

A

the lowest level where motor and sensory are normal on both sides

  1. Find Motor and Sensory level
  2. Pick the higher one
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9
Q

C5 innervation

A

diaphragm

trasp

biceps

rhomiods

partial -serratus, RC

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10
Q

C6 innervation

A

lats and RC

ECRL/B

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11
Q

what level do we see impaired diaphragm function

A

c4

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12
Q

C7 innervation

A

triceps

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13
Q

C8 innervation

A

finger flexors

pronators

wrist flexors

thumb abd and ext

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14
Q

T1 innervation

A

pect major and minor

rest of finger hand muscluature

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15
Q

throacic innervation

A

fully intact UE

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16
Q

Vertebral Level

A

talking about the vert

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17
Q

Spinal Level

A

talking about the spinal cord

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18
Q

Ascending tracts

A

DCML, ALS

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19
Q

descending

A

Corticospinal tracts

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20
Q

what is the function of the DCML

A

JPS

pressure touch

vibration

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21
Q

what is the function of the ALS tract

A

pain and temp

  • Anterior STT: Crude touch
  • Lateral STT: Pain and temperature
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22
Q

what is the function of Corticospinal tracts

A
  • To control the voluntary movement of contralateral limbs
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23
Q

is a nerve root lesion a LMN or UMN

A

LMN

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24
Q

what level does the spinal cord end at

A

L1-L2

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25
Q

what tract is effected with Posterior Cord Syndrome

A

DCML

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26
Q

what does the SC become after L1-2

A

codus medularris and cauda equina

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27
Q

if you have a lesion at the codus medularris is it UMN or LMN

A

LMN

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28
Q

if you have a lesion at the cauda equina is it UMN or LMN

A

UMN + LMN

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29
Q

what is effected with Posterior Cord Syndrome

A

JPS

pressure touch

vibration

30
Q

what causes posterior cord syndrome

A

Iatrogenic -

relating to illness caused by medical examination or treatment.
“drugs may cause side effects which can lead to iatrogenic disease”

31
Q

what tracts is effected in anterior cord syndrome

A

STT and Corticospinal

32
Q

what are the sym of anterior cord syndrome

A

hyperesthesia and hypoalgesia below the level of the lesion

33
Q

what is hypoalgesia

A

condition that causes a decreased sensitivity to pain, or a diminished response to a stimulus that is normally painful

34
Q

what is hyperesthesia

A

neurological condition that causes increased sensitivity to stimuli, such as touch, sound, light, taste, smell, and temperature.

35
Q

what causes anteiror cord syndrome

A

hyperflexion unjury

36
Q

what is central cord syndrome

A

in the cervical region

more weakness in the UE compared to the LE

spare sensation and motor in the sacral region

37
Q

what part of the spinal cord is effected in Brown Sequard Syndrome

A

hemi section of the spinal cord

38
Q

what do we see with Brown Sequard Syndrome

A

more sever motor loss and priopercietion on the side ispierlateral of the lesion

or loss of pain and temp of the contralateral side

39
Q

Ipsilateral Symptoms - brown

A

DCML sensory function
loss below injury level

40
Q

Conus Medullaris location

A

Bilateral and symmetrical in
perineum and thighs

41
Q

Cauda Equina location

A

Unilateral and asymmetrical in
perineum, thighs, leg, back

42
Q

Sensory - Conus Medullaris

A

Saddle distribution
Bilateral, symmetric

43
Q

Sensory - Cauda Equina

A

Saddle distribution
unilateral, asymmetric

44
Q

Complete SCI injury

A

No sensory or motor function in the lowest sacral segments
(S4 and S5)

45
Q

what is Incomplete SCI injury

A

Motor and/or sensory function below the neurological level
including sensory and/or motor function at S4 and S5

46
Q

what are some examples of incompleteed SCI injuries

A
  • Anterior cord syndrome
  • Posterior cord syndrome
  • Brown Sequard syndrome
  • Central cord syndrome
47
Q

2 point descrimnation test

A

filiments

48
Q

C5 - Muscular

A

elb flexors

49
Q

C6 - Muscular

A

wrist flexors

50
Q

C7 - Muscular

A

triceps

elb extensors

51
Q

T1 - musc

A

5th finger abd

52
Q

L2 - musc

A

hip flexors

53
Q

L3 - musc

A

knee ext

54
Q

L4 - musc

A

ankle dorsiflexors

55
Q

L5 - musc

A

big toe extnesor

56
Q

S1 - musc

A

ankle PF

57
Q

Cardiac: SCI

A

Orthostatic Hypotension, Autonomic dysreflexia

58
Q

Pulmonary: SCI

A

Respiratory Dysfunction

59
Q

GI: SCI

A

Urinary and bowel retention +/- incontinence

60
Q

Integumentary: SCI

A

Pressure Ulcers

61
Q

MSK : SCI

A

Contracture, weakness, tone

62
Q

Autonomic Dysreflexia/Hyperreflexia is seen at what level and above

A

At or above T6

63
Q

Autonomic Dysreflexia/Hyperreflexia what causes this

A

Noxious stimuli below level of lesion

64
Q

what are the symptoms seen with Autonomic Dysreflexia

A

HBP

bradycardia

sweating above the level of the lesion

flushing and blotching of the skin

goose bumps

blurred vision

65
Q

what are the most common cuase of brown sequard

A

gun shot or stab wound

66
Q

what are causes of Autonomic Dysreflexia

A
  • Ingrown toenail, kink/clogged in the catheter, bladder, UTI, pressure injury
67
Q

what do we do if some has Autonomic Dysreflexia

A

SIT UP and LOWER LEGS

Remove painful stimuli

Monitor vitals throughout:

68
Q

what is the most common cuase of central cord lesion

A

neck hyperext - whip lash

69
Q

if you have small central cord lesion what is the only thing that is effects

A

bilateral pain and temp

70
Q

if you have large central cord lesion what is the only thing that is effects

A

every thing

UE > LE

71
Q

what level do we do spinal taps

A

L3-L4

FF: neuro content (7 decks)

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